Psychotherapy Research最新文献_第2页

Assessing therapist skills in teletherapy: the development and validation of the tele-facilitative interpersonal skills task.

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-23 DOI: 10.1080/10503307.2025.2451329

Eva Antebi-Lerman, Tao Lin, Timothy Anderson, Katie Aafjes-van Doorn

{"title":"Assessing therapist skills in teletherapy: the development and validation of the tele-facilitative interpersonal skills task.","authors":"Eva Antebi-Lerman, Tao Lin, Timothy Anderson, Katie Aafjes-van Doorn","doi":"10.1080/10503307.2025.2451329","DOIUrl":"10.1080/10503307.2025.2451329","url":null,"abstract":"Objective: Teletherapy via videoconferencing has become common practice but has unique challenges. We aimed to develop and validate the first performance-based observer-rated measure of teletherapy skills: The Teletherapy Facilitative Interpersonal Skills Performance Task (Tele-FIS). Methods: We developed a set of 12 Tele-FIS video stimulus clips as simulations of four research-informed common therapeutic challenges in teletherapy: technology, distraction, boundaries and privacy, and emotional disconnection. A total of 153 therapists recorded interventions to the clips which were later rated on interpersonal skills. Results: The Tele-FIS performance task demonstrated good interrater reliability, internal consistency, test-retest reliability, and convergent validity. The Tele-FIS was positively associated with self-reported facilitative interpersonal skills, self-efficacy, attitudes towards technology, and observer-rated skills on a version of the FIS task that simulates in-person therapy. Therapists performed similarly on teletherapy clips of emotional disconnection and privacy issues compared to clips of in-person therapy. Therapists performed worse on Tele-FIS clips of technology and distraction challenges than in-person therapy clips. Conclusions: The Tele-FIS has potential as an assessment tool in skills training for trainees and licensed clinicians as well as future research about therapeutic work via teletherapy. Results are discussed to consider therapist skill and the use of practice-relevant materials in training.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030157","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

Correction.

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-23 DOI: 10.1080/10503307.2025.2455207

引用次数: 0

Flexibility between immersion and distancing: Relationship with depressive symptoms and therapeutic alliance.

IF 2.6 1区心理学

Psychotherapy Research Pub 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":"1-13"},"PeriodicalIF":2.6,"publicationDate":"2025-01-23","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

Inter-brain plasticity as a mechanism of change in psychotherapy: A proof of concept focusing on test anxiety. 脑间可塑性作为心理治疗中的一种改变机制：一项关注考试焦虑的概念证明。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-20 DOI: 10.1080/10503307.2025.2451798

Haran Sened, Keren Gorst Kaduri, Hadas Nathan Gamliel, Eshkol Rafaeli, Sigal Zilcha-Mano, Simone Shamay-Tsoory

{"title":"Inter-brain plasticity as a mechanism of change in psychotherapy: A proof of concept focusing on test anxiety.","authors":"Haran Sened, Keren Gorst Kaduri, Hadas Nathan Gamliel, Eshkol Rafaeli, Sigal Zilcha-Mano, Simone Shamay-Tsoory","doi":"10.1080/10503307.2025.2451798","DOIUrl":"https://doi.org/10.1080/10503307.2025.2451798","url":null,"abstract":"Objective.: There is a growing consensus that interpersonal processes are key to understanding psychotherapy. How might that be reflected in the brain? Recent research proposes that inter-brain synchrony is a crucial neural component of interpersonal interaction. The current proof-of-concept study examines, for the first time, therapist-patient inter-brain synchrony measurement during multiple sessions. To guide the design of future studies, we performed a precursory test in a small sample of the association between inter-brain synchrony and therapeutic change, hypothesizing that it would gradually increase over therapy, reflecting inter-brain plasticity.Method.: We scanned 18 therapy sessions of participants (N = 8) who underwent a 6-session test anxiety treatment. We measured therapist and patient brain activity using functional near-infrared spectroscopy (fNIRS) and assessed perceived session quality, wellbeing, symptoms, and therapeutic alliance every session.Results.: In this proof-of-concept sample inter-brain synchrony gradually increased over treatment, and was associated with reduced symptoms, improved wellbeing and perceived session quality, but not with a stronger therapeutic alliance. fNIRS imaging had no discernable adverse effects.Conclusion.: Our findings demonstrate that fNIRS imaging during psychotherapy is a feasible and viable research method and that inter-brain plasticity should be a candidate for future research on biological mechanisms underlying therapeutic change.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":2.6,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014033","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

Rater effects in evaluating therapist competencies using structured case reports: A mixed-methods study. 使用结构化病例报告评估治疗师能力的比较效应：一项混合方法研究。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-07 DOI: 10.1080/10503307.2024.2447781

Yue Chen, Yun Shi, Yun Lu

{"title":"Rater effects in evaluating therapist competencies using structured case reports: A mixed-methods study.","authors":"Yue Chen, Yun Shi, Yun Lu","doi":"10.1080/10503307.2024.2447781","DOIUrl":"https://doi.org/10.1080/10503307.2024.2447781","url":null,"abstract":"Objective: This study applied a mixed-methods approach to investigate rater effects that might affect case report evaluation in China. Method: In the quantitative phase, we randomly assigned 210 mental health professionals to the experienced or novice ratee condition to rate the same structured case report on assessment and formulation, intervention strategy, relationship, and self-reflection. The qualitative phase was subsequently conducted to help make sense of the results. We interviewed twelve supervisors about how they would rate a case report and factors they thought would influence their evaluation. Results: Linear model with non-constant variances revealed that the manipulation of ratee experience did not significantly bias ratings. Raters whose self-identified theoretical orientation aligned with that of the report provided higher and less dispersed ratings for intervention strategy and therapeutic relationship competencies. As their years of experience increased, theoretically congruent raters tended to give lower and more dispersed ratings. Thematic analysis revealed highly variable cognitive processes, and identified rater theoretical expertise, evaluation context, rater subjectivity and dual relationships as important factors to consider. Conclusion: This study indicate that theoretically congruent raters would be desirable, but raters with more years of experience should be cautioned against giving stringent ratings for theoretically familiar cases.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956727","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

Effects and experiences of idiographic patient-reported outcome measures for feedback in psychotherapy: A systematic review and secondary analysis of the empirical literature. 心理治疗中反馈的具体患者报告结果测量的效果和经验:对经验文献的系统回顾和二次分析。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-01 Epub Date: 2023-11-22 DOI: 10.1080/10503307.2023.2283528

Stig Magne Solstad, Mick Cooper, Rolf Sundet, Christian Moltu

{"title":"Effects and experiences of idiographic patient-reported outcome measures for feedback in psychotherapy: A systematic review and secondary analysis of the empirical literature.","authors":"Stig Magne Solstad, Mick Cooper, Rolf Sundet, Christian Moltu","doi":"10.1080/10503307.2023.2283528","DOIUrl":"10.1080/10503307.2023.2283528","url":null,"abstract":"Objective: There is a growing interest in idiographic patient-reported outcome measures (I-PROMs) for routine outcome monitoring (ROM) and clinical feedback (CF) in psychotherapy, but to our knowledge, no systematic reviews of the empirical literature. Method: We conducted a systematic literature search for empirical papers investigating effects and experiences of I-PROMs for ROM/CF and found a total of 13 papers. There was only one experimental controlled effectiveness study. Results: We formulated a narrative summary of the data set as a whole. We conducted a secondary analysis of nine papers containing qualitative data on stakeholder experiences with I-PROMs and found three superordinate themes and eight subthemes, summarized as \"I-PROMs can facilitate self-reflection for patients, assist in identifying and tracking therapeutic topics, and make patients more committed to therapy by giving them a greater sense of responsibility and empowerment. Formulating goals and problems can be difficult, and lack of progress can be demotivating. Time in therapy is precious and must be spent wisely. Effective use of I-PROMs is facilitated by flexibility and therapists' use of clinical skills.\" Conclusion: We discuss the limitations of the study and provide recommendations for future research and clinical practice.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"125-138"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138292081","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

Psychotherapy process research: Identifying productive in-session processes to enhance treatment outcomes and therapist responsiveness. 心理治疗过程研究：确定有效的会话过程，以提高治疗结果和治疗师的反应能力。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-01 Epub Date: 2023-10-05 DOI: 10.1080/10503307.2023.2252160

Jeanne C Watson

引用次数: 0

Negative effects in randomized controlled trials of psychotherapies and psychological interventions: A systematic review. 心理疗法和心理干预随机对照试验中的负面效应：系统回顾。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-01 Epub Date: 2024-01-24 DOI: 10.1080/10503307.2024.2301972

Kirsi Honkalampi, Henna-Riikka Urhonen, Marianna Virtanen

{"title":"Negative effects in randomized controlled trials of psychotherapies and psychological interventions: A systematic review.","authors":"Kirsi Honkalampi, Henna-Riikka Urhonen, Marianna Virtanen","doi":"10.1080/10503307.2024.2301972","DOIUrl":"10.1080/10503307.2024.2301972","url":null,"abstract":"Background: Psychotherapy is a key evidence-based method for the treatment of mental disorders. However, little research has been published on the negative effects of psychotherapies. Aims: We examined this issue through a systematic literature review of previous systematic reviews on randomized controlled trials (RCTs). Methods: We focused on previous reviews and meta-analyses on 1) RCTs examining the effectiveness of psychotherapies and 2) previous reviews and meta-analyses specifically focusing on the negative effects of psychotherapy. We included publications published in PubMed and the Cochrane Databases from the year 2000 or later. Results: Of the 1,430 relevant publications, only a small proportion (30%) mentioned negative outcomes, mostly withdrawal. Only 57 of the extracted original studies monitored potential negative effects, and only three small-scale studies indicated negative effects. Conclusions: The systematic monitoring of negative effects in psychotherapy has not been given the same attention as has been given to the benefits of therapy.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"100-111"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139547468","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

Therapists' responsiveness in the process of ruptures and resolution: Are patients and therapists on the same page? 治疗师在破裂和解决过程中的反应能力：患者和治疗师的观点一致吗？

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-01 Epub Date: 2024-01-22 DOI: 10.1080/10503307.2024.2303318

Maayan Levy Chajmovic, Orya Tishby

{"title":"Therapists' responsiveness in the process of ruptures and resolution: Are patients and therapists on the same page?","authors":"Maayan Levy Chajmovic, Orya Tishby","doi":"10.1080/10503307.2024.2303318","DOIUrl":"10.1080/10503307.2024.2303318","url":null,"abstract":"Objective: This study examined the association between the rupture-repair process and patients' and therapists' perceptions of the therapist's responsiveness.Method: We used the Rupture Resolution Rating System to rate early sessions (3-5) in 35 short-term psychodynamic psychotherapy cases. The patients and therapists rated their perceptions of the therapist's responsiveness after each session using the Patient's Experience of Attunement and Responsiveness (PEAR) Scale.Results: Therapists' contribution to ruptures was negatively associated with both patients' and therapists' PEAR ratings. Confrontation ruptures were negatively associated with patients' PEAR ratings, whereas there was no significant association with withdrawal ruptures. Resolution was positively associated with both patients' and therapists' PEAR ratings. In addition, resolution moderated the negative association between ruptures and patients' PEAR ratings.Conclusion: The findings emphasize the link between therapists' responsiveness and the rupture-repair process. They also highlight the significance of providing therapists with the necessary training to recognize these dynamics and engage in discussions about them with their patients when appropriate.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"42-53"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139521778","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

Therapist responsiveness in the blank landscape of depression: A qualitative study among psychotherapists. 抑郁症空白图景中的治疗师反应:一项心理治疗师的定性研究。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-01 Epub Date: 2023-07-31 DOI: 10.1080/10503307.2023.2239457

Heidi Pellens, Valerie Vanhees, Jessie Dezutter, Patrick Luyten, Siebrecht Vanhooren

{"title":"Therapist responsiveness in the blank landscape of depression: A qualitative study among psychotherapists.","authors":"Heidi Pellens, Valerie Vanhees, Jessie Dezutter, Patrick Luyten, Siebrecht Vanhooren","doi":"10.1080/10503307.2023.2239457","DOIUrl":"10.1080/10503307.2023.2239457","url":null,"abstract":"Objective: Evidence about the high burden of depression on society and the immediate environment of patients has accumulated over the past decades. Yet, empirical data about the impact of depression on the environment of psychotherapy are limited. The present study investigates the phenomenon of therapist responsiveness in the treatment of depression. Specifically, this qualitative study examines the influence of a client's severe depressive symptomatology on psychotherapists' immediate experience and reflections about interventions.Method: The responses of 26 Flemish psychotherapists and counselors to a questionnaire with open questions and as part of a focus group were investigated by using Consensual Qualitative Research methodology.Results: First, experiences with a negative valence were most common in the responses of the psychotherapists and counselors. A particular negative experience, a sense of \"constriction\", affecting the therapist's relational, cognitive, emotional, and bodily level of experiencing, was a predominant response. Second, most psychotherapists and counselors considered a therapeutic attitude of being present for the client and the different aspects in the client's experience to be crucial, although most of them experienced difficulty in maintaining an attitude of presence.Conclusions: The results of this study suggest that exploration of the different aspects of the clients' experience and working with the self-split of the client might be essential in the psychotherapeutic treatment of depressive disorder.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"67-83"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9902012","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