This article relates the Consumer Reports (1995) study to the framework of the tripartite model of mental health and therapeutic outcomes (H. H. Strupp & S. W. Hadley, 1977) and calls attention to major unsolved problems in the assessment of therapeutic change. The model envisions three perspectives for evaluating outcomes: adaptive behavior (society), sense of well-being, and personality structure. The self-report perspective is viewed as having its own validity; however, it needs to be complemented by the other two perspectives of the model. Integration of the three perspectives has remained a somewhat elusive goal.
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Hans H. Strupp (1996) studied this question.
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