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A GUIDE TO ASSESSMENTS THAT WORK
A GUIDE TO ASSESSMENTS
THAT WORK
S e c o n d E di t i o n
EDITED BY
1
1
Oxford University Press is a department of the University of Oxford. It furthers
the University’s objective of excellence in research, scholarship, and education
by publishing worldwide. Oxford is a registered trade mark of Oxford University
Press in the UK and certain other countries.
1 3 5 7 9 8 6 4 2
Printed by Sheridan Books, Inc., United States of America
Contents
1. Developing Criteria for Evidence-Based Part III Mood Disorders and Self-Injury
Assessment: An Introduction to Assessments
That Work 3 6. Depression in Children and Adolescents 99
JOHN HUNSLEY LEA R. DOUGHERTY
ERIC J. MASH DANIEL N. KLEIN
THOMAS M. OLINO
2. Dissemination and Implementation of
Evidence-Based Assessment 17 7. Adult Depression 131
AMANDA JENSEN-DOSS JACQUELINE B. PERSONS
LUCIA M. WALSH DAVID M. FRESCO
VANESA MORA RINGLE JULIET SMALL ERNST
10. Self-Injurious Thoughts and Behaviors 193 Part VI Schizophrenia and Personality
ALEXANDER J. MILLNER Disorders
MATTHEW K. NOCK
20. Schizophrenia 435
Part IV Anxiety and Related Disorders SHIRLEY M. GLYNN
KIM T. MUESER
11. Anxiety Disorders in Children and
Adolescents 217 21. Personality Disorders 464
SIMON P. BYRNE STEPHANIE L. ROJAS
ELI R. LEBOWITZ THOMAS A. WIDIGER
THOMAS H. OLLENDICK
WENDY K. SILVERMAN Part VII Couple Distress and Sexual
Disorders
12. Specific Phobia and Social Anxiety
Disorder 242 22. Couple Distress 489
KAREN ROWA DOUGLAS K. SNYDER
RANDI E. MCCABE RICHARD E. HEYMAN
MARTIN M. ANTONY STEPHEN N. HAYNES
CHRISTINA BALDERRAMA-DURBIN
13. Panic Disorder and Agoraphobia 266
AMY R. SEWART 23. Sexual Dysfunction 515
MICHELLE G. CRASKE NATALIE O. ROSEN
MARIA GLOWACKA
14. Generalized Anxiety Disorder 293 MARTA MEANA
MICHEL J. DUGAS YITZCHAK M. BINIK
CATHERINE A. CHARETTE
NICOLE J. GERVAIS Part VIII Health-Related Problems
16. Post-Traumatic Stress Disorder in Adults 329 25. Insomnia Disorder 563
SAMANTHA J. MOSHIER CHARLES M. MORIN
KELLY S. PARKER-GUILBERT SIMON BEAULIEU-BONNEAU
BRIAN P. MARX KRISTIN MAICH
TERENCE M. KEANE COLLEEN E. CARNEY
Part V Substance-Related and Gambling 26. Child and Adolescent Pain 583
Disorders C. MEGHAN McMURTRY
PATRICK J. McGRATH
17. Substance Use Disorders 359
DAMARIS J. ROHSENOW 27. Chronic Pain in Adults 608
THOMAS HADJISTAVROPOULOS
18. Alcohol Use Disorder 381 NATASHA L. GALLANT
ANGELA M. HAENY MICHELLE M. GAGNON
CASSANDRA L. BONESS
YOANNA E. McDOWELL Assessment Instrument Index 629
KENNETH J. SHER
Author Index 639
19. Gambling Disorders 412 Subject Index 721
DAVID C. HODGINS
JENNIFER L. SWAN
RANDY STINCHFIELD
Foreword to the First Edition
I believe A Guide to Assessments that Work is the right There is also much to admire within the pages of the
book at the right time by the right editors and authors. volume. Each chapter follows a common format pre-
The mental health professions have been intensively scribed by the editors and designed, as they point out,
engaged for a decade and a half and more in establish- “to enhance the accessibility of the material presented
ing empirically supported treatments. This effort has led throughout the book.” First, the chapters are syndrome-
to the publication of evidence-based treatment guidelines focused, making it easy for clinicians who want help in
by both the principal mental health professions, clinical assessing their patients to refer to the appropriate chapter
psychology (Chambless & Ollendick, 2001; Division 12 or chapters. When they do so, they will find reviews of the
Task Force, 1995), and psychiatry (American Psychiatric assessment literature for three distinct purposes: diagno-
Association, 1993, 2006). A substantial number of books sis, treatment planning, and treatment monitoring. Each
and articles on evidence- based treatments have also of these reviews is subjected to a rigorous rating system
appeared. Notable among them is a series by Oxford that culminates in an overall evaluation of “the scientific
University Press, the publishers of A Guide to Assessments adequacy and clinical relevance of currently available
that Work, which began with the first edition of A Guide measures.” The chapters conclude with an overall assess-
to Treatments that Work (Nathan & Gorman, 1998), now ment of the limits of the assessments available for the syn-
in its third edition, and the series includes Psychotherapy drome in question, along with suggestions for future steps
Relationships that Work (Norcross, 2002) and Principles to confront them. I believe it can well be said, then, that
of Therapeutic Change that Work (Castonguay & this is the right book by the right editors and authors.
Beutler, 2006). But is this the right time for this book? Evidence-based
Now we have an entire volume given over to evidence- treatments have been a focus of intense professional atten-
based assessment. It doesn’t appear de novo. Over the tion for many years. Why wouldn’t the right time for this
past several years, its editors and like-minded colleagues book have been several years ago rather than now, to
tested and evaluated an extensive series of guidelines for coincide with the development of empirically supported
evidence-based assessments for both adults and children treatments? The answer, I think, reflects the surprisingly
(e.g., Hunsley & Mash, 2005; Mash & Hunsley, 2005). brief history of the evidence-based medical practice move-
Many of this book’s chapter authors participated in these ment. Despite lengthy concern for the efficacy of treat-
efforts. It might well be said, then, that John Hunsley, Eric ments for mental disorders that dates back more than
Mash, and the chapter authors in A Guide to Assessments 50 years (e.g., Eysenck, 1952; Lambert & Bergin, 1994;
that Work are the right editors and authors for this, the first Luborsky, Singer, & Luborsky, 1976; Nathan, Stuart, &
book to detail the assessment evidence base. Dolan, 2000), it took the appearance of a Journal of the
viii Foreword to the First Edition
American Mental Association article in the early 1990s that currently lack empirical support. I agree. As with
advocating evidence-based medical practice over medi- a number of psychotherapy approaches, there remain a
cine as an art to mobilize mental health professionals to number of understudied assessment instruments whose
achieve the same goals for treatments for mental disor- evidence base is currently too thin for them to be con-
ders. The JAMA article “ignited a debate about power, sidered empirically supported. Like the editors, I believe
ethics, and responsibility in medicine that is now threat- we can anticipate enhanced efforts to establish the limits
ening to radically change the experience of health care” of usefulness of assessment instruments that haven’t yet
(Patterson, 2002). This effort resonated widely within the been thoroughly explored. I also anticipate a good deal
mental health community, giving impetus to the efforts of of fruitful discussion in the professional literature—and
psychologists and psychiatrists to base treatment decisions likely additional research—on the positions this book’s
on valid empirical data. editors and authors have taken on the assessment instru-
Psychologists had long questioned the uncertain reli- ments they have evaluated. I suspect their ratings for
ability and utility of certain psychological tests, even “psychometric adequacy and clinical relevance” will be
though psychological testing was what many psychologists extensively critiqued and scrutinized. While the resul-
spent much of their time doing. At the same time, the tant dialogue might be energetic—even indecorous on
urgency of efforts to heighten the support base for valid occasion—as has been the dialogue surrounding the evi-
assessments was limited by continuing concerns over the dence base for some psychotherapies, I am hopeful it will
efficacy of psychotherapy, for which many assessments also lead to more helpful evaluations of test instruments.
were done. Not surprisingly, then, when empirical sup- Perhaps the most important empirical studies we might
port for psychological treatments began to emerge in the ultimately anticipate would be research indicating which
early and middle 1990s, professional and public support assessment instruments lead both to valid diagnoses and
for psychological intervention grew. In turn, as psycho- useful treatment planning for specific syndromes. A dis-
therapy’s worth became more widely recognized, the tant goal of syndromal diagnosis for psychopathology has
value of psychological assessments to help in the plan- always been diagnoses that bespeak effective treatments. If
ning and evaluation of psychotherapy became increas- the system proposed in this volume leads to that desirable
ingly recognized. If my view of this history is on target, the outcome, we could all celebrate.
intense efforts that have culminated in this book could I congratulate John Hunsley and Eric Mash and their
not have begun until psychotherapy’s evidence base had colleagues for letting us have this eagerly anticipated
been established. That has happened only recently, after a volume.
lengthy process, and that is why I claim that the right time Peter E. Nathan
for this book is now. (1935–2016)
Who will use this book? I hope it will become a favor-
ite text for graduate courses in assessment so that new
generations of graduate students and their teachers will References
come to know which of the assessment procedures they American Psychiatric Association. (1993). Practice guidelines
are learning and teaching have strong empirical support. for the treatment of major depressive disorder in adults.
I also hope the book will become a resource for practitio- American Journal of Psychiatry, 150 (4 Supplement),
ners, including those who may not be used to choosing 1–26.
assessment instruments on the basis of evidence base. To American Psychiatric Association. (2006). Practice guidelines
the extent that this book becomes as influential in clinical for the treatment of psychiatric disorders: Compendium,
psychology as I hope it does, it should help precipitate a 2006. Washington, DC: Author.
change in assessment test use patterns, with an increase in Castonguay, L. G., & Beutler, L. E. (2006). Principles of thera-
the utilization of tests with strong empirical support and a peutic change that work. New York: Oxford University
Press.
corresponding decrease in the use of tests without it. Even
Chambless, D. L., & Ollendick, T. H. (2001). Empirically
now, there are clinicians who use assessment instruments
supported psychological interventions: Controversies
because they learned them in graduate school, rather than and evidence. In S. T. Fiske, D. L. Schacter, & C.
because there is strong evidence that they work. Now, a Zahn-Waxler (Eds.), Annual review of psychology
different and better standard is available. (Vol. 52, pp. 685–716). Palo Alto, CA: Annual Review.
I am pleased the editors of this book foresee it provid- Division 12 Task Force. (1995). Training in and dissemina-
ing an impetus for research on assessment instruments tion of empirically-validated psychological treatments:
Foreword to the First Edition ix
Report and recommendations. The Clinical Psychologist, Mash, E. J., & Hunsley, J. (Eds.). (2005). Developing
48, 3–23. guidelines for the evidence-based assessment of child
Eysenck, H. J. (1952). The effects of psychotherapy: An eval- and adolescent disorders (special section). Journal of
uation. Journal of Consulting Psychology, 16, 319–324. Clinical Child and Adolescent Psychology, 34(3).
Hunsley, J., & Mash, E. J. (Eds.). (2005). Developing guide- Nathan, P. E., & Gorman, J. M. (1998, 2002, 2007). A guide
lines for the evidence-based assessment (EBA) of adult dis- to treatments that work. New York: Oxford University
orders (special section). Psychological Assessment, 17(3). Press.
Lambert, M. J., & Bergin, A. E. (1994). The effectiveness Nathan, P. E., Stuart, S. P., & Dolan, S. L. (2000). Research
of psychotherapy. In S. L. Garfield & A. E. Bergin on psychotherapy efficacy and effectiveness: Between
(Eds.), Handbook of psychotherapy and behavior change Scylla and Charybdis? Psychological Bulletin, 126,
(4th ed., pp. 143–189). New York: Wiley. 964–981.
Luborsky, L., Singer, B., & Luborsky, L. (1976). Comparative Norcross, J. C. (Ed.). (2002). Psychotherapy relationships
studies of psychotherapies: Is it true that “everybody has won that work: Therapist contributions and responsiveness to
and all must have prizes?” In R. L. Spitzer & D. F. Klein patients. New York: Oxford University Press.
(Eds.), Evaluation of psychological therapies (pp. 3–22). Patterson, K. (2002). What doctors don’t know (almost every-
Baltimore, MD: Johns Hopkins University Press. thing). New York Times Magazine, May 5, 74–77.
Preface
Relationships that Work (Norcross, 2011), address inter- to (a) understanding the patient’s or client’s needs and
vention issues; the present volume specifically addresses (b) accessing the scientific literature on evidence-based
the role of assessment in providing evidence-based ser- treatment options. We also recognize that many patients
vices. Our primary goal for the book was to have it address or clients will present with multiple problems; to that end,
the needs of professionals providing psychological services the reader will find frequent references within a chapter
and those training to provide such services. A secondary to the assessment of common co-occurring problems that
goal was to provide guidance to researchers on scientifi- are addressed in other chapters in the volume. To be opti-
cally supported assessment tools that could be used for mally useful to potential readers, we have included chap-
both psychopathology research and treatment research ters that deal with the assessment of the most commonly
purposes. Relatedly, we hope that the summary tables pro- encountered disorders or conditions among children,
vided in each chapter will provide some inspiration for adolescents, adults, older adults, and couples.
assessment researchers to try to (a) develop instruments Ideally, we want readers to come away from each chap-
for specific assessment purposes and disorders for which, ter with a sense of the best scientific assessment options
currently, few good options exist and (b) expand our lim- that are clinically feasible and useful. To help accomplish
ited knowledge base on the clinical utility of our assess- this, we were extremely fortunate to be able to assemble a
ment instruments. stellar group of contributors for this volume. The authors
are all active contributors to the scientific literature on
assessment and share a commitment to the provision of
ORGANIZATION EBA and treatment services.
To enhance the accessibility of the material presented
All chapters and tables in the second edition have been throughout the book, we asked the authors, as much as pos-
revised and updated by our expert authors to reflect recent sible, to follow a common structure in writing their chap-
developments in the field, including the publication of ters. Without being a straitjacket, we expected the authors
the fifth edition of the Diagnostic and Statistical Manual to use these guidelines in a flexible manner that allowed for
of Mental Disorders (DSM- 5; American Psychiatric the best possible presentation of assessment work relevant
Association, 2013). For the most part, the general cover- to each disorder or clinical condition. The chapter format
age and organization of the first edition, which our read- generally used throughout the volume is as follows:
ers found useful, has been retained in the second edition. Introduction: A brief overview of the chapter content.
Consistent with a growing developmental psychopathol- Nature of the Disorder/ Condition: This section
ogy perspective in the field, the scope of some chapters includes information on (a) general diagnostic consid-
has expanded in order to provide more coverage of assess- erations, such as prevalence, incidence, prognosis, and
ment issues across the lifespan (e.g., attention- deficit/ common comorbid conditions; (b) evidence on etiology;
hyperactivity disorder in adults). The most important and (c) contextual information such as relational and
changes in organization involve the addition of two new social functioning and other associated features.
chapters, one dealing with the dissemination and imple- Purposes of Assessment: To make the book as clinically
mentation of EBA (Chapter 2) and the other dealing with relevant as possible, authors were asked to focus their
new developments in EBA (Chapter 3). The contents of review of the assessment literature to three specific assess-
these chapters highlight both the important contributions ment purposes: (a) diagnosis, (b) case conceptualization
that assessment can make to the provision of psychological and treatment planning, and (c) treatment monitoring
services and the challenges that mental health profession- and evaluation. We fully realize the clinical and research
als face in implementing cost-effective and scientifically importance of other assessment purposes but, rather than
sound assessment strategies. attempting to provide a compendium of assessment mea-
Consistent with evidence- based psychology and sures and strategies, we wanted authors to target these
evidence-based medicine, the majority of the chapters three key clinical assessment purposes. We also asked
in this volume are organized around specific disorders authors to consider ways in which age, gender, ethnicity,
or conditions. Although we recognize that some clients and other relevant characteristics may influence both the
do not have clearly defined or diagnosable problems, the assessment measures and the process of assessment for the
vast majority of people seeking psychological services disorder/condition.
do have identifiable diagnoses or conditions. Accurately For each of the three main sections devoted to spe-
assessing these disorders and conditions is a prerequisite cific assessment purposes, authors were asked to focus on
Preface xiii
assessment measures and strategies that either have demon- issues without having to make frequent detours to discuss
strated their utility in clinical settings or have a substantial psychometrics.
likelihood of being clinically useful. Authors were encour- At the conclusion of each of these three main sec-
aged to consider the full range of relevant assessment meth- tions there is a subsection titled Overall Evaluation that
ods (interviews, self-report, observation, performance tasks, includes concise summary statements about the scientific
computer-based methods, physiological, etc.), but both sci- adequacy and clinical relevance of currently available
entific evidence and clinical feasibility were to be used to measures. This is where authors comment on the avail-
guide decisions about methods to include. ability (if any) of demonstrated scientific value of follow-
Assessment for Diagnosis: This section deals with ing the assessment guidance they have provided.
assessment measures and strategies used specifically for Conclusions and Future Directions: This final section
formulating a diagnosis. Authors were asked to focus in each chapter provides an overall sense of the scope
on best practices and were encouraged to comment on and adequacy of the assessment options available for the
important conceptual and practical issues in diagnosis disorder/condition, the limitations associated with these
and differential diagnosis. options, and possible future steps that could be taken to
Assessment for Case Conceptualization and Treatment remedy these limitations. Some authors also used this sec-
Planning: This section presents assessment measures tion to raise issues related to the challenges involved in
and strategies used to augment diagnostic information trying to ensure that clinical decision-making processes
to yield a full psychological case conceptualization that underlying the assessment process (and not just the assess-
can be used to guide decisions on treatment planning. ment measures themselves) are scientifically sound.
Specifically, this section addresses the domains that the
research literature indicates should be covered in an EBA
to develop (a) a clinically meaningful and useful case con- ACKNOWLEDGMENTS
ceptualization and (b) a clinically sensitive and feasible
service/treatment plan (which may or may not include To begin with, we express our gratitude to the authors. They
the involvement of other professionals). diligently reviewed and summarized often- voluminous
Assessment for Treatment Monitoring and Treatment assessment literatures and then presented this informa-
Outcome: In this third section, assessment measures and tion in a clinically informed and accessible manner. The
strategies were reviewed that can be used to (a) track the authors also worked hard to implement the guidelines we
progress of treatment and (b) evaluate the overall effect of provided for both chapter structure and the ratings of vari-
treatment on symptoms, diagnosis, and general function- ous psychometric characteristics. Their efforts in construct-
ing. Consistent with the underlying thrust of the volume, ing their chapters are admirable, and the resulting chapters
the emphasis is on assessment options that have support- consistently provide invaluable clinical guidance.
ing empirical evidence. We also thank Sarah Harrington, Senior Editor for clini-
Within each of the three assessment sections, standard cal psychology at Oxford University Press, for her continued
tables are used to provide summary information about interest in the topic and her ongoing support for the book.
the psychometric characteristics of relevant instruments. We greatly appreciate her enthusiasm and her efficiency
Rather than provide extensive psychometric details in throughout the process of developing and producing this
the text, authors were asked to use these rating tables to second edition. We are also indebted to Andrea Zekus,
convey information on the psychometric adequacy of Editor at Oxford University Press, who helped us with the
instruments. To enhance the utility of these tables, rather process of assembling the book from start to finish. Her assis-
than presenting lists of specific psychometric values for tance with the myriad issues associated with the publication
each assessment tool, authors were asked to make global process and her rapid response to queries was invaluable.
ratings of the quality of the various psychometric indices Finally, we thank all the colleagues and contributors
(e.g., norms, internal reliability, and construct validity) to the psychological assessment and measurement litera-
as indicated by extant research. Details on the rating sys- tures who, over the years, have shaped our thinking about
tem used by the authors are presented in the introductory assessment issues. We are especially appreciative of the
chapter. Our goal is to have these tables serve as valuable input from those colleagues who have discussed with us
summaries for readers. In addition, by using the tables to the host of problems, concerns, challenges, and promises
present psychometric information, the authors were able associated with efforts to promote greater awareness of the
to focus their chapters on both conceptual and practical need for EBA within professional psychology.
xiv Preface
John Hunsley, PhD, is Professor of Psychology in the Eric J. Mash, PhD, is Professor Emeritus in the
School of Psychology at the University of Ottawa and Department of Psychology at the University of Calgary. He
is a Fellow of the Association of State and Provincial is a Fellow of the American Psychological Association, the
Psychology Boards and the Canadian Psychological Canadian Psychological Association, and the American
Association. He has served as a journal editor, an edito- Psychological Society. He has served as an editor, edito-
rial board member for several journals, and an editorial rial board member, and consultant for many scientific
consultant for many journals in psychology. He has pub- and professional journals and has written and edited many
lished more than 130 articles, chapters, and books related books and journal articles related to child and adolescent
to evidence-based psychological practice, psychological mental health, assessment, and treatment.
assessment, and professional issues.
Contributors
Jonathan S. Abramowitz, PhD: Department of Simon P. Byrne, PhD: Yale Child Study Center, Yale
Psychology and Neuroscience, University of North School of Medicine, New Haven, Connecticut
Carolina at Chapel Hill, Chapel Hill, North Carolina
Colleen E. Carney, PhD: Department of Psychology,
Sara Alavi: Eating and Weight Disorders Program, Icahn Ryerson University, Toronto, Ontario, Canada
School of Medicine at Mt. Sinai, New York, New York
Catherine A. Charette: Département de psychoé-
Martin M. Antony, PhD: Department of Psychology, ducation et de psychologie, Université du Québec en
Ryerson University, Toronto, Ontario, Canada Outaouais, Gatineau, Quebec, Canada
Simon Beaulieu-Bonneau, PhD: École de psychologie, Michelle G. Craske, PhD: Department of Psychology,
Université Laval, Quebec City, Quebec, Canada University of California at Los Angeles, Los Angeles,
California
Yitzchak M. Binik, PhD: Department of Psychology,
McGill University, Montreal, Quebec, Canada Lea R. Dougherty, PhD: Department of Psychology,
University of Maryland, College Park, Maryland
Shannon M. Blakey, MS: Department of Psychology and
Neuroscience, University of North Carolina at Chapel Michel J. Dugas, PhD: Département de psychoéducation
Hill, Chapel Hill, North Carolina et de psychologie, Université du Québec en Outaouais,
Gatineau, Québec, Canada
Cassandra L. Boness, MA: Department of Psychological
Sciences, University of Missouri, Columbia, Missouri Lori Eisner, PhD: Needham Psychotherapy Associates,
LLC
xviii Contributors
Juliet Small Ernst: Cognitive Behavior Therapy and Richard E. Heyman, PhD: Family Translational Research
Science Center, Oakland, California Group, New York University, New York, New York
Amy Fiske, PhD: Department of Psychology, West David C. Hodgins, PhD: Department of Psychology,
Virginia University, Morgantown, West Virginia University of Calgary, Calgary, Alberta, Canada
David M. Fresco, PhD: Department of Psychological John Hunsley, PhD: School of Psychology, University of
Sciences, Kent State University, Kent, Ohio; Department Ottawa, Ottawa, Ontario, Canada
of Psychiatry, Case Western Reserve University School of
Medicine, Cleveland, Ohio Amanda Jensen-Doss, PhD: Department of Psychology,
University of Miami, Coral Gables, Florida
Paul J. Frick, PhD: Department of Psychology, Louisiana
State University, Baton Rouge, Louisiana; Learning Sheri L. Johnson, PhD: Department of Psychology,
Sciences Institute of Australia; Australian Catholic University of California Berkeley, Berkeley, California
University; Brisbane, Australia
Charlotte Johnston, PhD: Department of Psychology,
Michelle M. Gagnon, PhD: Department of University of British Columbia, Vancouver, British
Psychology, University of Saskatchewan, Saskatoon, Columbia, Canada
Saskatchewan, Canada
Terence M. Keane, PhD: VA Boston Healthcare System,
Natasha L. Gallant, MA: Department of Psychology, National Center for Posttraumatic Stress Disorder, and
University of Regina, Regina, Saskatchewan, Canada Boston University School of Medicine, Boston, Massachusetts
Nicole J. Gervais, PhD: Department of Psychology, Daniel N. Klein, PhD: Department of Psychology, Stony
University of Toronto, Toronto, Ontario, Canada Brook University, Stony Brook, New York
Maria Glowacka: Department of Psychology and Eli R. Lebowitz, PhD: Yale Child Study Center, Yale
Neuroscience, Dalhousie University, Halifax, Nova School of Medicine, New Haven, Connecticut
Scotia, Canada
Kristin Maich, MA: Department of Psychology, Ryerson
Shirley M. Glynn, PhD: VA Greater Los Angeles University, Toronto, Ontario, Canada
Healthcare System and UCLA Department of Psychiatry
and Biobehavioral Sciences, David Geffen School of Brian P. Marx, PhD: VA Boston Healthcare System,
Medicine, Los Angeles, California National Center for Posttraumatic Stress Disorder,
and Boston University School of Medicine, Boston,
Thomas Hadjistavropoulos, PhD: Department of Massachusetts
Psychology, University of Regina, Regina, Saskatchewan,
Canada Eric J. Mash, PhD: Department of Psychology, University
of Calgary, Calgary, Alberta, Canada
Angela M. Haeny, MA: Department of Psychological
Sciences, University of Missouri, Columbia, Missouri Randi E. McCabe, PhD: Anxiety Treatment and
Research Clinic, St. Joseph’s Healthcare, Hamilton, and
Alisa O’Riley Hannum, PhD, ABPP: VA Eastern Department of Psychiatry and Behavioral Neurosciences,
Colorado Healthcare System, Denver, Colorado McMaster University, Hamilton, Ontario, Canada
Stephen N. Haynes, PhD: Department of Psychology, Yoanna E. McDowell, MA: Department of Psychological
University of Hawai’i at Mānoa, Honolulu, Hawaii Sciences, University of Missouri, Columbia, Missouri
Contributors xix
Patrick J. McGrath, PhD: Centre for Pediatric Thomas H. Ollendick, PhD: Department of Psychology,
Pain Research, IWK Health Centre; Departments Virginia Polytechnic Institute and State University,
of Psychiatry, Pediatrics and Community Health & Blacksburg, Virginia
Epidemiology, Dalhousie University; Halifax, Nova
Scotia, Canada Kelly S. Parker-Guilbert, PhD: Psychology Department,
Bowdoin College, Brunswick, ME and VA Boston
Robert J. McMahon, PhD: Department of Healthcare System, Boston, Massachusetts
Psychology, Simon Fraser University, Burnaby, British
Columbia, Canada; BC Children’s Hospital Research Jacqueline B. Persons, PhD: Cognitive Behavior
Institute, Vancouver, British Columbia, Canada Therapy and Science Center, Oakland, California and
Department of Psychology, University of California
C. Meghan McMurtry, PhD: Department of Psychology, at Berkeley, Berkeley, California
University of Guelph, Guelph; Pediatric Chronic Pain
Program, McMaster Children’s Hospital, Hamilton; Vanesa Mora Ringle: Department of Psychology,
Department of Paediatrics, Schulich School of Medicine University of Miami, Coral Gables, Florida
& Dentistry, Western University, London; Ontario,
Canada Damaris J. Rohsenow, PhD: Center for Alcohol and
Addiction Studies, Brown University, Providence, Rhode
Marta Meana, PhD: Department of Psychology, Island
University of Nevada Las Vegas, Las Vegas, Nevada
Stephanie L. Rojas, MA: Department of Psychology,
Christopher Miller, PhD: VA Boston Healthcare System, University of Kentucky, Lexington, Kentucky
Center for Healthcare Organization and Implementation
Research, and Harvard Medical School Department of Natalie O. Rosen, PhD: Department of Psychology and
Psychiatry, Boston, Massachusetts Neuroscience, Dalhousie University, Halifax, Nova Scotia,
Canada
Alexander J. Millner, PhD: Department of Psychology,
Harvard University, Cambridge, Massachusetts Karen Rowa, PhD: Anxiety Treatment and Research
Clinic, St. Joseph’s Healthcare, Hamilton, and
Charles M. Morin, PhD: École de psychologie, Department of Psychiatry and Behavioral Neurosciences,
Université Laval, Quebec City, Quebec, Canada McMaster University, Hamilton, Ontario, Canada
Samantha J. Moshier, PhD: VA Boston Healthcare Amy R. Sewart, MA: Department of Psychology, University
System and Boston University School of Medicine, of California Los Angeles, Los Angeles, California
Boston, Massachusetts
Kenneth J. Sher, PhD: Department of Psychological
Kim T. Mueser, PhD: Center for Psychiatric Sciences, University of Missouri, Columbia, Missouri
Rehabilitation and Departments of Occupational
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Although no one could be surprised that the President and his
Cabinet hesitated to put themselves without reserve in the hands of
an adventurer, Eaton’s anger was extreme at finding the
Government earnest for peace rather than war. Himself a
Connecticut Federalist, a close friend of Timothy Pickering, he
expressed his feelings in his private letters with the bitterness as well
as with the humor of his class.[314]
“I waited on the President and the Attorney-General. One of them
was civil, and the other grave.... I endeavored to enforce conviction on
the mind of Mr. Lincoln of the necessity of meeting the aggressions of
Barbary by retaliation. He waived the subject, and amused me with
predictions of a political millennium which was about to happen in the
United States. The millennium was to usher in upon us as the
irresistible consequence of the goodness of heart, integrity of mind,
and correctness of disposition of Mr. Jefferson. All nations, even
pirates and savages, were to be moved by the influence of his
persuasive virtue and masterly skill in diplomacy.”
Eaton’s interviews probably took place at the moment when the
Louisiana treaty confirmed the Cabinet in its peace policy and in
reliance on diplomacy. In March, 1804, Eaton succeeded in returning
to the Mediterranean as naval agent, but without special powers for
the purpose he had in mind.
“The President becomes reserved; the Secretary of War ‘believes
we had better pay tribute,’—he said this to me in his own office.
Gallatin, like a cowardly Jew, shrinks behind the counter. Mr. Madison
‘leaves everything to the Secretary of the Navy Department.’ And I am
ordered on the expedition by Secretary Smith,—who, by the by, is as
much of a gentleman and a soldier as his relation with the
Administration will suffer,—without any special instructions to regulate
my conduct.”
With no other authority to act as a military officer than a vague
recommendation from the President as a man who was likely to be
extremely useful to Barron, Eaton returned with Barron’s large
squadron. He felt himself ill-treated, for he was irritable and self-
asserting by nature, and was haunted by a fixed idea too
unreasonable for the President to adopt; but he chose to act without
authority rather than not act at all, for he was born an adventurer,
and difficulties which seemed to cooler heads insurmountable were
nothing in his eyes. Sept. 5, 1804, he arrived at Malta, and thence
sailed to Alexandria; for in the meanwhile Hamet had been driven to
take refuge in Egypt, and Eaton on reaching Cairo, Dec. 8, 1804,
found that the object of his search was shut up in Minyeh on the Nile
with some rebellious Mamelukes, besieged by the viceroy’s troops.
After infinite exertions and at no little personal danger, Eaton brought
Hamet to Alexandria, where they collected some five hundred men,
of whom one hundred were Christians recruited on the spot. Eaton
made a convention with Hamet, arranged a plan of joint operations
with Barron, and then at about the time when President Jefferson
was delivering his second Inaugural Address, the navy agent led his
little army into the desert with the courage of Alexander the Great, to
conquer an African kingdom.
So motley a horde of Americans, Greeks, Tripolitans, and Arab
camel-drivers had never before been seen on the soil of Egypt.
Without discipline, cohesion, or sources of supply, even without
water for days, their march of five hundred miles was a sort of
miracle. Eaton’s indomitable obstinacy barely escaped ending in his
massacre by the Arabs, or by their desertion in a mass with Hamet at
their head; yet in about six weeks they succeeded, April 17, 1805, in
reaching Bomba, where to Eaton’s consternation and despair he
found no American ships.[315]
“Nothing could prevail on our Arabs to believe that any had been
there. They abused us as impostors and infidels, and said we had
drawn them into that situation with treacherous views. All began now
to think of the means of individual safety; and the Arabs came to a
resolution to separate from us the next morning. I recommended an
attempt to get into Derne. This was thought impracticable. I went off
with my Christians, and kept up fires upon a high mountain in our rear
all night. At eight the next morning, at the instant when our camp was
about breaking up, the Pacha’s casnadar, Zaid, who had ascended
the mountain for a last look-out, discovered a sail! It was the ‘Argus;’
Captain Hull had seen our smokes, and stood in. Language is too
poor to paint the joy and exultation which this messenger of life
excited in every breast.”
Drawing supplies from the brig the little army rested a few days;
and then, April 25, moved against Derne, where they found the town
held by a garrison of eight hundred men who had thrown up
earthworks and loopholed the terraces and houses for musketry.
Eaton sent to the governor a flag of truce, which was sent back with
the Eastern message,—“My head, or yours!” Three cruisers, the
“Nautilus,” “Argus,” and “Hornet,” acted in concert with Eaton, and a
vigorous combined attack, April 27, drove the governor and his
garrison from the town. Eaton received a ball through the left wrist,
but could not afford to be disabled, for on the news of his arrival a
large force was sent from Tripoli to dislodge him; and he was obliged
to fight another little battle, May 13, which would have been a
massacre had not the ships’ guns held the Tripolitans in awe.
Skirmishing continued another month without further results. Eaton
had not the force to advance upon Tripoli, which was nearly seven
hundred miles to the westward, and Hamet found no such popular
support at Derne as he had hoped.
What influence Eaton’s success at Derne had on the Pacha at
Tripoli was never perfectly understood; but the Pacha knew that
Rodgers was making ready for an assault, beside which the hottest
of Preble’s bombardments would seem gentle; Eaton at Derne with
Hamet was an incessant and indefinite threat; his own subjects were
suffering, and might at any moment break into violence; a change of
ruler was so common a matter, as Yusuf had reason to remember,
that in the alternative of losing his throne and head in one way or the
other, he decided that peace was less hazardous than war.
Immediately upon hearing that his troops had failed to retake Derne,
he entered into negotiations with Tobias Lear, the American Consul-
General at Algiers, who had come to Tripoli for the purpose; and on
this occasion the Pacha negotiated with all the rapidity that could be
wished. June 3, 1805, he submitted to the disgrace of making peace
without being expressly paid for it, and Lear on his side consented to
ransom the crew of the “Philadelphia” for sixty thousand dollars.
When Eaton learned what Lear had done, his anger was great
and not unreasonable. That Lear should have made a treaty which
sacrificed Eaton’s Mahometan allies, and paid sixty thousand dollars
for the imprisoned seamen at a moment when Eaton held Derne,
and could, as he thought, with two hundred marines on shore and an
immense fleet at sea drive the Pacha out of his dominions within six
weeks, was astonishing. Lear’s only excuse was the fear of causing
a massacre of the “Philadelphia’s” crew,—a reason which Eaton
thought unfounded and insufficient, and which was certainly, from a
military point of view, inadmissible. The treaty left the Mahometan
allies at Derne to be massacred, and threw Hamet on Eaton’s hands.
Deposited at Syracuse with a suite of thirty persons without means
of support, Caramelli became a suppliant for alms to the United
States Congress. Eaton declared the treaty disgraceful, and
thenceforth his grievances against the government took an acute
form. The settlement of his accounts was slow and difficult. He
returned to America and received great attentions, which made him
none the less loud in complaint, until at last he died in 1811 a victim
to drink and to craving for excitement. Eaton was beyond question a
man of extraordinary energies and genius; he had even the rare
courage to displease his own Federalist friends in 1807, because of
defending Jefferson who had done nothing for him, but who at a
critical moment represented in his eyes the Union.
Meanwhile peace with Tripoli was obtained without tribute, but at
the cost of sixty thousand dollars, and at the expense of Eaton and
his desperate band of followers at Derne. Hamet Caramelli received
at last a small sum of money from Congress, and through American
influence was some years afterward made governor of Derne. Thus
after four years of unceasing effort the episode of the Tripolitan war
came to a triumphant end. Its chief result was to improve the navy
and give it a firmer hold on popular sympathy. If the once famous
battles of Truxton and the older seamen were ignored by the
Republicans, Preble and Rodgers, Decatur and Hull, became brilliant
names; the midnight death of Somers was told in every farmhouse;
the hand-to-hand struggles of Decatur against thrice his numbers
inflamed the imagination of school-boys who had never heard that
Jefferson and his party once declaimed against a navy. Even the
blindest could see that one more step would bring the people to the
point so much dreaded by Jefferson, of wishing to match their forty-
fours against some enemy better worthy of their powers than the
pirates of Tripoli.
There was strong reason to think that this wish might soon be
gratified; for on the same day when Lear, in the “Essex,” appeared
off Tripoli and began his negotiation for peace, Monroe’s travelling-
carriage rumbled through the gates of Madrid and began its dusty
journey across the plains of Castile, bearing an angry and
disappointed diplomatist from one humiliation to another.
INDEX TO VOLS. I. AND II.
Abolition Society, an early, i. 128.
Acts of Congress, of Sept. 24, 1789, to establish the Judiciary, i,
259, 260, 275, 276;
of June 13, 1798, to suspend intercourse with France, 383;
of June 25, 1798, concerning aliens, 140, 141, 206, 207, 259,
286;
of July 14, 1798, concerning sedition, 140, 141, 206, 207,
259, 261, 286;
of Feb. 9, 1799, further to suspend intercourse with France,
384;
of Feb. 13, 1801, to provide for the more convenient
organization of the courts, 274–276, 278, 280, 288, 293,
297;
of Jan. 14, 1802, for the apportionment of representatives,
301;
of March 8, 1802, to repeal the Judiciary Act of 1801, 280,
281, 284–298;
of March 16, 1802, fixing the military peace establishment,
301;
of April 6, 1802, to repeal the internal taxes, 272;
of April 29, 1802, for the redemption of the public debt, 272;
of April 29, 1802, to amend the judicial system, 298;
of April 30, 1802, to enable Ohio to form a State government,
302;
of Feb. 28, 1803, for building four sloops-of-war and fifteen
gunboats, ii. 77;
of Oct. 31, 1803, to take possession of Louisiana, 119, 120;
of Feb. 24, 1804, for collecting duties within the territories
ceded to the United States, 257, 260–263, 291, 293, 304,
380;
of March 25, 1804, to establish the Mediterranean Fund, 141;
of March 26, 1804, for the temporary government of
Louisiana, 120–129;
of Jan. 19, 1805, to erect a dam from Mason’s island, 209;
of March 2, 1805, further providing for the government of
Orleans Territory, 401;
of March 3, 1805, for the more effectual preservation of peace
in the ports and harbors of the United States, 397, 398.
Acts of Parliament, on navigation, ii. 319, 320, 327;
on naturalization, 338, 413, 414;
on merchant-shipping, 345.
Adams, John Quincy, senator from Massachusetts, ii. 110, 117,
184, 379;
proposes draft of Constitutional amendment, 118, 160, 164.
Addington ministry, ii. 358, 416.
Addington, Henry (Lord Sidmouth), succeeds Pitt, ii. 342, 347;
retires from office, 418.
Addison, Judge, impeached, ii. 195.
Admiralty courts in the West Indies, ii. 340.
Albany in 1800, i. 3.
Alien and sedition laws, i. 140, 206, 259.
(See Acts of Congress.)
Allston, Washington, i. 149.
Alquier, French minister at Madrid, i. 363, 368.
Alsop, Richard, i. 102.
Amendment to the Constitution, the twelfth, ii. 132.
“American Citizen,” the, i. 331.
Ames, Fisher, i. 82, 83;
his opinion of democracy, 84;
in conversation, 86;
speech of, on the British treaty, 88, 93;
his language toward opponents, 119; ii. 164.
Amiens, peace of, i. 370; ii. 59, 290, 326, 347, 385.
(See Treaties.)
Amusements in 1800, in New England, i. 50;
in Virginia, 51.
Anderson, Joseph, senator from Tennessee, ii. 157.
“Aristides.” Pamphlet by W. P. Van Ness, ii. 73, 172.
Armstrong, General John, senator from New York, i. 108, 113,
230, 234, 281; ii. 157;
succeeds Livingston at Paris, 291, 308.
Army, chaste reformation of, i. 238;
peace establishment in 1801, 242, 261, 272, 301.
Ashe, an English traveller, i. 43, 52, 53, 54.
Astor, John Jacob, i. 28.
“Aurora” newspaper, i. 118, 121.