Predicting resistance management skill from psychotherapy experience, intellectual humility and emotion regulation.

IF 2.6 1区 心理学 Q2 PSYCHOLOGY, CLINICAL
Psychotherapy Research Pub Date : 2024-09-01 Epub Date: 2023-11-14 DOI:10.1080/10503307.2023.2280240
Alyssa A Di Bartolomeo, Udi Alter, David A Olson, Max B Cooper, Tali Boritz, Henny A Westra
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引用次数: 0

Abstract

Objective Resistance management in psychotherapy remains a foundational skill that is associated with positive client outcomes (Westra, H. A., & Norouzian, N. (2018). Using motivational interviewing to manage process markers of ambivalence and resistance in cognitive behavioral therapy. Cognitive Therapy and Research, 42(2), 193-203). However, little is known about which therapist characteristics contribute to successful management of resistance. Research has suggested that psychotherapy performance does not improve with experience (Goldberg, S. B., Rousmaniere, T., Miller, S. D., Whipple, J., Nielsen, S. L., Hoyt, W. T., & Wampold, B. E. (2016). Do psychotherapists improve with time and experience? A longitudinal analysis of outcomes in a clinical setting. Journal of Counseling Psychology, 63(1), 1-11), that psychotherapists lack humility (Macdonald, J., & Mellor-Clark, J. (2015). Correcting psychotherapists' blindsidedness: Formal feedback as a means of overcoming the natural limitations of therapists. Clinical Psychology & Psychotherapy, 22(3), 249-257), and that difficult therapeutic moments may dysregulate therapist emotions (Muran, J. C., & Eubanks, C. F. (2020). Therapist performance under pressure: Negotiating emotion, difference, and rupture. American Psychological Association). This study aimed to 1) identify whether psychotherapy experience (i.e., training versus no training and number of years of psychotherapy experience) was associated with resistance management skill, and 2) identify whether humility and difficulties regulating emotions among trained individuals were each associated with resistance management. Method: A sample of 76 trained and 98 untrained participants were recruited for the present study. All participants completed the Comprehensive Intellectual Humility Scale (CIHS, Krumrei-Mancuso, E. J., & Rouse, S. V. (2016). The development and validation of the comprehensive intellectual humility scale. Journal of Personality Assessment, 98(2), 209-221), the Difficulties in Emotion Regulation Scale (DERS; Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41-54), and the Resistance Vignette Task (RVT; Westra, H. A., Nourazian, N., Poulin, L., Hara, K., Coyne, A., Constantino, M. J., Olson, D., & Antony, M. M. (2021). Testing a deliberate practice workshop for developing appropriate responsivity to resistance markers: A randomized clinical trial. Psychotherapy, 58, 175-185 ) which was used to assess resistance management skill. Results: Trained individuals performed significantly better on resistance management than untrained individuals; however, years of experience within the trained sample were not associated with resistance management. Conversely, lower humility and greater difficulties regulating emotions were each associated with significantly poorer resistance management in trained individuals. Conclusion: These findings suggest the possibility of improving training to focus on key skills, like resistance management, through supporting humility and emotion regulation in training, as opposed to simply acquiring more experience.

从心理治疗经验、智力谦卑和情绪调节预测抵抗管理技能。
目的:心理治疗中的抵抗管理仍然是一项与积极的客户结果相关的基本技能(Westra, H. a .和Norouzian, N.(2018))。运用动机访谈管理认知行为治疗中矛盾心理和抗拒心理的过程标记。认知治疗与研究,42(2),193-203。然而,鲜为人知的是,哪些治疗师的特点有助于成功的管理抵抗。研究表明,心理治疗的表现不会随着经验的增加而改善(Goldberg, s.b., Rousmaniere, T., Miller, s.d., Whipple, J., Nielsen, s.l., Hoyt, w.t., & Wampold, b.e.(2016))。心理治疗师会随着时间和经验而进步吗?对临床结果的纵向分析。咨询心理学杂志,63(1),1-11),心理治疗师缺乏谦逊(Macdonald, J., & Mellor-Clark, J.(2015)。纠正心理治疗师的盲目性:作为克服治疗师自然局限性的一种手段的正式反馈。临床心理学与心理治疗,22(3),249-257),以及困难的治疗时刻可能会失调治疗师的情绪(Muran, J. C., & Eubanks, C. F.(2020)。压力下的治疗师表现:协商情绪、差异和破裂。美国心理学会)。本研究旨在1)确定心理治疗经历(即接受过心理治疗与未接受过心理治疗以及心理治疗经历的年数)是否与抵抗管理技能相关;2)确定接受过心理治疗的个体的谦逊和情绪调节困难是否与抵抗管理相关。方法:本研究招募了76名训练有素的参与者和98名未训练的参与者。所有参与者都完成了综合智力谦卑量表(CIHS), Krumrei-Mancuso, e.j., & Rouse, s.v.(2016)。智力谦逊综合量表的开发与验证。心理学杂志,1998 (2),131 - 134;格拉茨,k.l,和罗默,L.(2004)。情绪调节与失调的多维评估:情绪调节困难量表的编制、因素结构及初步验证。精神病理学与行为评估杂志,26(1),41-54),以及抵抗小画面任务(RVT;Westra, H. A., Nourazian, N., Poulin, L., Hara, K., Coyne, A., Constantino, m.j., Olson, D., and Antony, m.m.(2021)。测试一个刻意练习工作坊,以发展对耐药标志物的适当反应:一项随机临床试验。心理治疗,58,175-185),用于评估抵抗管理技能。结果:经过训练的个体在抵抗管理上的表现显著优于未经训练的个体;然而,在经过训练的样本中,多年的经验与耐药性管理无关。相反,在训练有素的个体中,较低的谦逊和较大的情绪调节困难都与较差的抵抗管理显著相关。结论:这些发现表明,通过在训练中支持谦逊和情绪调节,而不是简单地获得更多经验,有可能改善训练,将重点放在关键技能上,比如抵抗管理。
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来源期刊
Psychotherapy Research
Psychotherapy Research PSYCHOLOGY, CLINICAL-
CiteScore
7.80
自引率
10.30%
发文量
68
期刊介绍: Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.
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