Therapist–client agreement on helpful and wished-for experiences in psychotherapy: Associations with outcome
| Autor: | John L. Jackson, Beatriz Palma, Harold Chui, Clara E. Hill |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Psychotherapist Social Psychology media_common.quotation_subject MEDLINE PsycINFO behavioral disciplines and activities Outcome (game theory) Young Adult Interpersonal relationship Surveys and Questionnaires Humans Psychology 0501 psychology and cognitive sciences media_common 05 social sciences Multilevel model Professional-Patient Relations General Medicine Agreement Psychotherapy Therapeutic relationship 050106 general psychology & cognitive sciences Psychiatry and Mental health Clinical Psychology Treatment Outcome Female Psychotherapy Psychodynamic human activities Qualitative research |
| Zdroj: | Journal of Counseling Psychology. 67:349-360 |
| ISSN: | 1939-2168 0022-0167 |
| DOI: | 10.1037/cou0000393 |
| Popis: | Therapists and clients often have different perspectives about what is helpful and what they wish for in therapy, but it is unclear how their perspectives differ and whether their agreement have implications for therapy outcome. In a mixed-method study, 18 therapists and clients were interviewed separately after termination about their experiences and what they wished had been different about their psychotherapy. Transcripts were analyzed using consensual qualitative research. Therapists and clients agreed moderately that exploration of the therapeutic relationship, therapists' use of challenges, and therapist validation and support were helpful. In contrast, there was low agreement on wishes. Whereas clients wished that therapists had provided more structure and direction, therapists did not mention any typical wishes. Using multilevel modeling, a high level of agreement on what was helpful was associated with reductions in psychological symptoms and interpersonal problems, although no relationship was found between agreement on wishes and outcome. The findings underscore the importance of therapist-client agreement about helpful aspects of therapy for successful therapy. (PsycInfo Database Record (c) 2020 APA, all rights reserved). |
| Databáze: | OpenAIRE |
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