Counselling & Psychotherapy Research最新文献

{"title":"Treatment Outcomes of Cognitive Behavioural Therapy for Earthquake-Related Distress","authors":"Cate F. Woods,&nbsp;Virginia V. W. McIntosh,&nbsp;Christopher M. Frampton,&nbsp;Frances A. Carter,&nbsp;Helen C. Colhoun,&nbsp;Jennifer Jordan,&nbsp;Rebekah A. Smith,&nbsp;Caroline Bell","doi":"10.1002/capr.70002","DOIUrl":"https://doi.org/10.1002/capr.70002","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Cognitive behavioural therapy (CBT) is an effective treatment for post-traumatic stress disorder (PTSD), but few studies have examined its effectiveness among individuals exposed to natural disasters. Group CBT could be an efficient way to treat disaster-related PTSD, but it is unclear how the outcome of group and individual formats compare.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>The current study used a non-controlled design to examine CBT outcomes among adults with severe, ongoing earthquake-related distress and a non-randomised design to compare the outcomes of group and individual CBT.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials &amp; Methods</h3>\u0000 \u0000 <p>Participants were 175 adults with earthquake-related PTSD or adjustment disorder consecutively referred for treatment at a specialist mental health service between one and four and a half years post-earthquake. Participants completed a diagnostic interview and self-report measures pertaining to PTSD severity; depression, anxiety, and stress; fear and avoidance; social adjustment; aggression; and resilience before and after treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Following treatment, 92.3% of participants (with available interview data) no longer met criteria for their primary earthquake-related disorder (PTSD or adjustment disorder), and significant reductions in PTSD severity were observed. Following treatment, participants had significantly fewer mental disorders, less depression, anxiety, stress, fear, avoidance, and aggression, and greater social adjustment and resilience. Treatment format (group vs. individual) and timing of treatment presentation were not associated with any treatment outcomes of interest.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Findings suggest CBT is effective for individuals exposed to natural disasters when delivered in real-world post-disaster settings. Group CBT is an efficient way to treat large numbers of people using limited resources, strengthening the rationale for group treatment following natural disasters.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.70002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143423773","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 Therapists Operationalise the Experiential Components of Person-Centred Experiential Therapy in the Treatment of Depression: Generating Psychotherapeutic Exemplars for Training Practitioners","authors":"Rinda Haake,&nbsp;Gillian E. Hardy,&nbsp;Michael Barkham","doi":"10.1002/capr.12909","DOIUrl":"https://doi.org/10.1002/capr.12909","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Person-centred experiential therapy (PCET) is an evidence-based psychological therapy for the treatment of depression delivered within the English NHS Talking Therapies for Anxiety and Depression programme. Process research is needed to understand how therapists operationalise the experiential components which, according to emotion theory, constitute mechanisms of change.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Digital session recordings for 15 PCE therapists in the PRaCTICED trial that received the highest mean score for <i>experiential specificity, emotion regulation sensitivity</i> and <i>emotion focus</i> were selected and transcribed. NVivo was employed to conduct a qualitative analysis of the transcripts using framework analysis. These three experiential items constituted a priori themes, with the most specific subthemes identified as therapist interventions. Representative exemplars were synthesised from verbatim therapist and client exchanges to illustrate each intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four themes were identified: reflecting, intensifying feelings, understanding, and active guiding, with 12 subthemes, and 26 types of therapist intervention. The sequence of four themes suggests a range of interventions which reflect increasing activeness of therapist contributions in the session. The procedure adopted demonstrates that it is possible to generate exemplars for psychotherapeutic interventions based on anonymised but real practice which have potential utility for training, supervision and deliberate practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Therapists' interventions conform to emotion theory, offering active interventions woven into a nondirective person-centred relationship. The four themes suggested a loose sequence of experiential interventions, beginning with the therapist helping to orient the client towards their emotions, through identifying, articulating and exploring emotions, to working with emotional processes to resolve distress.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12909","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143397060","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 Light in the Whole Darkness of Zoom’: A Qualitative Examination of College Students' Experiences in an Online Mindfulness-Based Intervention","authors":"Helen Z. MacDonald,&nbsp;Madeline Bradley,&nbsp;Tracy Neville","doi":"10.1002/capr.12893","DOIUrl":"https://doi.org/10.1002/capr.12893","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Mindfulness-Based Interventions (MBIs), including those administered online, have demonstrated efficacy in promoting mental health among college students. Few studies, however, have examined participants' lived experiences of engaging in these interventions when administered online.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The current qualitative study investigated nine college students' experiences of participating in a randomised controlled trial of an online adaptation of mindfulness-based stress reduction, a group intervention administered during the fall 2020 COVID-19 pandemic lockdown. Data were analysed using thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Two themes and eight subthemes were identified. The first theme centred on advantages of the intervention's online modality. The college student participants described greater comfort, a strong instructor, broadened social connections and enhanced community in the context of the online intervention. The second theme surrounded challenges of the intervention's online format, and subthemes included environmental distractions, impersonal modality, difficulty connecting with others and technology issues.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The COVID-19 pandemic underscored the need for health promotion programmes specifically targeting college students; online MBIs may increase access to these interventions. Promoting the strengths and addressing the limitations of online MBIs among this population are essential as this modality of treatment becomes more widely employed across college campuses.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143397081","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":"Student Psychotherapists' Experiences of Self-Empathy: An Interpretative Poetic Inquiry","authors":"Kirsten Jack,&nbsp;Supritha Aithal","doi":"10.1002/capr.70001","DOIUrl":"https://doi.org/10.1002/capr.70001","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Interpersonal empathy is a well-researched concept in the counselling and psychotherapy literature, although less is known about how it is experienced at an intrapersonal level. What is known is that self-empathy involves a change in perspective and a re-evaluation of events, in kinder and less judgemental ways.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of this study was to understand and appreciate the meaning of self-empathy to trainee creative psychotherapists. The research was in the context of the students' own self-care and intrapersonal relating.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology and Methods</h3>\u0000 \u0000 <p>An interpretative poetic inquiry design was utilised. Interviews were conducted with 4 trainee creative psychotherapists at a university in the Northwest of England, UK.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Self-empathy was experienced as a process, often involving several aspects of the self, to understand and accept feelings and events in the context of self-care. Development of self-empathy involved internal dialoguing through activities such as journaling, poetry writing, meditation, and being outdoors. The use of interpretative poetic inquiry enabled the emotional aspects of the data to be distilled and combined reflexively with the experiences of the researchers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This research provides contemporary insights into the experiences of self-empathy from the perspective of a small number of trainee creative psychotherapists. It has implications for students in terms of self-understanding and self-care, and for educators, to inform future psychotherapist preparation and curriculum development. Finally, there are implications for future research using interpretative poetic inquiry as a reflexive approach, which embraces the presence of the researcher in the research.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.70001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143380624","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":"‘Pedagogical Perspectives to Ponder’: Engaging With Social Justice—An Integrative Pedagogy of Discomfort and Love in Psychotherapy","authors":"Charlotte O'Brien,&nbsp;Divine Charura","doi":"10.1002/capr.12895","DOIUrl":"https://doi.org/10.1002/capr.12895","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The purpose of this perspective piece is to illuminate the urgency of focussing on pedagogical approaches that facilitate social justice and anti-discriminatory practice. We propose novel experiential activities for the classroom, which can then be applied to the diverse contexts and communities where trainees live.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The aim of this paper is to propose a pedagogical prime to be utilised by psychotherapeutic training educators, to help trainees to engage with the use of anti-discriminatory and socially just practices early in a their academic training.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Materials and Method&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A pedagogical prime of experiential learning activities for social justice and anti-discriminatory practice is proposed. Examples of engaging with an integrative pedagogy of discomfort and love in psychotherapy training are presented as a method for facilitating a depth of reflective practice.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The process of engaging with this pedagogical prime has a powerful impact on self-awareness, reflective and reflexive practice. These facilitate the trainees' personal and professional development, and integration of theory and practice. The pedagogical prime activities also serve to develop culturally informed, anti-oppressive and relational attributes as part of a firm commitment to social justice.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Discussion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Attainment of these attributes in social justice and anti-discriminatory practice enable trainees not only to develop into professional psychotherapeutic practitioners, but also into global citizens with an awareness of social justice. As educators, we have a responsibility to continue to work to decolonise the curriculum, starting at the grass-roots level with how we engage pedagogically with anti-discriminatory, socially just language in the classroom. As psychotherapeutic practitioners, we are also ethically required by law to engage in anti-discriminatory practices whilst serving diverse populations, yet we often lag behind in training approaches which aspire towards social justice.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This paper advocates for further research into the proposed pedagogic prime, utilising an integrated pedagogy of discomfort with a pedagogy of love. It a","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12895","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143380833","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":"Efficacies of Process and REACH Therapeutic Models on Forgiveness of Counsellor Trainees","authors":"Jones Clifford Akosah,&nbsp;Godwin Awabil,&nbsp;Linda Dzama Forde","doi":"10.1002/capr.12907","DOIUrl":"https://doi.org/10.1002/capr.12907","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>People who have learnt how to forgive others tend to be better forgiveness counsellors. This study delves into the effectiveness of the Process and REACH therapeutic models on forgiveness for counsellor trainees.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The researchers used the sequential explanatory mixed method model, which involved the use of a questionnaire and interview guide to gather data for the study. The research design of the study was quasi-experimental and an interview. Two hypotheses and one research question were formulated to guide the study. The population of the study consisted of graduate students from three Ghanaian universities, totalling 80 individuals. They comprised 34 males and 46 females. Sampling techniques that were used for both the quantitative and qualitative aspects were simple random sampling and purposive sampling, respectively. The Enright Forgiveness Inventory was used to collect pre- and post-test data. For the quantitative aspect, the data were analysed using Analysis of Covariance (ANCOVA). For the qualitative aspect, data reduction technique and content analysis were used to analyse the data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study revealed that the Process and REACH therapeutic models had significant positive effects on forgiveness among participants. However, there was no significant difference in the forgiveness level of participants on the basis of gender.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Recommendations</h3>\u0000 \u0000 <p>Based on these findings, it is recommended that professional counsellors and psychologists should consider these two therapies as alternatives to improving forgiveness levels in their clients' lives.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12907","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143362358","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":"Clients' Reasons for Dropping Out of Therapy: A Qualitative Study","authors":"Jesse B. Homan,&nbsp;Maria M. Talbott,&nbsp;Mic Holliday","doi":"10.1002/capr.12882","DOIUrl":"https://doi.org/10.1002/capr.12882","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>There has been limited research on therapy attrition from the perspective of clients who terminate. This qualitative study addresses the question, why do clients choose to terminate therapy prematurely?</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Twelve participants who had chosen to end in-person individual therapy were interviewed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The most common reason for terminating was experiencing invalidation from the therapist, including not feeling heard, feeling dismissed and judged and not feeling valued. Another type of invalidation experienced was therapists' microaggressions on client identities of race, culture and sexual orientation. Inadequate problem-solving in therapy, through oversimplification of problem-solving or not receiving guidance for change, was another common reason for dropout.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Understanding the perspectives of clients who have been dissatisfied with therapy is useful for identifying therapist behaviours that can cause ruptures. Clinicians can learn from clients' negative experiences in therapy in order to improve clinical practice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143112070","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":"The Effects of Dialectical Behavioural Therapy (DBT) on Cognitive and Emotional Symptoms of Adult ADHD: A Randomised Pilot Study","authors":"Nooshin Basiri","doi":"10.1002/capr.12900","DOIUrl":"https://doi.org/10.1002/capr.12900","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Attention deficit hyperactivity disorder (ADHD) is a developmental disorder with emotional and cognitive symptoms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aimed to investigate the effect of dialectical behavioural therapy (DBT) on cognitive and emotional aspects of ADHD in adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and methods</h3>\u0000 \u0000 <p>A quasi-experimental pre-test/post-test design with a control group (waiting list) was applied. Forty participants were selected for the study among the target population of adult ADHD patients. They were randomly assigned to the control and experimental (group DBT) groups. The Adult ADHD Self-Report Scale (ASRS), Tower of London, Stroop test, Wisconsin sorting test, Continuous Performance Test, Eysenck Impulsivity Test, and Difficulties in Emotion Regulation Scale (DERS) were used for assessment purposes. The data analysis was conducted using SPSS-23 and the MANCOVA method.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results showed that DBT was significantly effective in improving emotion regulation (31.4%), impulsivity (37.4%), Stroop scores (21.9%), attention and concentration (31.8%), and hyperactivity (41%) compared to the control group. However, there was no significant difference in the subscales of the Tower of London, Wisconsin test and the attentional subscale of the ASRS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>It can be inferred from this research that DBT can significantly reduce the emotional difficulties of adults with ADHD, but may not be very helpful for the cognitive aspects of this disorder.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143110720","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":"Instatherapy: A Content Analysis of Psychotherapists' Instagram Posts and User Engagement","authors":"Amanda K. Greene,&nbsp;Lisa M. Brownstone,&nbsp;Yixiao Dong,&nbsp;Madeline J. Hunsicker,&nbsp;Jade Cool,&nbsp;Elana K. Maloul,&nbsp;Hannah N. Norling","doi":"10.1002/capr.12877","DOIUrl":"https://doi.org/10.1002/capr.12877","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Social media is increasingly a source of mental health information and support. Online mental health content accessibility has allowed providers to access large audiences and client bases.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>Our aim was to understand information audiences are encountering from psychotherapists on social media.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>Summative content analysis was completed on 10,395 posts from 294 psychotherapist influencers on Instagram. Analysis focussed on two domains: mental health concerns and psychotherapy-related topics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Interpersonal concerns were the most frequently discussed mental health concern followed by anxiety, trauma/PTSD, depression and stress. The most frequently discussed psychotherapy-related topics included holistic approaches, nervous system, cognitive behavioural therapy and internal family systems. Certain codes were associated with more user engagement than posts without those codes. Regarding mental health concerns, posts mentioning substance use garnered more likes and comments, posts mentioning dissociation/dissociative identity disorder garnered more comments, and posts mentioning perinatal issues received fewer likes. Regarding psychotherapy-related topics, holistic approaches garnered more likes and comments, and crisis and couples/divorce garnered fewer likes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Findings elucidate content that psychotherapist influencers discuss as well as how users engage with content.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study has implications for ethical guideline development for social media use among psychotherapists.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143110722","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":"Therapeutic Relationship Through the Lenses of the Real Relationship, Therapeutic Alliance and Attachment to the Therapist: In Search of a Synthesis","authors":"Pedro Rodrigues Ribeiro,&nbsp;David Dias Neto","doi":"10.1002/capr.12894","DOIUrl":"https://doi.org/10.1002/capr.12894","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>There is an overlap in psychotherapy research and clinical applications between these three views of the therapeutic relationship: the real relationship, the therapeutic alliance and attachment theory.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to provide a synthesis by exploring this overlap in the client's perspective on the therapeutic relationship.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The sample included 373 adult clients of individual therapy. An exploratory principal components analysis was conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Parallel analysis revealed a five-component structure generating a final solution explaining 47% of the variance. These components seem to illustrate different clients' needs and views about the relationship and how the therapist might perceive the relationship and their interactions. It presents dimensions such as the need for security in the therapist, the need to be cared for by the therapist, the fear of being genuine to the therapist, working on the goals of therapy and the need for more contact and expanding the therapeutic relationship beyond the boundaries that can be relevant for assessment, clinical decision-making and responding to a client's core needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This theoretical perspective may be useful beyond a specific relational construct, stressing the transtheoretical potential of clients' core needs towards the relationship and better preparing therapists to be more responsive to them.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143110926","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}