Psychological testing and treatment implications: we can say more

Psychologists invest considerable time and labor in psychological testing and report writing. Patients and families expose vulnerabilities and make a significant financial and time investment in the hope that testing will make a difference in treatment. Frequently, though, handling of treatment implications in reports is generic, which might not justify the time, expense, and emotional investment involved in the evaluation. As diagnosticians, we have the responsibility and potential to contribute more meaningfully to the work of our referring colleagues and the treatment of the patients we assess. I review the psychotherapy research literature to highlight evidence-based findings that can serve as guideposts in formulating treatment implications. Subsequently, I illustrate how we can use test data to make nuanced inferences about therapeutic alliance, potential resistances, likely transferences and countertransferences, and conceptualizing treatment on the supportive-expressive continuum.