How therapists take stock of therapeutic progress at the end of initial assessment

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research Pub Date : 2024-11-21 DOI:10.1002/capr.12862

Thomas Bradshaw, Amanda Le Couteur, Melissa Oxlad

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引用次数: 0

Abstract

Background and Objective

Cognitive behavioural therapy has a significant attrition rate, yet little is known about how therapists work to encourage clients to continue in therapy. This study aimed to understand how therapists might encourage clients to continue therapy attendance.

Method

Using conversation analysis, we analysed regularities that occurred between the information gathering phase and rebooking in a corpus of initial psychology interviews.

Results

We describe a commonly occurring ‘stock-taking’ activity wherein therapists discussed progress through a set of interrelated concerns (clients' problems, problem causes, problem interventions, and positive outcomes). Both clients and therapists oriented towards stock-taking being enacted in service of encouraging clients to continue with therapy.

Conclusion

These findings offer practical guidance about one way that therapists might encourage clients to continue therapy. We also discuss implications for future research and clinical practice.

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治疗师如何在初始评估结束时评估治疗进展

背景和目的认知行为疗法有显著的流失率，但很少知道治疗师如何工作，以鼓励客户继续治疗。本研究旨在了解治疗师如何鼓励来访者继续参加治疗。方法采用会话分析的方法，对心理访谈初试语料库中信息收集阶段与重新预约阶段之间的规律进行分析。我们描述了一种常见的“盘点”活动，其中治疗师通过一系列相互关联的关注点（客户的问题、问题原因、问题干预和积极结果）讨论进展。来访者和治疗师都倾向于盘点，以鼓励来访者继续接受治疗。结论这些发现为治疗师鼓励来访者继续治疗的一种方法提供了实用的指导。我们还讨论了对未来研究和临床实践的影响。

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来源期刊

Counselling & Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

4.40

自引率

12.50%

发文量

期刊介绍： Counselling and Psychotherapy Research is an innovative international peer-reviewed journal dedicated to linking research with practice. Pluralist in orientation, the journal recognises the value of qualitative, quantitative and mixed methods strategies of inquiry and aims to promote high-quality, ethical research that informs and develops counselling and psychotherapy practice. CPR is a journal of the British Association of Counselling and Psychotherapy, promoting reflexive research strongly linked to practice. The journal has its own website: www.cprjournal.com. The aim of this site is to further develop links between counselling and psychotherapy research and practice by offering accessible information about both the specific contents of each issue of CPR, as well as wider developments in counselling and psychotherapy research. The aims are to ensure that research remains relevant to practice, and for practice to continue to inform research development.