Counselling & Psychotherapy Research最新文献

{"title":"Childhood maltreatment and depression in adult patients: The mediator role of personality functioning","authors":"Stephanie Vaccarezza,&nbsp;Sebastián Opazo,&nbsp;Adrian P. Mundt,&nbsp;Alejandra Cortázar,&nbsp;Paula Errázuriz","doi":"10.1002/capr.12866","DOIUrl":"https://doi.org/10.1002/capr.12866","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Childhood maltreatment (CM), including emotional neglect, physical neglect, emotional abuse, physical abuse and sexual abuse, is associated with an increased risk of adult depression, particularly emotional abuse and neglect. Personality impairment is a significant mediator in the relationship between CM and adult depression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This naturalistic cross-sectional study aimed to examine the mediating role of personality functioning in the association between CM types and depressive symptoms in a clinical sample of adults. We assessed the two dimensions of personality functioning proposed by Section III of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), specifically self-functioning and interpersonal functioning. The participants were 335 adult patients starting individual psychotherapy who completed intake self-report questionnaires to evaluate experiences of CM, personality functioning, depression, and comorbidity of depression and anxiety. Bootstrap mediation analyses were performed to examine the mediating role of personality functioning in the relation between each CM type and depressive symptoms, as well as the comorbidity of depression and anxiety.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Personality functioning explained half (53%) of the total effect of CM on depressive symptoms and comorbidity. Regarding the different CM types, only the total effects of emotional abuse and neglect on depressive symptoms were significant, evidencing their direct and indirect effect on adult depression. Both personality functioning dimensions were significant mediators, yet self-functioning had a larger mediating effect, underscoring its critical role.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Psychotherapeutic interventions addressing impairments in personality functioning may be crucial in the treatment of depressive symptoms in adult patients with CM.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143118925","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":"Exploring anxiety, uncertainty perception, treatment experiences and coping strategies: An interpretative phenomenological analysis","authors":"Aysun Parlar-Yazıcı,&nbsp;Alyson Norman,&nbsp;Alison Bacon","doi":"10.1002/capr.12872","DOIUrl":"https://doi.org/10.1002/capr.12872","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Stress and anxiety are considered a major causative factor of various behavioural outcomes, such as insomnia, debilitating psychological and psychosomatic symptoms, and certain physiological ill-health. The individual's appraisal process heavily influences a stress response, with the interpretation of the stressful situation being more important than the situation itself. This study aimed to examine the experiences and perceptions of stress and anxiety among individuals with anxiety. This included their coping mechanisms and experiences of treatment for anxiety. The concept of intolerance of uncertainty, a cognitive mechanism influencing anxiety, was also investigated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A qualitative interpretative phenomenological analysis (IPA) was applied as a suitable method to gain a deep understanding of individuals' lived experiences of anxiety. Ten participants were selected to participate in a semi-structured interview.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Result</h3>\u0000 \u0000 <p>Three main themes were identified from participants' testimonies: (1) anxious narratives, (2) navigating anxiety and (3) healing journeys. The study revealed that participants experienced significant levels of stress and anxiety in their lives, with these conditions being perceived as substantial burdens. The coping mechanisms employed by participants predominantly centred around interpersonal support, particularly through engaging in conversations with loved ones. Common treatments for anxiety included antidepressants, private cognitive behavioural therapy (CBT) sessions and counselling provided by general practitioners. However, accessibility issues and dissatisfaction with outcomes were reported concerning both CBT and antidepressant treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings underscore the need for further research on effective interventions for stress- and anxiety-related disorders and emphasise the importance of personalised treatments based on intolerance of uncertainty and resilience factors.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12872","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143118802","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":"Effects of humour-logotherapy tailored to rural college students: A quasi-experimental study","authors":"Eunna Do,&nbsp;Sunhee Cho","doi":"10.1002/capr.12865","DOIUrl":"https://doi.org/10.1002/capr.12865","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to examine the effects of humour-logotherapy (HL) on meaning in life, perceived stress and depressive symptoms among rural college students in South Korea.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods and Measures</h3>\u0000 \u0000 <p>The sample for a non-randomised quasi-experimental study comprised 40 college students. HL was operated in six sessions, lasted 90 min and included 10 min of humorous activities. The data were analysed using the IBM SPSS/WIN 23.0 for the <i>χ</i>² test with Fisher's exact test, a <i>t</i>-test, the Shapiro–Wilk test and a repeated measurement ANOVA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>HL was effective in enhancing meaning in life (<i>F</i> = 6.52, <i>p</i> = .002) and reducing stress (<i>F</i> = 3.71, <i>p</i> = .029) and depressive symptoms (<i>F</i> = 3.26, <i>p</i> = .044). The effects of enhancing meaning in life and reducing stress persisted for 4 weeks; however, the effect of reducing depressive symptoms persisted for less than 4 weeks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The results suggest that HL can be used as an effective intervention for enhancing meaning in life, reducing stress and alleviating depression among rural college students.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143118801","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":"An evaluation of compassion-focused therapy groups for women accessing a specialist perinatal service in England","authors":"Kate Lawrence,&nbsp;Hannah Nicholson,&nbsp;Magdalena Iwanow,&nbsp;Tara Johnston,&nbsp;Lucy Skelhorn,&nbsp;Emily Toole,&nbsp;Ruth O'Shaughnessy","doi":"10.1002/capr.12860","DOIUrl":"https://doi.org/10.1002/capr.12860","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The perinatal period is a potentially vulnerable time for new mothers and infants, and can trigger self-criticism and feelings of shame or blame. Compassion-focussed therapy (CFT) focusses on developing an alternative to shame and self-criticism.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of this study was to evaluate a transdiagnostic CFT group for women accessing a specialist perinatal service.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Quantitative data were obtained from 114 people who engaged in the intervention. Participants completed a range of pre- and post-group self-report outcome measures that assessed self-criticism and self-compassion, mental health, parent–infant bonding and personalised goals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Statistically significant improvements were found on all measures, suggesting that attending the CFT group resulted in meaningful change.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Results suggest that CFT groups are feasible and efficacious for women in the perinatal period across a range of clinical presentations. Limitations of this study are considered together with future directions for research into perinatal CFT.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143786922","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":"‘Therapy Through the Lens of Autism’: Qualitative exploration of autistic adults' therapy experiences","authors":"Jessica Pappagianopoulos,&nbsp;Sophie Brunt,&nbsp;Jessica V. Smith,&nbsp;Michelle Menezes,&nbsp;Mya Howard,&nbsp;Eleonora Sadikova,&nbsp;Christina Burroughs,&nbsp;Micah O. Mazurek","doi":"10.1002/capr.12861","DOIUrl":"https://doi.org/10.1002/capr.12861","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Autistic adults are at increased risk for mental health (MH) conditions. As such, there is a need for effective MH care services that meet the unique needs of autistic clients. However, a deeper understanding of the therapy experiences and preferences of autistic adults is necessary to inform future enhancements to clinical practice for this population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to qualitatively examine the perspectives of autistic adults regarding past MH therapy experiences through semi-structured interviews.Method: Autistic adults (<i>N</i> = 19, ages 21–51 years) completed a demographics survey and participated in individual interviews to share experiences and recommendations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Reflexive thematic analysis revealed three over-arching themes and eight sub-themes. Overall, findings highlight therapeutic approaches that are important to autistic adults. Specifically, participants emphasised the value of the following strategies: (1) cultivating a safe space informed by an understanding of autism; (2) demonstrating a flexible and collaborative approach to therapy that is responsive to clients' needs; and (3) considering clients' preferences regarding talking in session when supporting personal growth and skill development.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Limitations</h3>\u0000 \u0000 <p>The study was limited by a relatively non-diverse sample in terms of racial and ethnic identity and potential recall bias due to the retrospective nature of the investigation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12861","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143786923","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":"‘It overshadowed everything’: Understanding working-class clients' experiences of social class differences within the therapeutic relationship","authors":"Anna Katie Jones,&nbsp;Tanya Lecchi","doi":"10.1002/capr.12867","DOIUrl":"https://doi.org/10.1002/capr.12867","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Little is known about the experiences of working-class clients in psychological therapy. This qualitative study explores how social class differences are experienced within the therapeutic relationship by six clients from a working-class background.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials &amp; Methods</h3>\u0000 \u0000 <p>Semi-structured interviews were conducted with women in Britain who self-identified as working-class and had engaged in therapy with clinicians whom they perceived to be from a higher class background than themselves. Interpretative phenomenological analysis was used to analyse the data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The study identified three superordinate themes: a meeting of two worlds, class in the implicit relationship and managing difference. The findings indicate that class differences have a significant impact on both the therapeutic relationship and on participants' view of themselves.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>For some, addressing social class differences helped to alleviate internalised classism and address the impact of structural oppression. However, when clients felt judged, misunderstood or perceived a lack of empathy, they began to disengage and hide parts of their experiences related to social class. As such, the findings have significant implications for how class differences within the therapeutic relationship might be addressed in psychological therapy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143786936","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":"‘I'm a tough cookie’: An IPA study of the experience of burnout in trainee counselling psychologists","authors":"Angelina Archer","doi":"10.1002/capr.12868","DOIUrl":"https://doi.org/10.1002/capr.12868","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Counselling psychology training consists of several professional, academic and personal demands. Poor management of these demands could lead to trainees experiencing burnout and potentially dropping out from training. The existing literature primarily focuses on the stressors of counselling psychology training or the effects of burnout in general, but the research is sparse on burnout being a potentially useful learning experience for trainees. The aim of this paper was to present the experiences of eight third-year trainee counselling psychologists, with a specific focus on how burnout influenced their development as they approached the end of their training. This paper was written from a larger doctoral research thesis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>In-depth, semi-structured interviews were analysed using interpretative phenomenological analysis (IPA).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results and Conclusions</h3>\u0000 \u0000 <p>Four themes emerged from the analysis: A perfect storm: The demands of counselling psychology training, Treading on shaky foundations, Ripple effect of the training and Rebuilding from the ashes: Learning from burnout. The overall findings suggested burnout was characterised as perseverance through unaddressed difficulties, shame and significant personal upheaval from the training process. However, most trainees learned from their experience of burnout and reported developing greater resilience and self-awareness. Recommendations and areas for future research are also discussed in this paper.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143787344","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":"Counsellor considerations for providing helpful therapy practices for clients living with low income","authors":"Skylar Rego,&nbsp;Marguerite Lengyell,&nbsp;Charlotte Finnigan,&nbsp;Melissa Jay,&nbsp;Jason Brown","doi":"10.1002/capr.12863","DOIUrl":"https://doi.org/10.1002/capr.12863","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Individuals with low income frequently face unique challenges and stressors that heighten their need for mental health support. However, research on the most effective interventions for enhancing services for this population is limited. This study aimed to address this gap by exploring counsellors' perspectives on what has been helpful when working with low-income populations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Counsellors were invited to share their personal and professional experiences through interviews, responding to the question, ‘What have you found to be the most helpful aspects of counselling with clients facing low income?’. Counsellors were also invited to complete a sorting task using the interview responses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The sorted responses were analysed using Group Concept Mapping, identifying six key concepts: accessibility to counselling services, providing advocacy and resources, addressing basic needs, therapeutic approaches, therapeutic relationship, and understanding barriers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These results were contextualised within the existing literature, and recommendations were offered for counselling practices and future research.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12863","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143787009","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":"University and college counselling services in Scotland: One-on-one counselling amid the student mental health crisis","authors":"Annabella Feeny,&nbsp;Fabienne dos Santos Sousa,&nbsp;Pierre Musa Halime Wessel","doi":"10.1002/capr.12858","DOIUrl":"https://doi.org/10.1002/capr.12858","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Scotland is facing a student mental health crisis. With 60% of university students and 54% of college students reporting moderate-to-severe symptoms of depression in recent research (Maguire &amp; Cameron, 2022; Maguire et al., 2022), Scottish university and college counselling services have emerged as an indispensable source of support for students. Although counselling services may be involved in many activities, one of their primary functions is to provide one-on-one counselling to students experiencing mental health difficulties.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to provide a better understanding of the challenges facing Scottish university and college counselling services in providing effective and accessible one-on-one counselling.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We filed Freedom of Information requests to all 27 registered colleges and 19 Scottish universities to request quantitative data on their counselling services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results and Discussion</h3>\u0000 \u0000 <p>We identified three key challenges facing university and college counselling services. First, we demonstrate that demand for college and university counselling services has rapidly increased over the past decade, resulting in longer waiting times for one-on-one counselling at several institutions. Second, we demonstrate that male students and first-year students are underrepresented in counselling, which may reflect structural barriers in accessing counselling support. Lastly, we found that even though most university and college counselling services are not designed to offer long-term counselling support for ‘at-risk students’, few institutions have set up external referral pathways into community mental health teams. The college and university sector must address these challenges to ensure equitable access for effective counselling support for all students.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12858","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143786824","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 take stock of therapeutic progress at the end of initial assessment","authors":"Thomas Bradshaw,&nbsp;Amanda Le Couteur,&nbsp;Melissa Oxlad","doi":"10.1002/capr.12862","DOIUrl":"https://doi.org/10.1002/capr.12862","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Objective</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Using conversation analysis, we analysed regularities that occurred between the information gathering phase and rebooking in a corpus of initial psychology interviews.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":"25 2","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143787004","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}