A crisis intervention perspective on the termination process

Webb, Nancy Boyd

doi:10.1007/bf00755368

Cited by 14 publications

(11 citation statements)

References 12 publications

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“…The findings that the perceived failure of the intervention makes for a more negative termination experience, less positive self-feelings, and more self-doubt/sorrow are consistent with findings by Quintana and Holahan (1992). The findings that centrality of the therapeutic relationship increases clients' hurt and anger and the resistance behaviors that express these feelings is consistent with the theoretical claims made in the literature (Hepworth, Rooney, & Larsen, 1997;Levinson, 1977;Webb, 1985). So are the findings of less positive self-feelings and more resistance and holding behaviors among clients who felt less control over the TT process (Leigh, 1998;Penn, 1990).…”

Section: Discussionsupporting

confidence: 89%

“…Most of the 1 studies exploring clients feelings stress anger, regression, rage, denial, (Bywaters, 1975;Fortune et al, 1992), as well as loss, sadness, and anxiety (Kramer, 1986). At the same time, various studies identify pride, sense of accomplishment (Fortune et al, 1992;Martin & Schurtman, 1985;Webb, 1985), sense of maturity, and feelings of newly gained independence (Fortune, 1987).…”

Section: Introductionmentioning

confidence: 94%

“…Nor has the length of the treatment (Northen, 1988). On the other hand, clients' previous loss experiences (Gould, 1977;Martin & Schurtman, 1985;Marx & Gelso, 1987;Webb, 1985) have been found to make TT more difficult.…”

Section: Introductionmentioning

confidence: 96%

“…However, from the extensive advice that is offered in this literature of factors that therapists should take into consideration in the TT process, one can glean what factors the writers consider influential. Most of their writings imply that the more central the therapeutic relationship to the client (Hepworth, Rooney, & Larsen, 1997) and the more emotionally involved the client is with the therapy and the therapist (Levinson, 1977;Webb, 1985), the more upset he or she will be at TT. Similarly, they also suggest that the less control the client has over the TT process (Leigh, 1998;Penn, 1990) and the more the termination is brought about by external factors (Anthony & Pagano, 1998), the more emotionally difficult clients will find the TT and the more negative their responses will be.…”

Section: Introductionmentioning

confidence: 98%

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Correlates of Clients’ emotional and Behavioral Responses to Treatment Termination

Baum

2005

Clin Soc Work J

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This study investigates the associations between clients' emotional and behavioral responses to treatment termination and eight sets of indepentent variables, covering the source of termination (client, therapist, external source); the termination process (speed, centrality, control, choice, and desire), and the perceived outcome (failure, goal achievement) of the therapy. Subjects were 92 student therapists and 40 professional therapists, who reported on their clients' perceptions, experiences, and responses. All the variables examined were associated with one or another client response. The findings support the view of treatment termination not only as a loss experience but also as a transition. They highlight the need for therapists to pay careful attention to both the source and the process of treatment termination.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 98%

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Correlates of Clients’ emotional and Behavioral Responses to Treatment Termination

Baum

2005

Clin Soc Work J

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“…Termination of treatment is recognized as an emotionally difficult experience not only for clients (Anthony & Pagano, 1998;Baum, 2005;Fortune, 1987;Fortune, Pearlingi, & Rochelle, 1992;Kramer, 1990;Marx & Gelso, 1987), but also for therapists (Martin & Schurtman, 1985;Northen, 1988;Siebold, 1991;Webb, 1985). In this paper patient and client are used interchangeably to indicate the recipient of the therapeutic services.…”

Section: Introductionmentioning

confidence: 96%

Therapists’ Responses to Treatment Termination: An Inquiry into the Variables that Contribute to Therapists’ Experiences

Baum

2006

Clin Soc Work J

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The study investigates predictors of emotional responses to treatment termination in a sample of 48 professional social workers and 92 student social workers in Israel. The findings show that the respondents found treatment termination to be moderately difficult, and client initiated terminations to be especially difficult and to bring in its wake particularly negative emotions. They also show that the aftermath of the termination was related to the process. The less abrupt the termination, the more control the therapists had over the termination process, the more central the therapeutic relationship was to them, the more they attained the therapeutic goals, the less they believed that the therapy had failed, the more choice they had in the treatment termination, and the more they wanted the termination, the more positive self-feelings the therapist reported. The paper suggests that treatment termination is better viewed as a transition than a loss and discusses the clinical implications of the findings.

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Introduction

Bennett¹,

Nelson²

2010

Adult Attachment in Clinical Social Work

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A crisis intervention perspective on the termination process

Cited by 14 publications

References 12 publications

Correlates of Clients’ emotional and Behavioral Responses to Treatment Termination

Correlates of Clients’ emotional and Behavioral Responses to Treatment Termination

Therapists’ Responses to Treatment Termination: An Inquiry into the Variables that Contribute to Therapists’ Experiences

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