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Homework in psychotherapy
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Homework in psychotherapy is sometimes assigned to patients as part of their treatment. In this context, homework assignments are introduced to practice skills taught in therapy, encourage patients to apply the skills they learned in therapy to real life situations, and to improve on specific problems encountered in treatment. Homework is most often used in cognitive behavioral therapy CBT for the treatment of mood and anxiety disorders, although other theoretical frameworks may also incorporate homework. Behavioral experiments are used as homework to help patients test out thoughts and beliefs directly. Studies have shown that homework completion and accuracy predict favorable outcomes in psychotherapy and may help patients stay in remission. Most of the literature published on homework in psychotherapy to date focuses on homework use during CBT, which involves changing patients' thoughts and behaviors to reduce the symptoms of the mental disorders from which they are suffering.
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Too many clients take exception to that term. It reminds them of the drudgery of assignments they had to do at home when they were at school. They are very carefully created, in a collaborative fashion.
Homework assignments have been shown to produce both causal and correlational effects in prior meta-analytic reviews of cognitive behavior therapy CBT , but this research area has been characterized by a focus on the amount of compliance i. A landmark study by Neimeyer and Feixas showed stronger homework-outcome relations when quality was assessed, but previous reviews have not considered whether the same pattern is evident across studies. Differences that were obtained in homework-outcome relations among sources of compliance data client, therapist, objective were tentative due to overlapping CIs, but suggest a potential moderating effect. If confirmed by further research, the present findings would suggest that trial methods capable of assessing both quantity and quality have been an important omission in research on homework-outcome relations in CBT. Keywords: cognitive therapy; cognitive-behavior therapy; homework compliance; meta-analysis.