Psychotherapy Research最新文献

Touch in psychotherapy: Experiences, desires and attitudes in a large population survey. 心理治疗中的触摸：大规模人口调查中的经验、欲望和态度。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-07-25 DOI: 10.1080/10503307.2025.2534971

Michal Tanzer, Athanasios Koukoutsakis, Ilia Galouzidi, Paul M Jenkinson, Claudia Hammond, Michael J Banissy, Aikaterini Fotopoulou

{"title":"Touch in psychotherapy: Experiences, desires and attitudes in a large population survey.","authors":"Michal Tanzer, Athanasios Koukoutsakis, Ilia Galouzidi, Paul M Jenkinson, Claudia Hammond, Michael J Banissy, Aikaterini Fotopoulou","doi":"10.1080/10503307.2025.2534971","DOIUrl":"https://doi.org/10.1080/10503307.2025.2534971","url":null,"abstract":"Objective: Social touch has known therapeutic effects on physical and mental health. However, research on the role of touch in psychotherapy is limited. The frequency of touch in psychotherapy, and the individual differences that influence clients' perceived quality and desirability of touch, remain unknown.Methods: We utilized the largest-to-date UK survey on touch, identifying 6878 individuals who reported receiving psychological therapy in the last 10 years, to explore: (1) the perceived quantity and affective quality (positive/negative) of therapeutic touch experiences, (2) the desirability of touch, and (3) key traits such as attachment style that may influence the perceived meaning and desirability of touch.Results: Touch was reported by 30% of responders, with 70% of them stating it communicated support. Importantly, 4% reported it as inappropriate, and 5% rated their experiences as negative. Additionally, 40% of responders expressed some desire to be touched by their therapist. Higher scores on avoidant attachment were negatively associated with positive ratings of touch. The desire to be touched was associated with attachment style, with individuals scoring higher on anxious attachment reporting a greater desire for touch.Conclusion: This exploratory survey highlights the need for further investigation into the potential benefits and risks of touch interventions.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-16"},"PeriodicalIF":2.6,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The problematic impressions of therapy scale: a transtheoretical measure of negative patient experience in psychotherapy. 治疗量表的问题印象：心理治疗中负面患者体验的跨理论测量。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-07-24 DOI: 10.1080/10503307.2025.2528031

James McCollum, Xu Li, George Silberschatz, David Kealy, Juan Martin Gomez Penedo

{"title":"The problematic impressions of therapy scale: a transtheoretical measure of negative patient experience in psychotherapy.","authors":"James McCollum, Xu Li, George Silberschatz, David Kealy, Juan Martin Gomez Penedo","doi":"10.1080/10503307.2025.2528031","DOIUrl":"https://doi.org/10.1080/10503307.2025.2528031","url":null,"abstract":"Objective: Although negative experiences in psychotherapy are commonly reported by patients, these phenomena are understudied. The present study introduces the Problematic Impressions of Therapy Scale (PITS), a new measure designed to assess distressing in-session experiences.Methods: In two large samples of psychotherapy patients (N = 541 and N = 545), we conducted exploratory factor analysis followed by exploratory structural equation modeling to determine the underlying factor structure and psychometric properties of the PITS.Results: Results supported a 21-item, two-factor model reflecting therapist \"errors of commission\" (e.g., pressuring disclosure, expressing judgment) and \"errors of omission\" (e.g., failing to provide support or direction). Both subscales demonstrated acceptable internal consistency and good model fit across U.K.- and U.S.-based samples. In tests of concurrent validity, higher PITS scores showed moderate-to-strong negative associations with measures of the working alliance (Working Alliance Inventory) and perceived therapist responsiveness (Patient's Experience of Attunement and Responsiveness), suggesting that more frequent or distressing negative experiences correlate with weaker alliances. Further, errors of omission uniquely predicted poorer ratings of both bond and task dimensions of the alliance.Conclusion: These findings support the reliability and construct validity of the PITS as a tool for identifying and quantifying negative or hindering experiences in psychotherapy.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-13"},"PeriodicalIF":2.6,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Psychodynamic psychotherapists' perceptions of change: A phenomenological analysis. 心理动力学心理治疗师对变化的感知：现象学分析。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-07-23 DOI: 10.1080/10503307.2025.2535564

Lorenzo Antichi, Benedetta Biondi, Marco Giannini, Rosapia Lauro-Grotto

{"title":"Psychodynamic psychotherapists' perceptions of change: A phenomenological analysis.","authors":"Lorenzo Antichi, Benedetta Biondi, Marco Giannini, Rosapia Lauro-Grotto","doi":"10.1080/10503307.2025.2535564","DOIUrl":"https://doi.org/10.1080/10503307.2025.2535564","url":null,"abstract":"Objective: This qualitative study aimed to investigate how experienced psychodynamic psychotherapists conceptualize change in psychotherapy by engaging in guided reflection on their professional experiences. Method: Eight psychodynamic therapists participated in the study, with four females and four males. Semi-structured interviews were conducted within a phenomenological-hermeneutic research framework, focusing on several key themes related to the change in psychotherapy. Then, phenomenological categories were identified through a consensual content analysis, applying an inductive approach. Results: Through an iterative analysis, nine overarching themes and their respective subcategories emerged: (a) Orientation; (b) Motivations For Choosing to Train in the Psychodynamic Approach; (c) Areas of Intervention; (d) The Relational Space as the Foundation of Therapy and the Process of Change; (e) Focusing, Exploring, and Processing the Patient's Internal States; (f) The Tools of Change in the Psychodynamic Approach; (g) The Subjectivity and Experiences of the Therapist; (h) New Conceptions of Change in the Psychodynamic Approach; (i) Change as an Unpredictable Process Difficult to Model. Discussion: The findings underscore the importance of employing qualitative methods to study psychotherapy change, as its complexity cannot be easily reduced to simplified models.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-16"},"PeriodicalIF":2.6,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dampening versus amplification: Intrapersonal and interpersonal vocal affect dynamics during psychotherapy for depression. 抑制与放大：抑郁症心理治疗期间的个人和人际声音影响动态。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-07-22 DOI: 10.1080/10503307.2025.2534973

Adar Paz, Eshkol Rafaeli, Eran Bar-Kalifa, Eva Gilboa-Schectman, Sharon Gannot, Shrikanth Narayanan, Dana Atzil-Slonim

{"title":"Dampening versus amplification: Intrapersonal and interpersonal vocal affect dynamics during psychotherapy for depression.","authors":"Adar Paz, Eshkol Rafaeli, Eran Bar-Kalifa, Eva Gilboa-Schectman, Sharon Gannot, Shrikanth Narayanan, Dana Atzil-Slonim","doi":"10.1080/10503307.2025.2534973","DOIUrl":"https://doi.org/10.1080/10503307.2025.2534973","url":null,"abstract":"Objective: Major depressive disorder (MDD) is associated with ineffective affect regulation. Vocal data can shed light on communication and expression during psychotherapy and provide high-resolution data for the study of affective arousal dynamics. Computerized vocal analyses were used to examine the extent to which intrapersonal and interpersonal vocal-arousal dynamics were linked to session outcomes and whether a session's dampening as compared to an amplification arousal trajectory would moderate this association.Method: Data from 30 clients treated for MDD by nine therapists were analyzed. A total of 9,324 vocal arousal data points were extracted from the working phases of 137 therapy sessions. The clients reported their well-being levels before and after each session on the Outcome Rating Scale.Results: Vocal-analysis revealed both intrapersonal regulation (towards one's baseline) and interpersonal regulation (towards the partner's arousal level). Only clients' interpersonal regulation towards their therapist's arousal level was linked to better session outcomes. Notably, this positive link occurred more in sessions where the client's overall arousal decreased (dampening); no such link was observed when arousal increased (amplification).Conclusions: These results suggest that interpersonal (i.e., therapist-client) affect regulation may contribute to therapeutic change in sessions characterized by overall dampening in patients diagnosed with MDD.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-14"},"PeriodicalIF":2.6,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A metamethod analysis of qualitative research methodology in studies of psychotherapists' experiences. 心理治疗师经验研究中质性研究方法论的元方法分析。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-07-20 DOI: 10.1080/10503307.2025.2530561

Javier L Rizo, Heidi M Levitt, Zenobia Morrill, Bediha Ipekci

{"title":"A metamethod analysis of qualitative research methodology in studies of psychotherapists' experiences.","authors":"Javier L Rizo, Heidi M Levitt, Zenobia Morrill, Bediha Ipekci","doi":"10.1080/10503307.2025.2530561","DOIUrl":"https://doi.org/10.1080/10503307.2025.2530561","url":null,"abstract":"Objective: As the amount of qualitative psychotherapy research has increased, methodological and reporting practices have evolved and changed to reflect trends in the field. We investigated trends by surveying the methodological characteristics of the qualitative research on therapists' experiences conducting psychotherapy prior to the publication of the SQIP methodological integrity framework and APA reporting standards for qualitative research. Methods: We identified articles using PsycINFO and coded features including publication year, reported epistemological perspective, number of participants, research design, and procedural checks. We analyzed trends in 140 studies (published 1985 to2015) across these characteristics using descriptive and exploratory inferential statistics. Results: The number of publications grew substantially. Researchers reported their epistemological stance in approximately a quarter of studies, which was not predictive of article age, number of participants, reports of reflexivity, or credibility checks. Additionally, a larger number of participants were associated with grounded theory designs, whereas fewer were associated with phenomenological studies. Higher numbers of reflexivity and credibility checks were associated with consensual qualitative research. Procedures promoting reflexivity, such as formal reflection and self-description by researchers, increased over time, whereas procedures promoting credibility, such as consensus, decreased. Conclusions: Qualitative psychotherapy research is fast-growing and becoming more reflexive, although researchers should more routinely report features related to methodological integrity.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-14"},"PeriodicalIF":2.6,"publicationDate":"2025-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Contextual schema therapy for social anxiety and depression symptoms-A two sessions, online, group randomized trial. 情境图式疗法对社交焦虑和抑郁症状的治疗——两个在线、组随机试验。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-07-17 DOI: 10.1080/10503307.2025.2523480

Simona Stefan, Paula Stroian, Liviu-Andrei Fodor, Matu Silviu, Diana Nechita, Daniel Mătiță, Mircea Mustățea, Alice Ioana, Ancuta Tamas, Eckhard Roediger

{"title":"Contextual schema therapy for social anxiety and depression symptoms-A two sessions, online, group randomized trial.","authors":"Simona Stefan, Paula Stroian, Liviu-Andrei Fodor, Matu Silviu, Diana Nechita, Daniel Mătiță, Mircea Mustățea, Alice Ioana, Ancuta Tamas, Eckhard Roediger","doi":"10.1080/10503307.2025.2523480","DOIUrl":"https://doi.org/10.1080/10503307.2025.2523480","url":null,"abstract":"Objective: In the current randomized control trial, we tested the efficacy of a transdiagnostic, two-session Contextual Schema Therapy intervention, delivered in an online group format, for individuals with social anxiety and/or depressive symptoms and examined self-criticism and experiential avoidance as potential mediators.Method: The sample included 134 participants scoring above the 30 Liebowitz Social Anxiety Scale cut-off point and/or above 14 on the Beck Depression Inventory-II, who were randomized to either the contextual schema therapy group intervention or an online psychoeducation control group.Results: Significant reductions in social anxiety (p = 0.038, d = 0.35 at post-intervention) and depression (p = 0.015, d = 0.41 at post-intervention) and an increase in quality of life (p = 0.033, d = 0.36 at follow-up) were found in the contextual schema therapy group compared to the control group (in the absence of clustering effects), while no significant differences were found for self-criticism and experiential avoidance, the proposed mediators.Conclusions: The results support the efficacy of this brief contextual schema intervention format, while its mechanisms of change remain to be investigated further.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-16"},"PeriodicalIF":2.6,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Psychometric evaluation of the emotion-focused therapy version of person-centered and experiential psychotherapy scale: A measure of therapist adherence and competence. 以人为本的体验性心理治疗量表中以情绪为中心的治疗版本的心理测量学评价：治疗师依从性和能力的测量。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-07-15 DOI: 10.1080/10503307.2025.2522386

Marina Monteiro, Robert Elliott, Daniela Nogueira, Edgar Mesquita, Carla Cunha

{"title":"Psychometric evaluation of the emotion-focused therapy version of person-centered and experiential psychotherapy scale: A measure of therapist adherence and competence.","authors":"Marina Monteiro, Robert Elliott, Daniela Nogueira, Edgar Mesquita, Carla Cunha","doi":"10.1080/10503307.2025.2522386","DOIUrl":"https://doi.org/10.1080/10503307.2025.2522386","url":null,"abstract":"Objective: This study evaluated the psychometric properties of the Person-Centered and Experiential Psychotherapy Scale for Emotion-Focused Therapy: Adherence and Competence Observer Rating (PCEPS-EFT-9). It includes its reliability, discriminant validity between emotion-focused therapy (EFT) and person-centered therapy (PCT), and its predictive validity for therapeutic outcomes.Method: Data were drawn from a pilot study comparing EFT and PCT in treating social anxiety. Recordings of 22 EFT and 14 PCT sessions from early and mid-therapy phases were coded using the PCEPS-EFT-9. Discriminant validity was assessed by comparing scores between therapies and predictive validity through correlations with residual symptom changes.Results: The PCEPS-EFT-9 showed strong inter-rater reliability (intraclass correlation coefficients = .90-.93). Internal consistency was high for EFT (Cronbach's alpha > .97) and moderate for PCT (Cronbach's alpha = .65). EFT therapists scored significantly higher than PCT therapists (p < .001), supporting discriminant validity.Conclusion: The PCEPS-EFT-9 demonstrated robust reliability and validity, supporting its use in evaluating therapist adherence and competence in EFT. Higher adherence and competence were linked to improved outcomes, highlighting the importance of monitoring treatment fidelity in psychotherapy research.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":2.6,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mechanisms of change in the treatment of major depressive disorder with metacognitive therapy and behavioral activation - a random intercept cross-lagged panel and mediation analyses. 元认知疗法和行为激活治疗重度抑郁症的改变机制——随机截点交叉滞后面板和中介分析。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-07-15 DOI: 10.1080/10503307.2025.2530543

Anja Schaich, Maya Antia-Frese, Carlotta Gebauer, Gina Schippmann, Nele Assmann, Kamila Jauch-Chara, Daniel Alvarez-Fischer, Jan P Klein, Eva Fassbinder

{"title":"Mechanisms of change in the treatment of major depressive disorder with metacognitive therapy and behavioral activation - a random intercept cross-lagged panel and mediation analyses.","authors":"Anja Schaich, Maya Antia-Frese, Carlotta Gebauer, Gina Schippmann, Nele Assmann, Kamila Jauch-Chara, Daniel Alvarez-Fischer, Jan P Klein, Eva Fassbinder","doi":"10.1080/10503307.2025.2530543","DOIUrl":"https://doi.org/10.1080/10503307.2025.2530543","url":null,"abstract":"Objectives: Metacognitive Therapy (MCT) and Behavioural Activation (BA) are effective treatments for depression. This exploratory study aimed to investigate proposed mechanisms and mediators of change in MCT and BA.Method: Data were used from 122 patients randomized to six months of treatment with either MCT or BA for depression. Analyses were based on monthly assessments of the Quick Inventory of Depressive Symptoms (QIDS-SR16), Major Depressive Disorder Scale (MDD-S, for MCT-specific variables), and Behavioral Activation for Depression Scale (BADS, for BA-specific variables).Results: Random intercept cross-lagged panel models (RI-CLPMs) indicated bidirectional relationships between most of the proposed mechanism variables and outcomes. Linear mixed models revealed greater changes in the MDD-S variables rumination time, dysfunctional coping strategies, and negative metacognitions in the MCT condition. RI-CLPM mediation analyses suggested that the subscales avoidance, rumination time, and negative metacognitions of the MDD-S mediate the relationship between treatment condition and depressive symptoms.Conclusion: Our results suggest that the examined variables are change mechanisms in the treatment of depression. They also suggest that the effect of MCT might be mediated by changes in rumination. If confirmed in further studies, it might emerge that targeting these change mechanisms can increase the effectiveness of depression treatments.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-14"},"PeriodicalIF":2.6,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development and Initial Validation of the Therapist Ambiguity Intolerance Scale: Evidence Based on Multilevel Data and Analyses. 治疗师歧义不耐受量表的开发和初步验证：基于多层次数据和分析的证据。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-07-11 DOI: 10.1080/10503307.2025.2524518

Hui Xu, Zhijin Hou, Jiajia Zhu, Lan Zhang

{"title":"Development and Initial Validation of the Therapist Ambiguity Intolerance Scale: Evidence Based on Multilevel Data and Analyses.","authors":"Hui Xu, Zhijin Hou, Jiajia Zhu, Lan Zhang","doi":"10.1080/10503307.2025.2524518","DOIUrl":"https://doi.org/10.1080/10503307.2025.2524518","url":null,"abstract":"Objective: To facilitate research on therapist factors that relate to treatment implementation and alliance building, the current study developed and validated a scale that measures therapist ambiguity intolerance.Method: Using 870 sessions from 257 clients nested within 96 therapists in a Chinese master's training program, the present study developed items for the Therapist Ambiguity Intolerance Scale (TAIS), explored its factor structure, and examined its structural and criterion validities. The analyses were conducted based on a multilevel framework.Results: The results supported a unidimensional structure at the between-client level. Although technically a bifactor model with three specific factors was favored at the within-client level, the results revealed a dominant general factor. The score of the TAIS was positively associated with therapist anxiety and negatively associated with therapist self-efficacy at both the within- and between-client levels. The TAIS score was negatively associated with client-rated working alliance at the between-client level. Additionally, the TAIS score was negatively associated with client-rated session quality at both the within- and between-client levels.Conclusions: This study offers a useful measure of therapist ambiguity intolerance for research and practice on therapy and training. It highlights the importance of handling inevitable ambiguity in therapy.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":2.6,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Identification of Potential Therapist "Missteps" in the Context of Engagement in Public Mental Health Services: Analysis of Digital Recordings and Key Informant Validation. 在参与公共精神卫生服务的背景下识别潜在治疗师的“失误”：对数字记录和关键信息验证的分析。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-07-09 DOI: 10.1080/10503307.2025.2521792

Hyun Seon Park, Kimberly D Becker, Wendy Chu, Kendal Reeder, Carolina Lechuga, Jonathan K Ahuna, Eleanor Wu, Lanalle Darden, Rosalyn Williams, Rosana Serrano, Bruce F Chorpita

{"title":"Identification of Potential Therapist \"Missteps\" in the Context of Engagement in Public Mental Health Services: Analysis of Digital Recordings and Key Informant Validation.","authors":"Hyun Seon Park, Kimberly D Becker, Wendy Chu, Kendal Reeder, Carolina Lechuga, Jonathan K Ahuna, Eleanor Wu, Lanalle Darden, Rosalyn Williams, Rosana Serrano, Bruce F Chorpita","doi":"10.1080/10503307.2025.2521792","DOIUrl":"https://doi.org/10.1080/10503307.2025.2521792","url":null,"abstract":"Objective: This study aimed to characterize and validate potential therapist \"missteps,\" or inadvertent behaviors that may impact youth and family engagement in mental health services.Method: Ten misstep types were coded from 224 treatment sessions provided by 92 therapists. Rapid qualitative analysis using key informant interviews was conducted to examine insights related to the occurrence, expected impact, and perceived severity of therapist missteps as an indicator of the face validity of the missteps construct and types.Results: All 10 misstep types demonstrated good reliability (Fleiss' k = .71-.88). All 10 misstep types appeared to have face validity with key informants. Key informants posited case-, therapist-, and setting-level factors that may increase frequency of therapist missteps.Conclusion: Missteps can be reliably observed in youth psychotherapy and were deemed by community partners to be valid measures of behaviors that are potentially harmful to treatment engagement. Future directions involve exploring the impact of missteps on youth and family engagement and developing clinical supports to mitigate their occurrence and effects.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":2.6,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0