{"title":"Advice-giving in final sessions of therapist-terminated psychodynamic psychotherapy: is it advised?","authors":"Holly Liposky, Clara E. Hill, D. Kivlighan","doi":"10.1080/09515070.2022.2095617","DOIUrl":null,"url":null,"abstract":"ABSTRACT We studied the outcomes of 95 advice events nested within 52 adult clients nested within 23 doctoral student therapists in the final session of individual psychodynamic psychotherapy when therapists had initiated the termination. In 77% of the final sessions, therapists gave at least one piece of advice. Advice was focused on future therapy work (45%), changes in self or self-reflection (42%), or relationships (12%). On average, client collaboration decreased after advice and clients verbalized a moderate intent to act. Clients whose therapists provided more explicit advice had higher subsequent collaboration, and advice that was more directive was associated with lower intent to act. Implications for practice and research are provided.","PeriodicalId":51653,"journal":{"name":"Counselling Psychology Quarterly","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Counselling Psychology Quarterly","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/09515070.2022.2095617","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHOLOGY, APPLIED","Score":null,"Total":0}
引用次数: 0
Abstract
ABSTRACT We studied the outcomes of 95 advice events nested within 52 adult clients nested within 23 doctoral student therapists in the final session of individual psychodynamic psychotherapy when therapists had initiated the termination. In 77% of the final sessions, therapists gave at least one piece of advice. Advice was focused on future therapy work (45%), changes in self or self-reflection (42%), or relationships (12%). On average, client collaboration decreased after advice and clients verbalized a moderate intent to act. Clients whose therapists provided more explicit advice had higher subsequent collaboration, and advice that was more directive was associated with lower intent to act. Implications for practice and research are provided.
期刊介绍:
Counselling Psychology Quarterly is an international interdisciplinary journal, reporting on practice, research and theory. The journal is particularly keen to encourage and publish papers which will be of immediate practical relevance to counselling, clinical, occupational, health and medical psychologists throughout the world. Original, independently refereed contributions will be included on practice, research and theory - and especially articles which integrate these three areas - from whatever methodological or theoretical standpoint. The journal will also include international peer review commentaries on major issues.