Psychotherapy Research最新文献_第4页

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

Therapist responsiveness in psychotherapy: Introduction to the special section. 心理治疗中治疗师的反应能力：特刊简介。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-01 Epub Date: 2024-11-04 DOI: 10.1080/10503307.2024.2417401

Ueli Kramer, Jan R Boehnke, Giovanna Esposito

引用次数: 0

Patients' perception of side effects in cognitive-behavior, psychodynamic, and psychoanalytic outpatient psychotherapy. 患者对认知行为疗法、心理动力学疗法和精神分析门诊心理疗法副作用的看法。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-01 Epub Date: 2023-12-30 DOI: 10.1080/10503307.2023.2290029

Lutz Wittmann, Eva Blomert, Michael Linden

{"title":"Patients' perception of side effects in cognitive-behavior, psychodynamic, and psychoanalytic outpatient psychotherapy.","authors":"Lutz Wittmann, Eva Blomert, Michael Linden","doi":"10.1080/10503307.2023.2290029","DOIUrl":"10.1080/10503307.2023.2290029","url":null,"abstract":"Objective: To assess and compare the frequency of psychotherapeutic side effects in different psychotherapeutic approaches.Method: Side effects were assessed across 17 domains through structured interviews with 45 outpatients in cognitive-behavior, psychodynamic, and psychoanalytic psychotherapy.Results: Almost every patient (95.6%) reported at least one side effect, with a mean of 4.7 affected domains. Most frequent complaints were that problems were seen as more complex (60.0-80.0%), worsening of pre-existing symptoms (46.7-60%), occurrence of new symptoms (20.0-53.3%), feeling uncomfortable in treatment (33.3-40.0%), tensions with therapist (26.7-46.7%), as well as conflicts with current family and with family of origin (both 13.3-46.7%). Differences between therapeutic orientations were mostly non-significant.Conclusion: Psychotherapy is regularly accompanied by side effects, independent of different theoretical orientations. Psychotherapists need to be familiar with side effects in order to inform patients about treatment-associated risks and to recognize and manage side effects.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"112-124"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075552","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

Fluctuations in therapist responsiveness facing clients with borderline personality disorder: Starting therapy on the right foot. 治疗师面对边缘型人格障碍患者时的反应波动：正确开始治疗。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-01 Epub Date: 2024-06-29 DOI: 10.1080/10503307.2024.2368784

Ines Culina, Setareh Ranjbar, Isabella Nadel, Ueli Kramer

{"title":"Fluctuations in therapist responsiveness facing clients with borderline personality disorder: Starting therapy on the right foot.","authors":"Ines Culina, Setareh Ranjbar, Isabella Nadel, Ueli Kramer","doi":"10.1080/10503307.2024.2368784","DOIUrl":"10.1080/10503307.2024.2368784","url":null,"abstract":"Objective: The present paper focuses on therapist responsiveness during the initial therapy session with clients with borderline personality disorder (BPD), aiming to analyze therapist responsiveness at short intervals during the initial session and determine if it can predict therapeutic alliance from both therapist and client viewpoints.Method: A sample of 47 clients participated in the study for 10 sessions of therapy. Therapeutic alliance from therapists' and clients' perspectives was rated after each session; external raters assessed therapist responsiveness during the initial session. Multiple linear regression models and linear mixed models with backward variable selection based on AIC were run to analyze whether specific therapist behaviors during session one predicted therapeutic alliance rated from therapists' and clients' perspectives.Results: The results indicate that therapists normalizing and validating clients' experiences during the first session are crucial for establishing therapeutic alliance for BPD clients; however, for therapists, the increase in variability of emotions verbalized by clients during the initial session negatively impacts therapeutic alliance.Conclusion: The study contributes to further understand the impact of therapists' behavior at the beginning of therapy with BPD clients. Therapist responsiveness is crucial for therapy outcome but is methodologically challenging; therefore, efforts in this direction should be pursued.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"32-41"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471628","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 and treatment credibility in treatment outcomes: A systematic review and meta-analysis of clients' perceptions in individual and face-to-face psychotherapies. 治疗结果中治疗师和治疗方法的可信度：对个体和面对面心理治疗中客户看法的系统回顾和荟萃分析。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-01 Epub Date: 2024-01-04 DOI: 10.1080/10503307.2023.2298000

Güler Beril Kumpasoğlu, Chloe Campbell, Rob Saunders, Peter Fonagy

{"title":"Therapist and treatment credibility in treatment outcomes: A systematic review and meta-analysis of clients' perceptions in individual and face-to-face psychotherapies.","authors":"Güler Beril Kumpasoğlu, Chloe Campbell, Rob Saunders, Peter Fonagy","doi":"10.1080/10503307.2023.2298000","DOIUrl":"10.1080/10503307.2023.2298000","url":null,"abstract":"Objective: No systematic review was identified investigating the influence of perceived therapist credibility on treatment outcomes. Extant treatment credibility reviews have focused on early perceptions without considering influence of various therapy phases. This study aimed to examine the relationship between perceived treatment and therapist credibility and treatment outcomes, while considering the timing of the credibility assessment as a potential moderator.Method: Articles published in English peer-reviewed journals containing at least one quantitative measure of credibility and treatment outcome regarding face-to-face therapist-delivered interventions were eligible. PsycINFO, MEDLINE and Embase online databases were last searched on April 5th, 2023, and the Effective Public Health Practice Project tool was used to assess the study quality. Correlations between treatment credibility and outcomes, and therapist credibility were calculated separately.Results: Analysis of 27 studies revealed a positive association between perceived treatment credibility and treatment outcome (r = 0.15,95%CI = 0.09,0.21,p < 0.001,n = 2061). Nine studies showed a strong association between perceived therapist credibility and outcome (r = 0.35,95%CI = 0.18,0.51;p < .001,n = 1161). No significant moderator found in both meta-analyses.Conclusion: Findings suggest that clients' perceptions of higher credibility - whether concerning the treatment or the therapist - are associated with better therapeutic outcomes. Constraints in inclusion criteria and the small sample size in eligible studies were notable limitations.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"139-154"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11771474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139099009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correction. 更正。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-01 Epub Date: 2025-01-25 DOI: 10.1080/10503307.2025.2457278

引用次数: 0

Therapists' emotional responses and their relation to patients' experience of attunement and responsiveness. 治疗师的情绪反应及其与患者的调适和响应体验之间的关系。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-01 Epub Date: 2024-11-07 DOI: 10.1080/10503307.2024.2403422

Maayan Abargil, Avital Schenkolewski, Orya Tishby

{"title":"Therapists' emotional responses and their relation to patients' experience of attunement and responsiveness.","authors":"Maayan Abargil, Avital Schenkolewski, Orya Tishby","doi":"10.1080/10503307.2024.2403422","DOIUrl":"10.1080/10503307.2024.2403422","url":null,"abstract":"Objective: Therapists' emotional responses play a significant role in the therapeutic relationship and in the therapy process. The current study examined the associations between therapists' emotional responses before and after therapy sessions, and patients' experience of them as attuned and responsive.Method: Forty patient-therapist dyads participated in 16 weekly sessions of Supportive Expressive Psychotherapy. Therapists' emotions were assessed on the Feeling Word Checklist-58. We examined one positive feeling (Parental) and one negative feeling (Inadequate) Following each session, patients and therapists rated responsiveness on the Patient's Experience of Attunement and Responsiveness.Results: Feeling Parental before sessions was associated with patients' post-session ratings of therapist empathy, but not with session helpfulness or sensed achievement. Therapists' feelings of inadequacy before sessions were negatively associated with patients' ratings of helpfulness and achievement, but not with empathy. Therapists' Parental feelings after the session were positively associated with patients' ratings and their own ratings on all 3 PEAR subscales. Feeling Inadequate after the session was negatively associated with patients' ratings of helpfulness, achievement and empathy. Therapists' ratings were only negatively associated only with helpfulness.Conclusion: The study demonstrates that therapists' emotional reactions play a role in their patients' experience of their responsiveness.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"54-66"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607009","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

Points of departure: A qualitative study exploring relational facilitators and barriers in the first treatment session. 出发点：一项定性研究，探索第一次治疗过程中的关系促进因素和障碍。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-01 Epub Date: 2024-01-07 DOI: 10.1080/10503307.2023.2297996

Øyvind Grindheim, Christian Moltu, Valentina Iversen, Andrew McAleavey, Kristin Tømmervik, Hege Govasmark, Heidi Brattland

{"title":"Points of departure: A qualitative study exploring relational facilitators and barriers in the first treatment session.","authors":"Øyvind Grindheim, Christian Moltu, Valentina Iversen, Andrew McAleavey, Kristin Tømmervik, Hege Govasmark, Heidi Brattland","doi":"10.1080/10503307.2023.2297996","DOIUrl":"10.1080/10503307.2023.2297996","url":null,"abstract":"Objective: To explore how patients and therapists in an outpatient specialized substance use disorder treatment setting experienced the first treatment session, and to identify relational facilitators and barriers seen from both patient and therapist perspectives. Method: The study is based on a qualitative approach and semi-structured interviews of patients (n = 12) and therapists (n = 12). Interviews were conducted soon after the first treatment session and analyzed in accordance with reflexive thematic analysis. Results: We identified subthemes for patients and therapists, respectively. In addition, we found that patients and therapists described certain comparable experiences and actions which we integrated as core themes: (a) feeling uncertain about what to expect; (b) forming first impressions; (c) balancing multiple concurrent concerns; (d) seeking feedback from the other; and (e) sensing a way forward. The subthemes specify patients' and therapists' unique meanings and approaches to each core theme. Finally, we summarized unique and shared relational facilitators and barriers. Conclusion: Patients and therapists use the first session to form an impression of the other, but they are also concerned with the impression they themselves give. They, therefore, monitor the other's in-session reactions and responses which constitute facilitators or barriers for their own further relational actions.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"155-169"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378568","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 verification of patient self-concepts as a responsive precondition for early alliance development and subsequent introject change. 治疗师对患者自我概念的验证是早期联盟发展和随后内向体改变的先决条件。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-01 Epub Date: 2023-12-30 DOI: 10.1080/10503307.2023.2297995

Michael J Constantino, Alice E Coyne, Averi N Gaines, Brien J Goodwin, Heather J Muir, Kenneth L Critchfield, Henny A Westra, Martin M Antony

{"title":"Therapist verification of patient self-concepts as a responsive precondition for early alliance development and subsequent introject change.","authors":"Michael J Constantino, Alice E Coyne, Averi N Gaines, Brien J Goodwin, Heather J Muir, Kenneth L Critchfield, Henny A Westra, Martin M Antony","doi":"10.1080/10503307.2023.2297995","DOIUrl":"10.1080/10503307.2023.2297995","url":null,"abstract":"Objective: Social psychological research has indicated that people strive for self-consistent feedback and interactions, even if negative, to preserve the epistemic security of knowing themselves. Without such self-verification, any interpersonal exchange may become frustrated, anxiety-riddled, and at risk for deterioration. Thus, it may be important for therapists to meet patients' self-verification needs as a responsive precondition for early alliance establishment and development. We tested this hypothesis with patients receiving cognitive behavioral therapy for generalized anxiety disorder-a condition that may render one's self-verification needs especially strong. We also tested the hypothesis that better early alliance quality would relate to subsequent adaptive changes in and posttreatment level of patients' self-concepts.Method: Eighty-four patients rated their self-concepts at baseline and across treatment and follow-up, their postsession recollection of their therapist's interpersonal behavior toward them during session 2, and their experience of alliance quality rated after sessions 3-6.Results: As predicted, the more therapists verified at session 2 a patient's baseline self-concepts (which trended toward disaffiliative and overcontrolling, on average), the more positively that patient perceived their next-session alliance. Moreover, better session 3 alliance related to more adaptive affiliative and autonomy-granting self-concepts at posttreatment.Conclusion: Results are discussed within a therapist responsiveness framework.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"17-31"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075553","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