Developing a research agenda for child and adolescent psychotherapy

Child and adolescent therapy has progressed considerably as reflected in th e sheer number of controlled studies, their methodological quality, and ide ntification of empirically supported treatments. Even so, research is not l ikely to make significant advances, in light of the way in which treatment is studied and the emphasis on technique-focused questions. This article ra ises 3 questions: What are the goals of child and adolescent psychotherapy research? What type of research is needed to obtain these goals? How can we determine whether we are making progress toward the goals? This article pr ovides a plan to advance research that (1) emphasizes understanding the mec hanisms or processes through which therapeutic change occurs, (2) draws on developmental psychopathology research to inform treatment, (3) expands the range of questions that guide treatment research, and (4) elaborates multi ple treatment outcomes on which to base conclusions. Recommendations are ma de to both develop the research agenda and to evaluate progress.