Counselling & Psychotherapy Research最新文献

{"title":"Clients' Preferences for Their Therapists' Relational Styles in Psychotherapy: A Consensual Qualitative Research Study","authors":"Gina Di Malta,&nbsp;Mick Cooper,&nbsp;Hanne Oddli,&nbsp;Joshua K. Swift,&nbsp;Sarah Knox","doi":"10.1002/capr.12887","DOIUrl":"https://doi.org/10.1002/capr.12887","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Accommodating clients' preferences is a cornerstone of evidence-based practice. However, little is known of clients' preferences for their therapists' relational styles.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a secondary analysis focused on identifying clients' preferences for their therapists' relational styles, using original data from Cooper et al.'s (2023) consensual qualitative research (CQR) study. Initial data collection involved conducting semi-structured interviews with a cohort of 13 clients who had completed up to 24 sessions of pluralistic psychotherapy. Of these participants, 10 identified as female and three identified as male.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Four themes and six sub-themes emerged: (1) Clients preferred their therapist to be active/not passively disengaged and to provide input, challenge and guidance (<i>n</i> = 10); (2) Clients preferred their therapist to display relatedness, warmth and validation (<i>n</i> = 8); (3) Clients preferred some flexibility, attunement and for their therapist to adapt the therapy to their unique needs (<i>n</i> = 5); (4) Clients preferred to be listened to, having a space to talk and to explore (<i>n</i> = 4).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>The themes offer insights that can serve as a foundational framework for future research and contribute to the development of training programmes tailored to enhance counselling psychologists' preference work and relational styles.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12887","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143118871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using mixed methods in feasibility studies: The example of brief transactional analysis psychotherapy for depression","authors":"Joel Vos,&nbsp;Biljana van Rijn","doi":"10.1002/capr.12871","DOIUrl":"https://doi.org/10.1002/capr.12871","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Few guidelines exist on how to conduct Phase 1 feasibility studies in psychological therapies. It may be theoretically argued that small-size feasibility studies are best studied with mixed methods. The primary aim of this study was to examine the feasibility of using mixed methods in feasibility studies. The secondary aim was to systematically explore the feasibility of a 16-session treatment manual in transactional analysis psychotherapy (TAP) for depression developed in a prior Phase 0 study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Nine clients received therapy from three therapists, and sample characteristics were described using flowcharts and sociodemographic statistics. Interviews were conducted with clients and therapists to explore subjective experiences of changes and processes in therapy. Psychometric instruments measured the impact on mental health, quality of life and TAP-specific outcomes. Therapist learning effects were examined through self-reported TAP-specific competencies. The analyses included reflexive thematic analysis, descriptive statistics, <i>t</i>-tests and repeated measures ANOVA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results indicated that the clients experienced important changes, such as self-insight, better coping strategies, self-confidence and boundaries, mainly attributed to TAP and facilitated by helpful factors in TAP. Significant differences were reported in outcome measures, and analyses indicated increased competency in TAP-specific skills. No negative side effects were mentioned.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This study provides evidence for the feasibility of TAP for depression and the feasibility of using mixed methods in feasibility studies. Future researchers may want to use similar comprehensive mixed methods designs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143117864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relational Processes in Videoconference and In-Person Psychotherapy When Wearing Face Masks: A Cross-Cultural Study","authors":"Vânia Silva,&nbsp;Eugénia Ribeiro","doi":"10.1002/capr.12884","DOIUrl":"https://doi.org/10.1002/capr.12884","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Prompted by concerns about the quality of the therapeutic relationship due to the impact of COVID-19's protective measures on communication, we aimed to understand how therapists and clients from different cultural backgrounds perceive the impact of videoconference (VT) and in-person psychotherapy with face masks (IPTFM) on the relational processes in psychotherapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A sample of 139 therapists and 71 clients participated in an online survey. We conducted an exploratory analysis using descriptive and inferential statistics to examine therapists' and clients' ratings of session quality, therapeutic relationship, communication and expression/perception of emotions in VT and IPTFM.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Therapists and clients generally rated the communication, real relationship and working alliance in IPTFM and VT as good. However, when asked to compare IPTFM and VT with regular in-person therapy, therapists and clients recognised some differences, especially regarding session quality, communication and emotional expression or perception. There were also differences between therapists and clients in terms of working alliance in IPTFM and post-session mood in VT. The way therapists and clients perceived the quality of the relational processes in IPTFM and VT also differed based on some cultural aspects (e.g. age, disability, religion, ethnic identity and gender).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The results of the study emphasise the need for therapists to develop cultural competence by becoming aware of their own personal characteristics and inner processes (e.g. expectations, values and beliefs) and exploring clients' expectations of the therapeutic process based on their cultural identity while tailoring therapeutic approaches to the distinct relational and environmental dynamics of VT and IPTFM.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143115926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Revealing Therapy's Traces” After Termination: A Qualitative Change and Follow-Up Study","authors":"Nicole Arias,&nbsp;Rocío Cerda,&nbsp;Javier Rizo,&nbsp;Michele Dufey","doi":"10.1002/capr.12891","DOIUrl":"https://doi.org/10.1002/capr.12891","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>In psychotherapy research, clients' therapeutic change has been mainly addressed through quantitative studies centered on symptom reduction, leaving aside their perceptions about how this process occurs. However, clients' perspectives are crucial to clarify how therapy works and how change takes place.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to understand clients' change experiences after receiving brief, focusing-oriented psychotherapy at termination and at follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A qualitative approach was implemented using a phenomenological paradigm and grounded theory analysis. Participants were eight women between 18 and 44 years of age who had engaged in therapy for up to eight sessions. Semi-structured interviews were conducted after termination and at follow-ups between 8 and 12 months later.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Results showed a central phenomenon of changes developing over time named “Revealing therapy's traces after termination”, involving a sequence of changes in different areas, such as the self, interpersonal relationships, connection with the body, regulation of emotions, and new understandings of the issues that motivated participants to engage in therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>We conclude that this brief form of psychotherapy has the potential to positively contribute to clients' long-term mental health, which deserves further investigation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143115927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Potential Role of Nonverbal Synchrony in Psychotherapy: A Meta-Analysis","authors":"Camilla Gregorini,&nbsp;Pietro De Carli,&nbsp;Laura Antonia Lucia Parolin,&nbsp;Wolfgang Tschacher,&nbsp;Emanuele Preti","doi":"10.1002/capr.12885","DOIUrl":"https://doi.org/10.1002/capr.12885","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Interpersonal synchrony entails the coordination of verbal and nonverbal features underlying communicative patterns. However, the strength of the association between the synchronisation of nonverbal features (movements and vocal tones) and therapeutic alliance and outcome remains unclear.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This meta-analysis aimed to investigate the strength of (1) the association between nonverbal synchrony and perception of alliance reported by the patients, (2) the association between nonverbal synchrony and therapeutic outcome, and (3) the moderating role of the type of psychotherapeutic approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This meta-analysis included 11 studies. Inclusion criteria were studies that utilised a quantitative measure of nonverbal synchrony in association with measures of therapeutic alliance and outcome.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Random effects model indicated that nonverbal synchrony was significantly associated with the alliance perceived by the patient (<i>r</i> = 0.19; 95% CI: 0.02–0.35; <i>z</i> = 2.18, <i>p</i> = 0.02); however, it was not significantly associated with the therapeutic outcome (<i>r</i> = 0.22; 95% CI: −0.04 to 0.47; <i>z</i> = 1.65, <i>p</i> = 0.09). No moderating effects were observed for the type of therapeutic approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings support the view that nonverbal synchrony is a central aspect of psychotherapy and highlight the possible interdependence between nonverbal synchrony and therapeutic alliance.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12885","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143114919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Compulsive sexual behaviours and relational consequences: A phenomenological study on intimate female partner impacts","authors":"Fakri Seyed Aghamiri,&nbsp;Johannes M. Luetz,&nbsp;Karenne Hills","doi":"10.1002/capr.12850","DOIUrl":"https://doi.org/10.1002/capr.12850","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Studies on sexual addiction (SA) and compulsive sexual behaviour (CSB) outline a new area of counselling research touching on a variety of social, gendered, and cultural repercussions for those who are affected, including individuals, families, intimate partners, and society. Taboos surrounding SA/CSB frequently cast the topic in an ignorant and shameful light.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims/Methods</h3>\u0000 \u0000 <p>Although SA/CSB in men is gaining scholarly attention, very few studies have examined the complex relational effects on intimate female partners (FPs). This study closes this knowledge gap through a descriptive phenomenological research design. Using in-depth semi-structured interviews, FPs (<i>n</i> = 12) and professional therapists (<i>n</i> = 15) articulated relational impacts and experiences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results/Discussion</h3>\u0000 \u0000 <p>The results reveal intra- and inter-relational fractures, often contributing to detective work, self-harm, and suicidal ideation in SA/CSB-affected women.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>For a variety of stakeholder groups, this study is important because it highlights methods by which academics, therapists, and religious organisations might provide more specialised support during the healing and recovery process.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12850","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143115430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"One-Day Online CBT Intervention for Postpartum Depression: Subjective Experiences and Pre-Post Symptom Severity","authors":"Nadja Urban,&nbsp;Franziska Kühne,&nbsp;Ryan J. Van Lieshout,&nbsp;Malek Bajbouj,&nbsp;Sabine Aust","doi":"10.1002/capr.12878","DOIUrl":"https://doi.org/10.1002/capr.12878","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Postpartum depression (PPD) affects about 17% of parents after childbirth and can have adverse effects on individuals, families and offspring. Parents with PPD frequently encounter significant barriers to tailored health care that make timely access to treatment difficult.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Twenty-nine help-seeking German parents of at least one child (&lt; 1 year old) and with symptoms of depression participated in a synchronous 1-day online cognitive behavioural therapy (CBT) group intervention. Following a mixed-methods approach, intervention acceptance and preferences were evaluated using semi-structured interviews conducted 2 weeks post-intervention. Analyses were performed via qualitative content analysis. Severity of depressive symptoms were assessed via the Edinburgh Postnatal Depression Scale (EPDS) 1 week before and 4 weeks after the intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-one interviews were conducted. Most participants rated the workshop as overall helpful (<i>n</i> = 164, 72.57%), with workshop characteristics, such as the online format (<i>n</i> = 112; 68.29%) and structure (<i>n =</i> 15; 20.55%) being most helpful. Expectations were mostly content-related (<i>n</i> = 25; 52.08%), and 80% (<i>n</i> = 20) of expectations were met (e.g. regarding self-help strategies being taught or deepening of existing knowledge). Two weeks after participation, the majority of parents were still applying intervention techniques in their daily lives (<i>n</i> = 42; 77.78%). Depressive symptoms were also significantly reduced at post-measurement (<i>t</i> = 3159; <i>p</i> = 0.004; <i>d</i> = 0.608).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The 1-day online CBT group intervention is easily accessible and could support parents after birth by teaching cognitive behavioural strategies to cope with symptoms of PPD.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12878","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143115446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Delphi Study Exploring Psychotherapeutic Priorities for Third and Fourth Generation Holocaust Survivors","authors":"Justin Olstein,&nbsp;Jade Sheen,&nbsp;Andrea Reupert","doi":"10.1002/capr.12889","DOIUrl":"https://doi.org/10.1002/capr.12889","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The intergenerational effects of the Holocaust have been far-reaching, with recent research demonstrating effects with regard to the survivors' grandchildren (third generation) and great-grandchildren (fourth generation). However, little is known about how these effects should be broached by mental health clinicians.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aimed to develop a preliminary consensus around the Holocaust-related areas most prioritised for discussion by third and fourth generation members in a psychotherapeutic context.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>A two-round online Delphi survey was used to facilitate this, and 29 third and fourth generation descendants participated. In round one, participants responded to open-ended questions concerning how the intergenerational impacts of the Holocaust might be explored in therapy. In round two, participants rated statements derived from round one data in terms of their perceived importance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Ten therapeutic priorities were identified, revolving around a need for clinicians to explore the potential for intergenerational traumatisation and fears relating to experiencing antisemitism.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusion</h3>\u0000 \u0000 <p>The study's results indicate that the spectre of the Holocaust remains a prominent fixture in the lives of third and fourth generation descendants, requiring clinicians working with them to have particular skills and knowledge.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143115429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility and acceptability of Body Signal Integration training for Functional Neurological Disorder (FND): A case series","authors":"Krishna Panchmatia,&nbsp;Ellen Poliakoff,&nbsp;Richard J. Brown","doi":"10.1002/capr.12876","DOIUrl":"https://doi.org/10.1002/capr.12876","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Functional neurological disorder (FND) is a common and often disabling condition, but existing treatments are limited and often do not target relevant underlying mechanisms. This study piloted a manualised intervention package—Body Signal Integration (BSI) training—designed to improve interoception and mind–body integration in individuals with FND. The primary aim was to determine feasibility and acceptability of delivering BSI. A secondary aim was to gather preliminary evidence regarding whether BSI is associated with reductions in FND symptoms and distress.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A case series of BSI was conducted with eight individuals with FND. Baseline, weekly and one-month follow-up self-report measures were completed. Feasibility was assessed by attendance and protocol adherence. Acceptability was evaluated using a self-report measure. Weekly clinical outcome measures were completed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seven of eight participants completed therapy with a total attendance rate of 98%. There were no unanticipated side effects or adverse events during therapy. High ratings on all items on the satisfaction questionnaire indicated treatment acceptability. Improvements in somatic symptoms, interoceptive awareness and quality of life were observed in some, but not all, participants. Five participants reported clinically important improvements in interoceptive awareness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This preliminary study suggests that BSI is feasible and acceptable for use in FND. Clinical outcomes indicate that BSI could improve interoceptive sensibility and reduce experiences of somatic symptoms for some people with FND, but variation in outcomes suggests that the treatment may be suitable for some people more than others. Qualitative process evaluation of the treatment is recommended.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12876","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143114460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Psychotherapists Who Practice With Clients With Dissociative Identity Disorder Experience Their Work: A Reflexive Thematic Analysis","authors":"Nicholas A. Pierorazio,&nbsp;Briana L. Snyder,&nbsp;Mu-Yin Chang,&nbsp;Benjamin S. Israel,&nbsp;Bethany L. Brand","doi":"10.1002/capr.12879","DOIUrl":"https://doi.org/10.1002/capr.12879","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Psychotherapists who treat clients with dissociative identity disorder (DID), a trauma-related condition, have unique experiences and challenges. There is a dearth of literature investigating the experiences and perspectives of therapists who treat clients with DID.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>We conducted in-depth semi-structured interviews with 15 DID-treating therapists. We used reflexive thematic analysis, drawing upon constructivist and critical paradigms, to generate an understanding of how these therapists experience, relate to, and make sense of their work with clients with DID.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Analysis</h3>\u0000 \u0000 <p>We created four primary themes: (1) ‘Here and Now’: Working in the Present to Facilitate Healing for Clients with DID; (2) ‘I Was Made To Do This’: Finding Meaning in the Calling to Work with Clients with DID; (3) ‘Churning my Stomach Up’: From Holding Trauma and Dissociation to Vicarious Traumatisation; and (4) ‘Pulling Back the Veil’: Working with DID as Social Justice Practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We recommend therapists work to leverage their experiences and perspectives in positive ways, such as embracing a <i>here and now</i> stance and what is meaningful about the work, while caring for themselves to manage potential vicarious traumatisation. Supervisors and/or consultants of these therapists must support them in this work.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12879","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143114461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}