Psychotherapy Research最新文献_第7页

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

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