Are you in the mood? Therapist affect and psychotherapy process.

Chui, Harold; Hill, Clara E.; Kline, Kathryn; Kuo, Patty; Mohr, Jonathan J.

doi:10.1037/cou0000155

Cited by 35 publications

(46 citation statements)

References 71 publications

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“…Client involvement also significantly predicted a positive session evaluation as rated by both clients and therapists across different theoretical orientations ( Eugster and Wampold, 1996 ). Related research on session evaluation has mostly looked at the client’s, rather the therapist’s, perceptions of session quality and its association with outcomes ( Hill and Lambert, 2004 ; Chui et al, 2016 ). Although we were unable to locate studies with counseling or psychotherapy students focusing on our particular variables, it has been shown that higher levels of therapists’ negative mood before sessions associated with lower levels of therapist-rated helpfulness of their interventions and the quality of the sessions ( Hill et al, 1994 ).…”

Section: Introductionmentioning

confidence: 99%

Helpful and Hindering Factors in Psychodrama Field Training: A Longitudinal Mixed Methods Study of Student Development

Azoulay

Orkibi

2018

Front. Psychol.

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Although the literature indicates that students in mental health professions start to form their professional identity and competence in graduate school, there are few studies on the in-training experience of creative arts therapies students. This mixed methods study examined how five first-year students in a psychodrama master’s degree program in Israel experienced their field training, with the aim of identifying the factors likely to promote or hinder the development of their professional identity and sense of professional ability. Longitudinal data were collected weekly throughout the 20-week field training experience. The students reported qualitatively on helpful and hindering factors and were assessed quantitatively on questionnaires measuring professional identity, perceived demands-abilities fit, client involvement, and therapy session evaluations. A thematic analysis of the students’ reports indicated that a clear and defined setting and structure, observing the instructor as a role model, actively leading parts of the session, and observing fellow students were all helpful factors. The hindering factors included role confusion, issues related to coping with client resistance and disciplinary problems, as well as school end-of-year activities that disrupted the continuity of therapy. The quantitative results indicated that students’ professional identity did not significantly change over the year, whereas a U-shaped curve trajectory characterized the changes in demands-abilities fit and other measures. Students began their field training with an overstated sense of ability that soon declined and later increased. These findings provide indications of which helping and hindering factors should be maximized and minimized, to enhance students’ field training.

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Section: Introductionmentioning

confidence: 99%

Helpful and Hindering Factors in Psychodrama Field Training: A Longitudinal Mixed Methods Study of Student Development

Azoulay

Orkibi

2018

Front. Psychol.

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“…Yet, few studies investigated well-being and affect during therapy, i.e. as a precursor, and/or a consequence of therapeutic sessions in therapists and patients (10). We do not know of any in forensic populations.…”

Section: Well-being In Therapymentioning

confidence: 99%

Well-Being as a Precursor and Consequence of Micro-Processes in a Group Psychotherapy With Forensic Patients

et al. 2020

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Psychotherapy is an important approach for the treatment of psychiatric disorders. Apart from treating disorders as such, psychotherapy aims at increasing patients' well-being. The Therapeutic Cycles Model (TCM) is a process-oriented theoretical model that makes predictions about the psychotherapeutic progress based on verbatim content. The model helps to identify therapeutic factors on a language level. The present study aims at analyzing transcripts of group therapy sessions with forensic psychiatric patients using the rationale of the TCM. Furthermore, the relationship between linguistic features of psychotherapy sessions and patients' well-being before and after therapy are investigated. In order to identify therapeutic factors, a group psychotherapy with nine drug addicted forensic psychiatric patients was videotaped and transcripts of N = 16 sessions were analyzed. Process-oriented measures were rated by the patients, their therapists, and an external observer. Patients' self-reported well-being before therapy was negatively related to Connecting (indicating emotional insight), and the frequency of therapeutic cycles, which are both thought of as key moments in therapy. Well-being of forensic patients is not necessarily a helpful precursor for insightful and productive events in therapy to occur. The findings help to better understand psychotherapeutic microprocesses throughout forensic therapies, and their relationship with patients' well-being. Implications for research and the forensic practice are discussed.

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“…These can be summed up into aspects of therapist competence and adherence to therapy techniques on the one hand and therapeutic alliance aspects on the other (e.g. Chui et al, 2016;Newman et al, 2010;Prasko et al, 2011;Roos and Werbart, 2013;Weck et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

“…In psychotherapy short interventions, each single session and not only a long-term treatment perspective holds importance (e.g. Chui et al, 2016;Milbrath et al, 1999). Short-term psychotherapies with 4-18 sessions have proven successful (e.g.…”

Section: Introductionmentioning

confidence: 99%

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Group therapists: combine alliance building with paying specific attention to the patient’s perception

Muschalla

2020

tCBT

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In slow-open groups as well as therapies of less than ten sessions, each group session holds importance. Patients, therapists and co-therapists have different perspectives and may gain different experiences from a group session. This study investigates the perspectives of patients, therapists and co-therapists on alliance, new insights and therapist techniques in the same group session. Do the three actors perceive these group aspects similarly or differently? Which group aspects are related with the outcome coping? One hundred and forty-nine sessions of a cognitive behaviour therapy group have been investigated. Patients, therapists and co-therapists gave ratings on their perceived alliance, group topics and insights as well as therapists’ technique competency. Concerning new insights, there was concordance between patients and co-therapists (r = .211, p < .05). Concerning alliance, there was a concordance between patients and therapists (r = .327, p < .01). Therapists focusing on alliance building was associated with lower patient outcomes in terms of work coping (β = –.391). The quality of therapeutic techniques was the same in groups with higher and lower outcomes. Patients’ perception of whether they felt good in the group session was explanative for session outcome, while therapists’ perceptions and context conditions (supervision, number of participants) was not. Patients, therapists and co-therapists have different perspectives on the same group therapy session. Patients’ perceptions are associated with session outcomes. A lower session outcome must not be associated with a poor technique performance of the therapist. Therapists should not only be aware of alliance building and correct technical performance, but they must also be aware of patients’ perceptions of the group process and outcome. Key learning aims The present research is the first evaluation of group session aspects and session outcomes in rehabilitation patients with work anxieties in slow-open groups. We will learn: (1) Whether patients’, therapists’ and co-therapists’ perceptions of the same group session are similar or different; (2) Whether group sessions that result in worse outcomes are different from group sessions resulting in a better outcome; (3) Which aspects of the group session are predictive for a better outcome.

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Are you in the mood? Therapist affect and psychotherapy process.

Cited by 35 publications

References 71 publications

Helpful and Hindering Factors in Psychodrama Field Training: A Longitudinal Mixed Methods Study of Student Development

Helpful and Hindering Factors in Psychodrama Field Training: A Longitudinal Mixed Methods Study of Student Development

Well-Being as a Precursor and Consequence of Micro-Processes in a Group Psychotherapy With Forensic Patients

Group therapists: combine alliance building with paying specific attention to the patient’s perception

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