Summaries

Routine Process Monitoring (RPM) entails a standardized feedback system, using patient’s session-by-session scores on the Outcome Rating Scale (ORS) and the Session Rating Scale (SRS) as the input. The ORS taps the patient’s daily functioning, the SRS the quality of the therapeutic alliance as experienced by the patient. In this Dutch pilot study, two groups of personality-disordered patients were compared. Different from the control condition, patients in the RPM group completed the ORS and SRS on a session-by-session base and discussed their ORS and SRS ratings with their therapist. Patients’ score patterns on the Outcome Questionnaire (OQ-45) defined treatment efficacy. Compared to the control condition, treatment efficacy was found to be slightly superior in the RPM group. However, this difference did not reach statistical significance. No difference in drop-out rates was found between both groups. Some limitations of this pilot study are discussed. Replication studies using larger sample sizes are recommended.