Changes in clients and therapists experiences of therapeutic distance during psychodynamic therapy
| Autor: | Orya Tishby, Hadas Wiseman, Sharon Egozi |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
050103 clinical psychology
Psychodynamic psychotherapy Psychotherapist media_common.quotation_subject 05 social sciences Closeness Professional-Patient Relations behavioral disciplines and activities Attunement 030227 psychiatry Psychotherapy Therapeutic relationship 03 medical and health sciences Clinical Psychology 0302 clinical medicine Arts and Humanities (miscellaneous) Attachment theory Humans 0501 psychology and cognitive sciences Narrative Psychology human activities Autonomy media_common Dyad |
| Zdroj: | Journal of Clinical Psychology. 77:910-926 |
| ISSN: | 1097-4679 0021-9762 |
| Popis: | Attachment theory provides a framework for examining closeness-distance experiences in the development of the therapeutic relationship. Objective To examine changes in clients' and therapists' experiences of therapeutic distance along with psychodynamic therapy. Hypotheses Clients' and therapists' comfort with closeness and distance will increase, and the client's autonomy and engagement will increase with time. Method A total of 67 clients and their 27 therapists underwent Relationship Paradigm interviews in which they told narratives about their experience with each other, three times during therapy. The narratives were rated on the Therapeutic Distance Scale-Observer (TDS-O) version. Results Growth curve analysis of the TDS-O ratings showed that clients decrease in perceiving therapists as too distant and increase in engagement. Therapists showed a decrease in perceiving clients as too close and an increase in granting autonomy and engagement. A clinical illustration depicts these experiences in a client-therapist dyad. Conclusions Therapists' awareness of clients' changing needs of closeness and autonomy may enhance attunement. |
| Databáze: | OpenAIRE |
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