Psychotherapy Research最新文献_第10页

Direct retrospective measurement of therapeutic changes: An example using the Czech version of the Questionnaire of Personal Changes (Q-PC). 直接回顾性测量治疗变化：以捷克版个人变化问卷（Q-PC）为例。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-06-01 Epub Date: 2024-07-08 DOI: 10.1080/10503307.2024.2370357

Tomáš Řiháček, Kateřina Macková, Hynek Cígler

{"title":"Direct retrospective measurement of therapeutic changes: An example using the Czech version of the Questionnaire of Personal Changes (Q-PC).","authors":"Tomáš Řiháček, Kateřina Macková, Hynek Cígler","doi":"10.1080/10503307.2024.2370357","DOIUrl":"10.1080/10503307.2024.2370357","url":null,"abstract":"Objective: The study aimed to test the psychometric properties of the Czech translation of the Questionnaire of Personal Changes (Q-PC), a measure designed for retrospective (direct) measurement of change in psychotherapy.Methods: A sample of group psychotherapy clients (N = 222) and a nonclinical sample (N = 167) sample were used. Clients in the clinical sample were administered the Q-PC in addition to several pre-post outcome measures. Confirmatory factor analysis, correlational analysis, and structural equation modeling were used to test the Q-PC's factor structure, longitudinal measurement invariance, reliability, convergent validity, sensitivity to change, and other psychometric properties.Results: The Q-PC demonstrated a unidimensional structure that was strictly invariant between two follow-up measurement waves. The measure also demonstrated excellent reliability and sensitivity to change and good convergent validity. Furthermore, it demonstrated a similar relationship to baseline severity as the pre-post outcome measures.Conclusions: The retrospective measurement of change is a promising approach that has the potential to complement the traditional pre-post measurement of change.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"852-865"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560064","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

An updated meta-analysis of the relation between adult attachment style and working alliance. 成人依恋风格与工作联盟关系的最新荟萃分析。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-06-01 Epub Date: 2024-07-31 DOI: 10.1080/10503307.2024.2370344

Haruka Notsu, Rachel E Blansfield, Daniel S Spina, Kenneth N Levy

{"title":"An updated meta-analysis of the relation between adult attachment style and working alliance.","authors":"Haruka Notsu, Rachel E Blansfield, Daniel S Spina, Kenneth N Levy","doi":"10.1080/10503307.2024.2370344","DOIUrl":"10.1080/10503307.2024.2370344","url":null,"abstract":"Objective: Previous meta-analyses have shown that client-rated working alliance is negatively correlated with attachment anxiety and attachment avoidance. The purpose of this study is to provide an updated meta-analysis of the relation between alliance and the two dimensions of attachment insecurity. Method: Random effects models were used to examine the relation between the working alliance and attachment anxiety and the relation between the working alliance and attachment avoidance. Results: The overall relation between alliance and attachment anxiety was r = -.09 (p = .01, k = 33, I2 = 43.7%). The overall relation between alliance and attachment avoidance was r = -.13 (p < .001, k = 33, I2 = 44.7%). There was no evidence that these relations varied across study characteristics such as client race or the number of therapists in the study. Conclusion: The results support the negative relations between client-rated alliance and both dimensions of client-rated attachment insecurity. Further research is needed to identify the factors that moderate this relationship, using a more diverse sample of study characteristics and a wider range of measures.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"721-734"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861316","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

Client preferences, therapy activities and preference-activity match as predictors of therapy outcome. 预测治疗结果的客户偏好、治疗活动和偏好-活动匹配。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-06-01 Epub Date: 2024-05-21 DOI: 10.1080/10503307.2024.2353358

Celia Faye Jacobsen, Karen-Inge Karstoft, Fredrik Falkenström, Jan Nielsen, Susanne Lunn, Stig Poulsen

{"title":"Client preferences, therapy activities and preference-activity match as predictors of therapy outcome.","authors":"Celia Faye Jacobsen, Karen-Inge Karstoft, Fredrik Falkenström, Jan Nielsen, Susanne Lunn, Stig Poulsen","doi":"10.1080/10503307.2024.2353358","DOIUrl":"10.1080/10503307.2024.2353358","url":null,"abstract":"Objective: This study investigated whether distinct types of psychotherapy activities, the client's preference towards these activities prior to therapy, and the degree of match between client preferences and therapy activities, served as predictors of treatment outcomes.Methods: A total of 621 clients (Mage = 42 years, 71.7% female) received individual psychotherapy by 54 psychologists. Associations between activity preferences, therapy activities, and preference-activity match as predictors, and symptom change and treatment dropout as outcomes were analyzed using multilevel longitudinal and logistic modelling and polynomial regression models with response surface analysis.Results: No type of therapy activity or activity preference significantly predicted symptom change in therapy, while higher levels of inward orientation therapy activities predicted an increased risk of dropout. Moreover, matching and higher levels of inward orientation and affect expression activities predicted an increased risk of dropout, and matching and higher levels of outward orientation activities predicted a decreased risk of dropout. Finally, a preference-activity mismatch in affect suppression predicted an increased risk of dropout from therapy, both at higher and lower levels of affect suppression.Conclusion: Distinct types of therapy activity preferences may, especially when (mis)matched with similar levels of the same therapy activities, differentially predict particular dropout from therapy.Trial registration: ClinicalTrials.gov identifier: NCT05630560.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"777-792"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141077173","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 of the Psychotherapist Character Virtues (PCV) interview. 开发心理治疗师品德（PCV）访谈。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-06-01 Epub Date: 2024-05-22 DOI: 10.1080/10503307.2024.2352735

Pirjo Lehtovuori, Olavi Lindfors, Asko Tolvanen, Erkki Heinonen

{"title":"Development of the Psychotherapist Character Virtues (PCV) interview.","authors":"Pirjo Lehtovuori, Olavi Lindfors, Asko Tolvanen, Erkki Heinonen","doi":"10.1080/10503307.2024.2352735","DOIUrl":"10.1080/10503307.2024.2352735","url":null,"abstract":"Objective: To develop an interview-based rating method for assessing therapists' beneficial character traits and evaluate its reliability and validity.Method: The semi-structured Psychotherapist Character Virtues (PCV) interview and evaluation method, based on Erik Erikson's and Heinz Kohut's writings on 16 virtues or abilities and achievements of an adult self, was administered to 68 psychodynamic and solution-focused therapists. Inter-rater reliability was assessed based on 20 videorecorded interviews, rated by two evaluators. In a mixed-methods design, validity was investigated against (i) therapist's questionnaire-based self-reported professional and personal background characteristics and (ii) a qualitative content analysis of emotional atmosphere in the interview.Results: Interrater reliability for individual 16 virtues was acceptable (median correlation .72). From individual virtues, three principal components (Creative Will, Empathy, and Love/Care) emerged with good/excellent internal consistency (component determinacies .95, .85, and .90, respectively) and criterion validity with self-reported professional and personal characteristics. Cluster analysis of therapists' component scores yielded six different therapist character profiles. In qualitative analysis, character profiles meaningfully differed in their impact on the interview's emotional atmosphere.Conclusion: PCV appears promising for evaluating therapists' character virtues, posited to undergird therapists' sensitive attunement and responsiveness. Further research is needed on PCV's predictive validity for therapeutic relationships and outcomes.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"818-837"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082729","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

"It felt like I was being tailored to the treatment rather than the treatment being tailored to me": Patient experiences of helpful and unhelpful psychotherapy. "感觉是治疗为我量身定做，而不是治疗为我量身定做"：病人对有益和无益心理治疗的体验。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-06-01 Epub Date: 2024-06-04 DOI: 10.1080/10503307.2024.2360448

Elizabeth Li, David Kealy, Katie Aafjes-van Doorn, James McCollum, John T Curtis, Xiaochen Luo, George Silberschatz

{"title":"\"It felt like I was being tailored to the treatment rather than the treatment being tailored to me\": Patient experiences of helpful and unhelpful psychotherapy.","authors":"Elizabeth Li, David Kealy, Katie Aafjes-van Doorn, James McCollum, John T Curtis, Xiaochen Luo, George Silberschatz","doi":"10.1080/10503307.2024.2360448","DOIUrl":"10.1080/10503307.2024.2360448","url":null,"abstract":"Objective: This qualitative study explores patients' experiences of psychotherapy, focusing on elements perceived as helpful or unhelpful and suggestions for improvement in the context of public mental health care.Methods: A total of 148 adults (Mean age = 32.24, SD = 9.92) who had been or are currently receiving psychological treatment from the National Health Service (NHS) responded to an online survey. The survey included open-ended questions regarding their experiences of psychotherapy, asking them to identify helpful or unhelpful aspects, and suggestions for improvement. Using thematic analysis, key themes were identified.Results: The analysis highlighted the patient's preference for personalized treatment, the importance of therapeutic alliance, the demand for depth in therapy, and life skills and agency as therapeutic outcomes. Participants suggested improvements such as more tailored approaches and stronger therapist-patient relationships, supporting an adaptable, patient-centered model.Conclusion: The study highlights challenges in public mental health services where patients might feel their specific needs are not being recognized and met and underscores the importance of personalized treatment plans that satisfy and evolve with patient needs, suggesting that therapists must be attentive and responsive to individual desires to enhance the patient experience.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"695-709"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248630","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 association between therapist internal relational models, professional self-doubt, and coping strategies and the process and outcome of psychotherapy. 治疗师内部关系模型、专业自我怀疑、应对策略与心理治疗过程和结果的关系。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-05-27 DOI: 10.1080/10503307.2025.2506650

C F Jacobsen, L Igra, S Lunn, K-I Karstoft, J Nielsen, L Lauritzen, F Falkenström, S Poulsen

{"title":"The association between therapist internal relational models, professional self-doubt, and coping strategies and the process and outcome of psychotherapy.","authors":"C F Jacobsen, L Igra, S Lunn, K-I Karstoft, J Nielsen, L Lauritzen, F Falkenström, S Poulsen","doi":"10.1080/10503307.2025.2506650","DOIUrl":"https://doi.org/10.1080/10503307.2025.2506650","url":null,"abstract":"Objective: This study investigated whether therapists' level of professional self-doubt (PSD), in interaction with their internal relational models (i.e., their self-affiliation or attachment style), their experience level, and their professional coping strategies, impacted the alliance and symptom change in therapy.Methods: 555 clients (Mage = 42.8 years, 72.4% female) received individual psychotherapy from 54 psychologists. Associations between PSD, self-affiliation (in general and at its worst), avoidant and anxious attachment, years of experience, and constructive and avoidant-rejecting coping as predictors and moderators, and alliance or symptom change as outcomes, were analyzed using multilevel growth modeling.Results: No direct effects of PSD, and no moderated effects between PSD and the therapist's internal relational models were found. However, higher PSD and more practice experience predicted steeper alliance growth in therapy, and higher PSD and more avoidant-rejecting coping predicted lower mid-therapy symptom levels.Conclusion: PSD generally did not exert a strong influence on the psychotherapy process and outcome. However, the significant interactions between PSD and experience level and avoidant-rejecting coping suggest that PSD may relate to alliance change amongst the most seasoned practitioners or could buffer against the negative effects of more avoidant therapist behaviors. These preliminary findings may inform future research on PSD.Trial registration: ClinicalTrials.gov identifier: NCT05630560..","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-16"},"PeriodicalIF":2.6,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162864","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

How to interpret correlational process-outcome effect sizes in psychotherapy: a meta-analytic benchmark study. 如何解释心理治疗中相关过程-结果效应量：一项荟萃分析基准研究。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-05-20 DOI: 10.1080/10503307.2025.2494270

Juan Martín Gómez Penedo, Christoph Flückiger

{"title":"How to interpret correlational process-outcome effect sizes in psychotherapy: a meta-analytic benchmark study.","authors":"Juan Martín Gómez Penedo, Christoph Flückiger","doi":"10.1080/10503307.2025.2494270","DOIUrl":"https://doi.org/10.1080/10503307.2025.2494270","url":null,"abstract":"Objective: This study aims at developing empirically driven criteria for correlational effect size interpretations grounded on the actual psychotherapy process-outcome effect size distributions.Method: We performed a meta-analysis on PubMed and PsycINFO databases searching for meta-analyses reporting correlational process-outcome associations.Results: Forty-three meta-analyses met inclusion criteria, reporting 1,637 effect sizes from 859 unique studies. A four-level meta-analytic model resulted in an estimated mean effect size of r = .24 (z = .24, 95% CI[.22,.27]), significantly different from Cohen's proposed value for moderate effects (i.e.,.30), z = -.04, SE = 0.01, t(1628) = -4.17, p < .001). Percentiles derived from the models showed that Cohen's criteria were too conservative, with the 25th percentile = .12, 50th percentile = .26, and 75th percentile = .39. Based on these findings, we suggest the benchmarks .10, .25, and .40, for small, moderate, and large effect sizes. Even when using these less restrictive criteria, the majority of the correlation analyses from primary studies (81.8%) were underpowered to identify at least a moderate effect size.Conclusion: The current findings might help to enhance effect size interpretations and power calculations in psychotherapy process-outcome research. Further replications are necessary to extend these benchmarks to other areas of clinical psychology.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-11"},"PeriodicalIF":2.6,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112472","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

Mastery and motivational clarification as mediators of cognitive behavioral therapy versus exposure-based cognitive behavioral therapy for depression. 掌握和动机澄清作为认知行为治疗与暴露为基础的抑郁症认知行为治疗的中介。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-05-14 DOI: 10.1080/10503307.2025.2504465

Agnete Dyresen, Juan Martín Gómez-Penedo, Anna Babl, Martin Grosse Holtforth

{"title":"Mastery and motivational clarification as mediators of cognitive behavioral therapy versus exposure-based cognitive behavioral therapy for depression.","authors":"Agnete Dyresen, Juan Martín Gómez-Penedo, Anna Babl, Martin Grosse Holtforth","doi":"10.1080/10503307.2025.2504465","DOIUrl":"https://doi.org/10.1080/10503307.2025.2504465","url":null,"abstract":"Background: With the rising prevalence of major depressive disorder in the general population, understanding the mechanisms through which therapeutic interventions affect treatment outcomes is crucial. This study investigates the roles of mastery and motivational clarification as mediators of the treatment effectiveness of cognitive therapy for depression. Methods: This secondary analysis used data from a randomized controlled effectiveness trial involving 149 participants (M age = 40.7 years, SD = 11.6; 59.6% females, 40.4% males), who received a maximum of 22 sessions of either cognitive behavioral therapy (CBT) or exposure-based cognitive behavioral therapy (EBCT-R). Cross-lagged panel models were used to examine how mastery and motivational clarification mediated changes in depression severity over time. Results: The mediation paths showed a significant positive effect of therapy condition on mastery, with a larger increase for participants in the CBT condition. Mastery had a positive effect on WHO-5 well-being ratings and significantly mediated the treatment effect on well-being. Motivational clarification also had a significant positive effect on WHO-5 ratings, but did not mediate the overall treatment effect. Conclusion: Results suggest that fostering both mastery and motivational clarification within therapeutic interventions can enhance patients' well-being, with mastery specifically mediating the effects of CBT on treatment outcomes.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081270","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

Young adult vulnerability and parental responsiveness in attachment-based family therapy for LGBTQ+ young adults and their nonaccepting parents. LGBTQ+年轻人及其不接受父母的依恋家庭治疗中的年轻人脆弱性和父母反应。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-05-14 DOI: 10.1080/10503307.2025.2501239

Shira Katz, Rotem Boruchovitz-Zamir, Eran Bar-Kalifa, Gary M Diamond

{"title":"Young adult vulnerability and parental responsiveness in attachment-based family therapy for LGBTQ+ young adults and their nonaccepting parents.","authors":"Shira Katz, Rotem Boruchovitz-Zamir, Eran Bar-Kalifa, Gary M Diamond","doi":"10.1080/10503307.2025.2501239","DOIUrl":"https://doi.org/10.1080/10503307.2025.2501239","url":null,"abstract":"Objective: Young adult vulnerability is thought to elicit parental responsiveness, and parental responsiveness is thought to facilitate young adult vulnerability. These moment-by-moment in-session processes are purported core change mechanisms in attachment-based family therapy for sexual and gender minority young adults and their nonaccepting parents (ABFT-SGM). This study examined whether young adult vulnerability predicted immediately subsequent parental responsiveness, and parental responsiveness predicted immediately subsequent young adult vulnerability, and whether the frequency of such sequences predicted treatment outcome.Method: Analyses were conducted on all conjoint attachment sessions (N = 146) from 26 cases treated in an open trial of ABFT-SGM. Over 16,000 young adult speech-turns were coded for vulnerability and over 27,000 parental speech-turns were coded for responsiveness.Results: Hierarchical linear modeling revealed that young adult vulnerability predicted immediately subsequent parental responsiveness, and that parental responsiveness predicted immediately subsequent young adult vulnerability. Frequency of vulnerability-responsiveness sequences, for the most part, did not predict changes in young adults' perceived parental acceptance or rejection.Conclusions: Results support the bidirectional moment-by-moment effects of young adult vulnerability and parental responsiveness during conjoint ABFT-SGM sessions. The link between the simple frequency of vulnerability-responsiveness sequences and treatment outcome is tenuous.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-14"},"PeriodicalIF":2.6,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081274","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

Facial attractiveness increases the likelihood of choosing a psychotherapist, irrespective of sexual preferences and perceived trustworthiness. 外表的吸引力增加了选择心理治疗师的可能性，而不考虑性取向和可信赖性。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-05-12 DOI: 10.1080/10503307.2025.2494272

Antonio Olivera-La Rosa, Alessandro Ansani, Marco Viola, Marco Marini

{"title":"Facial attractiveness increases the likelihood of choosing a psychotherapist, irrespective of sexual preferences and perceived trustworthiness.","authors":"Antonio Olivera-La Rosa, Alessandro Ansani, Marco Viola, Marco Marini","doi":"10.1080/10503307.2025.2494272","DOIUrl":"https://doi.org/10.1080/10503307.2025.2494272","url":null,"abstract":"Objectives: Existing research suggests that a psychotherapist's physical attractiveness can shape patients' initial evaluation. However, less is known about how facial attractiveness affects the decision to select one psychotherapist over another prior to therapy. In this study, conducted with a Spanish-speaking sample (N = 108, 63 females, Mage = 32.08 years, SD = 17.50), we examined whether facial attractiveness influenced the likelihood of choosing a psychotherapist and whether this effect was moderated by sexual differences.Methods: The experimental design closely replicated an online professional therapist directory to enhance ecological validity. Participants were instructed to rate the likelihood of selecting each individual as their therapist.Results: Results demonstrated that psychotherapists with attractive facial features were chosen more frequently, even when perceived trustworthiness and competence were controlled for. No significant differences were observed between profiles featuring unattractive faces and those with no profile picture. Crucially, neither the therapist's nor the patient's gender and sexual preferences (i.e., sexual attraction) moderated the observed effect.Conclusion: The findings suggest that the preference for attractiveness in therapist selection is not driven by mating intentions nor by a \"halo effect\" related to trustworthiness or competence. Practical implications for therapist selection and patient decision-making are discussed.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-13"},"PeriodicalIF":2.6,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025408","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