A collaborative approach to psychotherapy termination.

Goode, Jonathan; Park, Jake; Parkin, Susannah R.; Tompkins, Kelley A.; Swift, Joshua K.

doi:10.1037/pst0000085

Cited by 27 publications

(23 citation statements)

References 24 publications

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“…Therapeutic work was tailored to the needs of adolescents and incorporated the challenges they faced in their everyday life. The quality of the clients’ participation throughout the phases of therapy may help clients take ownership of their gains, equalize the therapeutic relationship and prepare clients for their transition away from psychotherapy, supporting findings from previous studies [ 27 , 85 ].…”

Section: Discussionsupporting

confidence: 80%

“…Their experiences during therapy had made them stronger, and they both had established healthier relationships with family and friends. Rethinking how participants in dyads label and conceptualize helpful aspects during the final phases of treatment may help clients to engage in dynamic work as well as healthy and helpful cognitions following treatment, supporting previous findings [ 17 , 76 , 85 , 86 ].…”

Section: Discussionsupporting

confidence: 78%

See 1 more Smart Citation

Conflicted Anger as a Central Dynamic in Depression in Adolescents—A Double Case Study

Henriksen

Ulberg

Tallberg

et al. 2021

IJERPH

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The incidence of depression in teenagers has increased for many years and is one of the most common diagnosis in adolescent psychiatry. Effective and accessible psychotherapy methods need sustained attention since psychopharmaceutic treatment might be less effective in younger people than in adults. The First Experimental Study of Transference–In Teenagers (FEST-IT) is a Randomized Controlled Study (RCT) with a dismantling design. The main intention in this study was to illustrate a way to address parts of a case formulation by focusing a psychodynamic feature in two different therapies with a good outcome suffering from depression. We present two representative patients from the FEST-IT with case formulations revealing conflicted anger. The patients were different in many aspects, as were the therapeutic methods. Therapies with and without transference interpretations may help to understand what is helpful in therapy in general. It may also show how a more individualized approach can guide the therapy beyond diagnosis and to make it more effective for the specific patient. Looking into individual cases with good outcomes can help us address dynamic features in therapy and give some ideas about what works for whom. The use of nested qualitative double case studies may together add more knowledge about working aspects in successful therapies.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionsupporting

confidence: 78%

Conflicted Anger as a Central Dynamic in Depression in Adolescents—A Double Case Study

Henriksen

Ulberg

Tallberg

et al. 2021

IJERPH

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“…Theoretical discussions and studies of psychotherapists' self-reports have identified such tasks in the final phase of the therapeutic work: solidifying gains and improvements, making the client feel praised and helped, shifting the focus of talk to discussing therapeutic experience and change, framing personal development as invariably unfinished and collaboratively developing a future plan for the client's growth (Fragkiadaki and Strauss, 2012;Goode et al, 2017;Hill, 2005;Maples and Walker, 2014;Norcross et al, 2017). Remarkably, reports of experienced psychotherapists revealed commonality in termination behaviour across theoretical orientations and individual practitioners (Norcross et al, 2017).…”

Section: Closure and Therapeutic Goalsmentioning

confidence: 99%

‘What are you taking away with you?’ Closing radio counselling encounters by reviewing progress

Thell

Peräkylä

2018

Discourse Studies

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Psychological radio counselling is a relatively recent development in psychological practice, where professionals provide psychological help via mass media communication. In the media context, a professional and a help-seeker face a number of communicative challenges, one of which is to close the encounter meaningfully with regard to its counselling and radio tasks. This study explicates how radio counselling encounters can be rounded off by summarising and reviewing the progress achieved in understanding the caller’s problem. At the end of the encounters, the radio psychologist invited callers to look back at the conversation and to formulate possible gains from it. On one hand, the radio psychologist encouraged callers’ reflection and acknowledged the callers’ entitlement to pass judgement on the outcomes of the encounter. On the other hand, the radio psychologist checked and subsequently reviewed the caller’s understanding of his or her problem and its solutions. We discuss how the practice was used to round off the encounters in a distinct way with an orientation to their counselling and radio objectives.

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“…Most prominently, psychoanalytic and existential approaches, with their focus on separation, loss and death, view treatment termination as a potentially powerful therapeutic experience and unique opportunity for growth. Although therapists and patients can use collaborative strategies in preparing for psychotherapy termination, setting treatment goals and addressing expectations throughout the treatment (Goode et al ., ), the termination phase itself can be particularly therapeutic. The termination phase may, for example, allow for consolidation of therapeutic work, with patient and therapist sharing the joy, pride and pleasure of the accomplishments achieved (Roe et al ., ), as well as allow for a unique opportunity to work through issues of separation and loss (Zilberstein, ).…”

mentioning

confidence: 99%

“…collaborative strategies in preparing for psychotherapy termination, setting treatment goals and addressing expectations throughout the treatment (Goode et al, 2017), the termination phase itself can be particularly therapeutic. The termination phase may, for example, allow for consolidation of therapeutic work, with patient and therapist sharing the joy, pride and pleasure of the accomplishments achieved (Roe et al, 2006), as well as allow for a unique opportunity to work through issues of separation and loss (Zilberstein, 2008).…”

mentioning

confidence: 99%

The Complexity of Loss During a Forced Termination: A Case Illustration

Doorn¹,

Wooldridge²

2018

Brit J Psychotherapy

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The end of a therapeutic relationship is experienced in a unique way by each patient and triggers complex feelings relating to early attachment issues, losses and traumas. It is an immense rupture: a process of attachment and separation, intimacy and loss that is an emotionally intense experience for both participants. This case illustration provides insight into the difficulties experienced during the process of forced termination in an analytic community‐training clinic. Following a 2‐year treatment, Peter, a patient who had been severely traumatized in youth, had to tolerate the pain of another loss; having to say goodbye to a therapist. We describe the therapist's initiation and engagement of the termination phase. A series of measurements of patient personality, therapist attachment, and change in alliance and outcomes provide information on the impact of Peter's history and the therapeutic relationship. Clinical illustrations highlight different parts of the decision‐making process in terms of the patient's sensitivity to loss, as well as the therapist's uncertainty around self‐disclosure. We suggest ways therapists may facilitate endings by addressing positive and negative feelings, providing a good‐enough attachment experience, and stimulating an internalization of the therapeutic relationship. Implications for clinical practice, research and supervision are discussed.

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A collaborative approach to psychotherapy termination.

Cited by 27 publications

References 24 publications

Conflicted Anger as a Central Dynamic in Depression in Adolescents—A Double Case Study

Conflicted Anger as a Central Dynamic in Depression in Adolescents—A Double Case Study

‘What are you taking away with you?’ Closing radio counselling encounters by reviewing progress

The Complexity of Loss During a Forced Termination: A Case Illustration

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