Practice-Based Evidence on the Treatment of Conduct Problems in a Child/Adolescent


  • Paul W. Clement Private practice, South Pasadena, CA



adolescent psychotherapy, birth defects, child psychotherapy, conduct problems, developmental assets, developmental trajectory, positive psychology, practice-based evidence, resilience, stealing, vandalism, clinical case studies, case studies


In this discussion I respond to two commentaries on a case study of my treatment of Rafael, a 12-year-old boy presenting with conduct problems (Clement, 2011b). My response includes shorter consideration of a variety of specific points raised by the commentators. I also elaborate in some detail on one of the points raised concerning my system for measuring treatment outcomes in routine clinical practice. The approach adapts Goal Attainment Scaling, the Global Assessment Scale/Global Assessment of Functioning, and Smith and Glass's 1977 method of calculating treatment effect sizes (ESs). Finally, I frame my case study as an example of practice-based evidence for the effectiveness of psychotherapy.

Author Biography

Paul W. Clement, Private practice, South Pasadena, CA

Pan Fishman, Ph.D. Editor-in-Chief, Pragmatic Case Studies in Psychotherapy Professor of Clinical and Organizational Psychology Graduate School of Applied and Professional Psychology Rutgers University Mailing address: 57 Jaffray Court Irvington, NY 10533 914-693-8549 fax: 603-917-2567 email:




How to Cite

Clement, P. W. (2011). Practice-Based Evidence on the Treatment of Conduct Problems in a Child/Adolescent. Pragmatic Case Studies in Psychotherapy, 7(3), 422–433.