Psychotherapy Research最新文献_第7页

The role of experiential avoidance in the early stages of an online mindfulness-based intervention: Two mediation studies. 体验性回避在基于正念的在线干预早期阶段的作用：两项调解研究

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-07-01 Epub Date: 2023-07-17 DOI: 10.1080/10503307.2023.2232528

Mengyao He, Yanjuan Li, Ruilin Ju, Shu Liu, Stefan G Hofmann, Xinghua Liu

{"title":"The role of experiential avoidance in the early stages of an online mindfulness-based intervention: Two mediation studies.","authors":"Mengyao He, Yanjuan Li, Ruilin Ju, Shu Liu, Stefan G Hofmann, Xinghua Liu","doi":"10.1080/10503307.2023.2232528","DOIUrl":"10.1080/10503307.2023.2232528","url":null,"abstract":"Objectives There is evidence to suggest that only 2-4 weeks of mindfulness-based interventions (MBIs) can already alleviate emotional stress. The current studies sought to examine whether experiential avoidance mediated the effects of MBIs on emotional distress during an early stage of the intervention. Methods: Chinese participants with high emotional distress were recruited. Study 1 included 324 participants, randomly assigned to an online MBI (N = 171) or a control group (N = 153). Experiential avoidance and general emotional distress were measured at baseline and after the 3rd week of the intervention. Study 2 included 158 participants, randomly assigned to an online MBI (N = 79) or a control group (N = 79). Experiential avoidance and emotional distress were measured at baseline and weekly in the first three weeks. Results: Compared to the control group, experiential avoidance and emotional distress were significantly improved in the MBI group during the first three weeks of the intervention (Cohen's d = 0.22-0.63). Moreover, changes in experiential avoidance mediated the effects of MBI on emotional distress in the early stage in both contemporary and lagged mediation models. Discussion: Experiential avoidance is an important mediator during the early-stage of MBIs for alleviating emotional distress.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9827138","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 a new observer-rated measure to assess the real relationship in psychotherapy sessions. 开发一种新的由观察者评分的测量方法，用于评估心理治疗过程中的真实关系。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-06-29 DOI: 10.1080/10503307.2024.2360459

Vera Békés, Daniel S Spina, Katie Aafjes-van Doorn, Bernard S Gorman, Karl Stukenberg, Sherwood Waldron

{"title":"Development of a new observer-rated measure to assess the real relationship in psychotherapy sessions.","authors":"Vera Békés, Daniel S Spina, Katie Aafjes-van Doorn, Bernard S Gorman, Karl Stukenberg, Sherwood Waldron","doi":"10.1080/10503307.2024.2360459","DOIUrl":"https://doi.org/10.1080/10503307.2024.2360459","url":null,"abstract":"Objectives: Real relationship (RR) refers to a genuine human relationship between client and therapist, that has been found to be positively related to treatment outcome, and to predict unique variance in outcome over and above the working alliance. However, thus far, the measurement of RR has been limited to self-report. We aimed to develop an observer-rated version of the RR measure (RR-O) to assess RR in therapy sessions.Methods: We adapted items from the self-report measures to an observer rated measure, which was reviewed by RR experts. The final 24-item RR-O was rated in 540 session transcripts from 27 psychoanalytic treatments that already had existing process and outcome scores.Results: The RR-O showed good internal consistency and good interrater reliability. In hierarchical EFA, items clustered into a general RR factor, and client realism, client genuineness, therapist genuineness, and therapist realism group factors. In addition, the RR-O was positively related to another RR measure and to the therapeutic alliance.Conclusion: The RR-O shows initial reliability and validity as an observer-rated measure of the RR to be used in post-hoc psychotherapy research. Future research should clarify the relation between RR-O and treatment outcome.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471627","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 : 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":"https://doi.org/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":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-06-29","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

Evaluation of symptom network density as a predictor of treatment outcome of inpatient psychotherapy. 评估症状网络密度对住院心理治疗疗效的预测作用。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-06-26 DOI: 10.1080/10503307.2024.2365235

Hanna M Deflorin, Mara S Söker, Stephanie Bauer, Markus Moessner

{"title":"Evaluation of symptom network density as a predictor of treatment outcome of inpatient psychotherapy.","authors":"Hanna M Deflorin, Mara S Söker, Stephanie Bauer, Markus Moessner","doi":"10.1080/10503307.2024.2365235","DOIUrl":"https://doi.org/10.1080/10503307.2024.2365235","url":null,"abstract":"Objective: The network approach implies that the persistence of a mental disorder is rooted in a dense causal interconnection of symptoms. This study attempts to replicate and generalize previous findings in support of the assumption that higher density predicts poorer outcomes. The study examines the predictive value of network density at admission for recovery after inpatient treatment.Method: N = 1375 adult patients with various forms of mental illness were classified as recovered (28%) versus not recovered (72%) after inpatient treatment. Recovery was defined as clinically significant improvement in impairment from admission to discharge. Networks of transdiagnostic symptoms at the time of admission were estimated. Network density, measured by global strength d, was compared between the recovered and not recovered groups using a permutation test.Results: Global strength at the time of admission tended to be higher in the No-Recovery group (d = 10.83) than the Recovery group (d = 7.53) but the association was not significant (p = .12). Similar results were found after controlling for group size and symptom severity.Conclusion: The predictive value of network density for treatment outcomes remains unclear. There might be structural differences between the groups that the current measure of network density does not adequately represent.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141459969","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

Using clinician and patient input to assess utility, accuracy, efficiency, and therapeutic implementation of a new data-driven digital therapeutic for personalized clinical eating disorder treatment: Awaken digital guide. 利用临床医生和患者的意见，评估用于个性化临床饮食失调治疗的新型数据驱动数字疗法的实用性、准确性、效率和治疗实施情况：唤醒数字指南。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2024-06-25 DOI: 10.1080/10503307.2024.2360445

Christina Ralph-Nearman, Jesse Rae, Cheri A Levinson

{"title":"Using clinician and patient input to assess utility, accuracy, efficiency, and therapeutic implementation of a new data-driven digital therapeutic for personalized clinical eating disorder treatment: Awaken digital guide.","authors":"Christina Ralph-Nearman, Jesse Rae, Cheri A Levinson","doi":"10.1080/10503307.2024.2360445","DOIUrl":"https://doi.org/10.1080/10503307.2024.2360445","url":null,"abstract":"Objective: Eating disorders (EDs) take a life every 52 minutes and treatments are ineffective for ∼50% of individuals. Though EDs are heterogeneous illnesses, current evidence-based treatments take a \"one-size-fits-all\" approach. Network-Informed Personalized Treatment is a new promising treatment for EDs, but clinician-patient-friendly software tools are needed to integrate this guidance system into routine treatment. Adoption is key for impact, necessitating the inclusion of clinicians in the software development. The current pilot assessed a new data-driven clinician-guidance therapeutic.Method: A two-part pilot was analyzed for quantitative (0-not at all to 10-extremely) and qualitative input on user perception through quantitative and open-ended prompted questions evaluating using personalizing ED treatment with the Awaken Digital Guide therapeutic.Results: Results demonstrated that clinicians in a focus group (N = 9) and clinician/patient dyads within implementation (N = 10) endorsed improved efficiency, effectiveness, self-awareness, and accuracy using Awaken Digital Guide compared to current treatment as suggested by quantitative and qualitative results. Both clinicians and patients rated the tool positively (6.8-9.6/5.8-8.6, respectively) with an average rating of good and excellent.Conclusion: Findings suggest that ED-specialized clinicians desire data-driven guidance on personalizing ED treatment. Users perceive Awaken Digital Guide therapeutic with potential to increase collaboration, motivation, efficiency, and effectiveness of ED personalized treatment.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141451905","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 role of symptom reduction in improving health-related quality of life through brief cognitive behavioral therapy. 通过简短认知行为疗法减少症状在改善健康相关生活质量中的作用。

IF 3.9 1区心理学

Psychotherapy Research Pub Date : 2024-06-11 DOI: 10.1080/10503307.2024.2349992

Anthony H Ecker, Sindhuja Shivaji, Maribel Plasencia, Michael R Kauth, Natalie E Hundt, Terri L Fletcher, Shubhada Sansgiry, Jeffrey A Cully

{"title":"The role of symptom reduction in improving health-related quality of life through brief cognitive behavioral therapy.","authors":"Anthony H Ecker, Sindhuja Shivaji, Maribel Plasencia, Michael R Kauth, Natalie E Hundt, Terri L Fletcher, Shubhada Sansgiry, Jeffrey A Cully","doi":"10.1080/10503307.2024.2349992","DOIUrl":"https://doi.org/10.1080/10503307.2024.2349992","url":null,"abstract":"Brief cognitive behavior therapy (bCBT) is effective in reducing symptoms of depression and anxiety disorders and improving health-related quality of life (HRQoL). However, the mechanisms through which cognitive behavior therapy impact HRQoL are not well understood. This study evaluated whether anxiety and depression symptom reduction is a mechanism of treatment for HRQoL outcomes.Method: Using secondary data from a multisite, pragmatic, randomized trial, this study evaluated bCBT vs enhanced usual care in 16 VA community-based outpatient clinics. Ordinary least-squares path analysis testing multiple mediators was used to evaluate the role of change in depression and anxiety symptoms in the relationship between treatment condition and HRQoL.Results: Receiving bCBT (vs. enhanced usual care) was significantly negatively associated with change (reduction) in depression and anxiety scores. The indirect effect of treatment on mental HRQoL was significant with change in depression scores as mediator. A similar pattern was observed for physical HRQoL and change in anxiety scores as mediator.Conclusion: Findings suggest reduction of depression and anxiety symptoms as a mechanism through which bCBT for depression promoted improvements in HRQoL, with important implications for understanding how CBT impacts functioning, as well as the utility of bCBT in nontraditional mental health settings.Trial registration: ClinicalTrials.gov identifier: NCT02466126.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307169","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

Exploring the role of emotions and conversation content in interpersonal synchrony: A case study of a couple therapy session. 探索情绪和谈话内容在人际同步中的作用：情侣治疗课程案例研究。

IF 3.9 1区心理学

Psychotherapy Research Pub Date : 2024-06-11 DOI: 10.1080/10503307.2024.2361432

Virpi-Liisa Kykyri, Petra Nyman-Salonen, Wolfgang Tschacher, Anu Tourunen, Markku Penttonen, Jaakko Seikkula

{"title":"Exploring the role of emotions and conversation content in interpersonal synchrony: A case study of a couple therapy session.","authors":"Virpi-Liisa Kykyri, Petra Nyman-Salonen, Wolfgang Tschacher, Anu Tourunen, Markku Penttonen, Jaakko Seikkula","doi":"10.1080/10503307.2024.2361432","DOIUrl":"https://doi.org/10.1080/10503307.2024.2361432","url":null,"abstract":"Objective: This exploratory study investigated the association between interpersonal movement and physiological synchronies, emotional processing, and the conversational structure of a couple therapy session using a multimodal, mixed-method approach.Method: The video recordings of a couple therapy session, in which the participants' electrodermal activity was recorded, were analyzed. The session was divided into topical episodes, a qualitative analysis was conducted on each topical episode's emotional aspects, conversational structure and content. In addition, movement and physiological synchrony were calculated in each topical episode. Regression models were used to discover the associations between qualitative variables and synchronies.Results: Physiological synchrony was associated with the emotional aspects of the session and to episodes in which the spouses' relationship was addressed, while movement synchrony was only related to emotional valence. No association between synchrony and conversational structure was found.Conclusion: The findings suggest that physiological and movement synchrony play distinct roles in psychotherapy. The exploratory study sheds light on the association between momentary synchrony, emotions, and conversational structure in a couple therapy session.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307166","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

Individual treatment selection for patients with post-traumatic stress disorder: External validation of a personalised advantage index. 创伤后应激障碍患者的个性化治疗选择：个性化优势指数的外部验证。

IF 3.9 1区心理学

Psychotherapy Research Pub Date : 2024-06-11 DOI: 10.1080/10503307.2024.2360449

James Tait, Stephen Kellett, David Saxon, Anne-Katharina Deisenhofer, Wolfgang Lutz, Michael Barkham, Jaime Delgadillo

{"title":"Individual treatment selection for patients with post-traumatic stress disorder: External validation of a personalised advantage index.","authors":"James Tait, Stephen Kellett, David Saxon, Anne-Katharina Deisenhofer, Wolfgang Lutz, Michael Barkham, Jaime Delgadillo","doi":"10.1080/10503307.2024.2360449","DOIUrl":"https://doi.org/10.1080/10503307.2024.2360449","url":null,"abstract":"Objective: To test the predictive accuracy and generalisability of a personalised advantage index (PAI) model designed to support treatment selection for Post-Traumatic Stress Disorder (PTSD).Method: A PAI model developed by Deisenhofer et al. (2018) was used to predict treatment outcomes in a statistically independent dataset including archival records for N = 152 patients with PSTD who accessed either trauma-focussed cognitive behavioural therapy or eye movement desensitisation and reprocessing in routine care. Outcomes were compared between patients who received their PAI-indicated optimal treatment versus those who received their suboptimal treatment.Results: The model did not yield treatment specific predictions and patients who had received their PAI-indicated optimal treatment did not have better treatment outcomes in this external validation sample.Conclusion: This PAI model did not generalise to an external validation sample.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307168","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

Group schema therapy for personality disorders: Systematic review, research agenda and treatment implications. 人格障碍的团体模式疗法：系统回顾、研究议程和治疗意义。

IF 3.9 1区心理学

Psychotherapy Research Pub Date : 2024-06-11 DOI: 10.1080/10503307.2024.2361451

Mikaela Tracy, Erika Penney, Alice R Norton

{"title":"Group schema therapy for personality disorders: Systematic review, research agenda and treatment implications.","authors":"Mikaela Tracy, Erika Penney, Alice R Norton","doi":"10.1080/10503307.2024.2361451","DOIUrl":"https://doi.org/10.1080/10503307.2024.2361451","url":null,"abstract":"Objective: There are significant temporal and financial barriers for individuals with personality disorders (PD) receiving evidence-based psychological treatments. Emerging research indicates Group Schema Therapy (GST) may be an accessible, efficient, and cost-effective PD intervention, however, there has been no synthesis of the available evidence to date. This review therefore aimed to investigate the efficacy of GST for PDs by systematically synthesizing available literature.Method: Five electronic databases were screened with resulting studies subjected to a specific eligibility criteria, which yielded fourteen relevant studies. Characteristics were extracted and methodological quality rigorously assessed.Results: Strong support was evidenced for GST's ability to reduce Cluster B and C symptomology, particularly for Borderline and Avoidant PD. GST appeared to improve global symptom severity, quality of life and functional capacity, as well as treatment targets such as schemas and modes.Conclusion: Although not without limitations and a moderate risk of bias, the current body of evidence supports GST as a potential solution to current service deficits in economical and evidence-based care for individuals with PD. Implications for treatment and future research are discussed.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307167","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 3.9 1区心理学

Psychotherapy Research Pub 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":"https://doi.org/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":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-06-04","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