Clients' negative experiences in psychological treatment

IF 6.9 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Current Opinion in Psychology Pub Date : 2025-09-10 DOI:10.1016/j.copsyc.2025.102175

Z. Vybíral , T. Řiháček , P. Borovička , B. Ogles

引用次数: 0

Abstract

Negative experiences (NEs) in psychotherapy, such as feelings of misunderstanding, boundary violations, or symptom worsening, are reported across diverse populations and treatment modalities. The prevalence estimates vary widely (7-96%) due to differences in study designs, populations, and definitions. Such experiences can negatively impact treatment engagement, satisfaction, and outcomes, sometimes resulting in premature termination or deterioration. Although awareness of NEs has increased, systematic assessment and identification of predictors remain limited. This short review presents an overview of current knowledge regarding NEs, emphasizing their diversity and potential influence on treatment outcomes and client well-being. It also underscores the need for improved assessment approaches and the development of personalized interventions to better manage these adverse experiences and optimize therapeutic effectiveness.

查看原文本刊更多论文

心理治疗中来访者的负面体验

心理治疗中的负面体验（NEs），如误解的感觉、边界侵犯或症状恶化，在不同的人群和治疗方式中都有报道。由于研究设计、人群和定义的差异，患病率估计差异很大（7-96%）。这样的经历会对治疗的参与、满意度和结果产生负面影响，有时会导致过早终止或恶化。虽然对新生态系统的认识有所提高，但对预测因素的系统评估和确定仍然有限。这篇简短的综述概述了目前关于新神经网络的知识，强调了它们的多样性和对治疗结果和患者幸福感的潜在影响。它还强调需要改进评估方法和开发个性化干预措施，以更好地管理这些不良经历并优化治疗效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Current Opinion in Psychology PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

12.10

自引率

3.40%

发文量

293

审稿时长

53 days

期刊介绍： Current Opinion in Psychology is part of the Current Opinion and Research (CO+RE) suite of journals and is a companion to the primary research, open access journal, Current Research in Ecological and Social Psychology. CO+RE journals leverage the Current Opinion legacy of editorial excellence, high-impact, and global reach to ensure they are a widely-read resource that is integral to scientists' workflows. Current Opinion in Psychology is divided into themed sections, some of which may be reviewed on an annual basis if appropriate. The amount of space devoted to each section is related to its importance. The topics covered will include: * Biological psychology * Clinical psychology * Cognitive psychology * Community psychology * Comparative psychology * Developmental psychology * Educational psychology * Environmental psychology * Evolutionary psychology * Health psychology * Neuropsychology * Personality psychology * Social psychology