Psychotherapy Research最新文献_第10页

Effectiveness of emotion-focused therapy: Main results of a practice-research network study. 情绪聚焦治疗的有效性：一项实践-研究网络研究的主要结果。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2026-01-01 Epub Date: 2025-01-27 DOI: 10.1080/10503307.2025.2454455

Ueli Kramer, Marielle Sutter, Julian Rubel, José Blanco Machinea, Catalina Woldarsky, Lars Auszra, Imke Herrmann, Martin Grosse Holtforth

{"title":"Effectiveness of emotion-focused therapy: Main results of a practice-research network study.","authors":"Ueli Kramer, Marielle Sutter, Julian Rubel, José Blanco Machinea, Catalina Woldarsky, Lars Auszra, Imke Herrmann, Martin Grosse Holtforth","doi":"10.1080/10503307.2025.2454455","DOIUrl":"10.1080/10503307.2025.2454455","url":null,"abstract":"Background: Emotion-Focused Therapy is one of the evidence-based psychotherapies for a range of psychological problems. While most evidence was gained from randomized controlled studies or process research at university settings, there is a need for more outcome research conducted within practitioner-researcher networks assessing the effectiveness of Emotion-Focused Therapy in private practice. Methods: A total of N = 70 clients with a variety of psychiatric disorders have been included in the bi-national practitioner researcher network for Emotion-focused Therapy Switzerland-Germany. Symptom change was assessed using CORE-OM, BDI-II, IIP and WSAS. Therapist adherence was assessed by the self-reported version of the PCEPS. Pre-post-follow-up analyses were conducted using paired sample t-tests and hierarchical linear modeling. Results: Pre-post-assessment shows small to medium effect sizes for all outcome measures (except for interpersonal problems which did not change). Symptom reduction is maintained for CORE, BDI and WSAS, and increased for IIP at 3 and 6 months follow-up. Therapist adherence is good to excellent in this sample. Conclusions: Emotion-Focused Therapy is effective in the real-world practice, as suggested by the small to moderate effect sizes. The smaller effects found in the current study as compared to randomized controlled trials are consistent with the literature and suggest that EFT remains moderately effective when applied in a naturalistic context.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-9"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053828","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

Flexibility between immersion and distancing: Relationship with depressive symptoms and therapeutic alliance. 沉浸和距离的灵活性：与抑郁症状的关系和治疗联盟。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2026-01-01 Epub Date: 2025-01-23 DOI: 10.1080/10503307.2025.2451330

Ricardo Lisboa, Eunice Barbosa, Inês Moura, João Salgado, Marlene Sousa

{"title":"Flexibility between immersion and distancing: Relationship with depressive symptoms and therapeutic alliance.","authors":"Ricardo Lisboa, Eunice Barbosa, Inês Moura, João Salgado, Marlene Sousa","doi":"10.1080/10503307.2025.2451330","DOIUrl":"10.1080/10503307.2025.2451330","url":null,"abstract":"Objectives: High levels of change are linked to the flexibility between immersion and distancing, as well as to higher levels of therapeutic alliance. This study aims to explore the evolution of flexibility between immersion and distancing throughout the entire therapeutic process and its relationship with therapeutic alliance and depressive symptoms in a clinical case.Method: We analyzed five sessions of a good outcome case of depression undergoing cognitive-behavioral therapy. We assessed the distancing/immersion of these sessions using the Measure of Immersed and Distanced Speech, and therapeutic alliance with the Working Alliance Inventory-Short Form. The depressive symptoms were assessed from the Beck Depression Inventory-II.Results: Flexibility and therapeutic alliance from both client's and therapist's perspectives increased throughout the therapeutic process. A strong negative correlation was found between flexibility and depressive symptoms.Conclusions: The increase in flexibility can be an adaptive pattern associated with the decrease in depressive symptoms, the increase in therapeutic alliance (from both the client's and the therapist's perspective), and therapeutic success.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"139-151"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025186","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

Personalization of structured group psychotherapy through add-on interventions: A potential for active engagement. 通过附加干预的结构化团体心理治疗的个性化：积极参与的潜力。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2026-01-01 Epub Date: 2025-02-10 DOI: 10.1080/10503307.2025.2462146

Jasmin Gryesten, Christian Moltu, Stig Poulsen, Elisabeth Belmudez Biering, Kirsten Møller, Kirstine Dichmann, Sidse Marie Arnfred

{"title":"Personalization of structured group psychotherapy through add-on interventions: A potential for active engagement.","authors":"Jasmin Gryesten, Christian Moltu, Stig Poulsen, Elisabeth Belmudez Biering, Kirsten Møller, Kirstine Dichmann, Sidse Marie Arnfred","doi":"10.1080/10503307.2025.2462146","DOIUrl":"10.1080/10503307.2025.2462146","url":null,"abstract":"Objective: Routine Outcome Monitoring (ROM) in group psychotherapy has shown varied results, as personalizing therapy for multiple patients is challenging. This study explored the impact of ROM and individual Add-On Interventions (AOIs) for patients with depression who were not progressing during Group Cognitive Behavioral Therapy (GCBT). We followed the research question, \"How can individual AOIs contribute to patients' therapy courses?\".Method: We interviewed patients and therapists involved in GCBT with ROM and individual AOIs prompted by Not-On-Track alerts. Thematic analysis was used to generate themes related to participants' experiences. Three cases were selected to illustrate the structure of the themes.Results: The main theme, \"AOIs: Potential for active engagement,\" was constituted by seven subthemes concerning the influence of ROM, therapeutic collaboration, shared decision-making, allowing for person-tailored interventions, and the dynamic between group and individual sessions. The potential for active engagement was nurtured through flexible awareness, as patients shifted between a first-person perspective and an external perspective on their therapy process.Conclusion: Individual AOIs, prompted by patient feedback, could create opportunities for reflection and engagement. However, the impact was shaped by the therapeutic relationships, the shared decision-making process, and the extent to which the AOIs offered complementary approaches to group psychotherapy.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"25-40"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383822","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

Maintaining relevance in psychodynamic psychotherapy: A novel approach to discerning between effective vs. ineffective discourse correlated with better session outcomes. 在心理动力学心理治疗中保持相关性：一种区分有效与无效话语与更好的会话结果相关的新方法。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2026-01-01 Epub Date: 2025-02-05 DOI: 10.1080/10503307.2025.2455466

Mor Bar, Amit Saad, Noa Weiss, Shlomo Mendlovic

{"title":"Maintaining relevance in psychodynamic psychotherapy: A novel approach to discerning between effective vs. ineffective discourse correlated with better session outcomes.","authors":"Mor Bar, Amit Saad, Noa Weiss, Shlomo Mendlovic","doi":"10.1080/10503307.2025.2455466","DOIUrl":"10.1080/10503307.2025.2455466","url":null,"abstract":"Objective: Maintaining relevance in a psychodynamic dialogue is a nuanced task, requiring therapists to balance between following patients' free associations while avoiding less effective interventions. Identifying less effective sequences of talk is especially challenging given the diversity of psychodynamic approaches and methodological barriers to analyzing session discourse. This study introduces a novel approach using the MATRIX coding system, an evidence-based tool, to differentiate content correlated with better session outcomes.Method: Transcripts of 367 sessions were coded using the MATRIX. Therapist Out-of-MATRIX utterances, indicating a deviation from core therapeutic focus, were examined for their predictive value. Outcome measures included the next-session alliance and patient functioning scores. Two machine-learning-based models, using the Random Forest algorithm, predicted session-by-session changes in clinical outcomes based on MATRIX codes, and interpreted using the SHapley Additive exPlanations.Results: Therapist Out-of-MATRIX utterances accurately predicted next-session changes in alliance and patient functioning scores. Our model also identified an optimal dose-effect relationship for the number of Out-of-MATRIX interventions needed for effective therapy session.Conclusion: This study demonstrates the potential of using contemporary research tools to analyze therapeutic discourse, revealing how psychotherapy produces its benefits. Its scope extends beyond prediction, providing practical recommendations on how to enhance therapists' performance and outcomes.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"177-191"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256981","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

"Vulnerability can breed strength": The role of borderline personality disorder severity in movement synchrony among patients with major depressive disorder. “脆弱可以孕育力量”：边缘型人格障碍严重程度在重度抑郁症患者运动同步中的作用。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2026-01-01 Epub Date: 2025-02-05 DOI: 10.1080/10503307.2025.2458174

Galit Peysachov, Manar Shehab, Yael Bouknik, Keren Deres-Cohen, Pavel Goldstein, Sigal Zilcha-Mano

{"title":"\"Vulnerability can breed strength\": The role of borderline personality disorder severity in movement synchrony among patients with major depressive disorder.","authors":"Galit Peysachov, Manar Shehab, Yael Bouknik, Keren Deres-Cohen, Pavel Goldstein, Sigal Zilcha-Mano","doi":"10.1080/10503307.2025.2458174","DOIUrl":"10.1080/10503307.2025.2458174","url":null,"abstract":"Objective: Patients with Major depressive disorder (MDD) and a comorbid Borderline personality disorder (BPD) show a poorer prognosis for MDD compared to patients without BPD. Little is known about the therapeutic processes underlying this prognosis. The goal of the present study was to investigate whether patients with more severe BPD symptoms experience less strengthening in patient-therapist movement synchrony (MS) throughout treatment, and whether less strengthening in MS is associated with less effective sessions. Method: Ninety-five patients participating in a randomized control trial were assessed for BPD (N = 9) using the Structured Interview for DSM-IV Personality. 1367 video-taped sessions were analyzed for MS using Motion Energy Analysis. Session effectiveness was evaluated following each session using a one-item scale taken from the Helping Skills Measure. Multilevel models were used to assess whether BPD severity predicted MS throughout treatment, and whether MS predicted session effectiveness. Results: Patients with more severe BPD symptoms experienced greater strengthening in MS throughout treatment. Less MS strengthening was associated with less session effectiveness. Conclusion: These findings indicate unique therapeutic processes that characterize individuals with more severe BPD symptoms. Shedding light on these unique processes has the potential to contribute to the personalization of MDD treatment for patients with BPD.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"152-165"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257030","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

Associations between interpersonal synchrony and clients' perception of session quality are moderated by depression severity. 人际同步性与客户对疗程质量的感知之间的关联受抑郁严重程度的调节。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2026-01-01 Epub Date: 2025-03-06 DOI: 10.1080/10503307.2025.2462150

Dana Stolowicz-Melman, Dana Atzil-Slonim, Adar Paz, Eran Bar-Kalifa, Eva Gilboa-Schechtman, Ruth Feldman

{"title":"Associations between interpersonal synchrony and clients' perception of session quality are moderated by depression severity.","authors":"Dana Stolowicz-Melman, Dana Atzil-Slonim, Adar Paz, Eran Bar-Kalifa, Eva Gilboa-Schechtman, Ruth Feldman","doi":"10.1080/10503307.2025.2462150","DOIUrl":"10.1080/10503307.2025.2462150","url":null,"abstract":"Objective: Previous research has identified a complex relationship between client-therapist synchrony and therapy outcomes. We investigated the ways in which depression severity influences this relationship.Method: The sample was comprised of 30 clients undergoing a 16-session supportive-expressive dynamic therapy for depression. Client-therapist interpersonal synchrony was assessed using the Client-Therapist interpersonal Synchrony (CIB) coding system during five pre-selected sessions. After each session, the clients evaluated their satisfaction with the session. We employed multi-level modeling (MLM) to analyze the data.Results: Sessions characterized by higher levels of interpersonal synchrony were associated with better session quality, both within and between dyads. Depression severity moderated this association, such that the correlation between interpersonal synchrony and session outcome was weaker in dyads where clients reported greater depression severity.Conclusions: These findings suggest that to facilitate effective synchrony it is important to consider the clients' level of depression.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"166-176"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574366","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 validation of countertransference feeling and behavior awareness measures in an Italian and American clinician sample. 在意大利和美国临床医生样本中反移情感觉和行为意识测量的发展和验证。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2026-01-01 Epub Date: 2025-01-29 DOI: 10.1080/10503307.2025.2455470

Diego Rocco, Francesco De Bei, Attà Negri, Andrea Spoto, Jeffrey A Hayes

{"title":"Development and validation of countertransference feeling and behavior awareness measures in an Italian and American clinician sample.","authors":"Diego Rocco, Francesco De Bei, Attà Negri, Andrea Spoto, Jeffrey A Hayes","doi":"10.1080/10503307.2025.2455470","DOIUrl":"10.1080/10503307.2025.2455470","url":null,"abstract":"Objective: Countertransference (CT) has been shown to interfere with therapy goals, and its management is crucial to desired treatment outcomes. As a first step, a clinician's awareness of their covert and overt CT reactions is critical to successfully managing CT. Research on CT awareness is scarce, however, mainly because of difficulties in empirically investigating and measuring this construct. In this study, we sought to develop and validate two instruments: one to measure CT feelings and one to measure CT behaviors.Method: We developed the Countertransference Feelings Awareness Measure and the Countertransference Behavior Awareness Measure, both composed of 12 items comprising 3 dimensions: dominant, hostile and distant. A sample of 245 Italian and 110 American clinicians participated in the research. Confirmatory factor analysis was conducted to verify the factor structure of the measures. Reliability and invariance analyses were conducted for both measures and both samples.Results: Factorial structure, reliability, and configural invariance across nationalities of both measures were confirmed.Conclusion: These tools should prove useful for future research, supervision, theoretical advances, and clinical application, allowing a deeper understanding of how clinicians' awareness of different elements of their CT experience impacts the outcome of therapy.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"98-111"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068899","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

Mapping the growth of the CORE system tools in psychotherapy research from 1998 to 2021: Learning from historical evidence. 描绘1998年至2021年心理治疗研究中CORE系统工具的增长：从历史证据中学习。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2026-01-01 Epub Date: 2025-02-03 DOI: 10.1080/10503307.2025.2457389

Clara Paz, Alejandro Unda-López, Jorge Valdiviezo-Oña, Juan Fernando Chávez, Jonathan Elias Herrera Criollo, Lizbeth Toscano-Molina, Chris Evans

{"title":"Mapping the growth of the CORE system tools in psychotherapy research from 1998 to 2021: Learning from historical evidence.","authors":"Clara Paz, Alejandro Unda-López, Jorge Valdiviezo-Oña, Juan Fernando Chávez, Jonathan Elias Herrera Criollo, Lizbeth Toscano-Molina, Chris Evans","doi":"10.1080/10503307.2025.2457389","DOIUrl":"10.1080/10503307.2025.2457389","url":null,"abstract":"Background: The Clinical Outcomes in Routine Evaluation (CORE) system was launched in 1998 intended to support the development of practice-based evidence and to reduce the research/practice gap. Since then, CORE instruments have been widely used.Aims: To map the utilization of the CORE system as reflected in peer-reviewed literature.Methods: We followed the guidelines for conducting a scoping review.Results: We identified 721 papers from 1998 to 2021 citing the CORE system, with 636 of them referencing its use in clinical settings. There has been a marked increase in use of the system over that period. All CORE instruments were used at least once, spanning 39 countries and 24 languages. Papers had a broad spectrum of objectives and populations across diagnoses and settings, aligning with the authors' planned versatility for the CORE system.Conclusions: In the light of the findings, we present a guide to enhance the reporting of work utilizing the CORE system. This could be applied to all practice-based evidence data collection, CORE or otherwise.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"112-123"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123815","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

"I know that all this is me" Pathways of change in complex dissociative disorder. “我知道这一切都是我”复杂分离性障碍的变化途径。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2026-01-01 Epub Date: 2025-02-19 DOI: 10.1080/10503307.2025.2457402

Ingunn Holbæk, Karianne Vrabel, Margrethe Seeger Halvorsen

{"title":"\"I know that all this is me\" Pathways of change in complex dissociative disorder.","authors":"Ingunn Holbæk, Karianne Vrabel, Margrethe Seeger Halvorsen","doi":"10.1080/10503307.2025.2457402","DOIUrl":"10.1080/10503307.2025.2457402","url":null,"abstract":"Objectives: This qualitative study explored changes described by individuals with complex dissociative disorders (CDDs) 2 years after participating in a psychoeducative group. Few recent studies have examined the early changes from incomprehensible reactions to the integration of traumatic events.Methods: Interviews were conducted with 25 participants with CDD 2 years after completing a 20-week psychoeducative skills training group. Transcripts were analysed using an interpretive phenomenological framework.Results: Three pathways of change were identified: (1) the ability to be present in life, (2) ways of approaching internal conflicts and (3) the degree of ownership of the self. These pathways illustrate the initial steps towards integration, in which participants start recognizing and confronting previously avoided emotions and experiences. This allows them to better tolerate and accept more of themselves. Processes varied among the participants, with some achieving cohesive integration of challenging memories.Conclusion: Traditionally, there has been little treatment optimism for individuals with CDD. This study highlights the potential for comprehensive change within 2 years. It contributes to the debate on whether focusing on coping strategies delays trauma memory integration, emphasizing the need for a balance between exposure and coping based on the patient's capacity.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"124-138"},"PeriodicalIF":3.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450054","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

Incels and psychotherapy: Experiences, attitudes, and resistance to mental-health interventions. Incels和心理治疗：经验、态度和对心理健康干预的抵制。

IF 3 1区心理学

Psychotherapy Research Pub Date : 2025-12-19 DOI: 10.1080/10503307.2025.2600546

Louis Bachaud, Andrew G Thomas, Macken Murphy

{"title":"Incels and psychotherapy: Experiences, attitudes, and resistance to mental-health interventions.","authors":"Louis Bachaud, Andrew G Thomas, Macken Murphy","doi":"10.1080/10503307.2025.2600546","DOIUrl":"https://doi.org/10.1080/10503307.2025.2600546","url":null,"abstract":"Objective: Men are more reluctant than women to engage with psychotherapy. Incels-an online community of involuntary celibates-have been identified as needing mental health intervention. Despite high rates of depression, suicidality, and social isolation, little is known about their therapy experiences or attitudes.Methods: We collected 100 psychotherapy discussion threads from incels.is, the largest incel forum. Inductive thematic analysis identified community attitudes toward psychotherapy. We also coded the experiences of 89 users who reported attending therapy, quantitatively assessing therapist gender, motivation, and satisfaction.Results: Among incels reporting therapy experiences, 70.8% reported negative outcomes and 7.9% reported satisfaction. None of those forced into therapy (25.8%) reported positive outcomes. Thematic analysis revealed barriers to engagement: (1) \"blackpill\" ideology attributing sexual/romantic deprivation to immutable factors; (2) conspiracy theories framing therapy as designed to sedate and control; (3) view of therapy as female-biased and hostile to men; (4) practical concerns including cost, privacy, and hospitalization.Conclusions: Incels present intervention challenges due to their fatalistic worldview, institutional distrust, and extreme misogyny. Findings suggest potential benefits of male therapists and clear therapeutic goals that acknowledge but do not promise to resolve romantic concerns.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":3.0,"publicationDate":"2025-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783535","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