Purpose: The purpose of this paper is to demonstrate the importance of considering both fidelity and adaptation in assessing the implementation of evidence-based programs. Design/methodology/approach: The current study employs a multi-method strategy to understand two dimensions of implementation (fidelity and adaptation) in the Strong African…

In traditional psychoanalysis, patients recline on a couch in a way that prevents patients and analysts from seeing each other's faces. This has been argued to have significant effects, both positive and negative, on patients' treatment. The use of the couch creates an unusual communicative situation in which both parties are physically but not…