A Paradigm for Construction of Family Therapy Tasks

Brown-Standridge, Marcia D.

doi:10.1111/j.1545-5300.1989.00471.x

Cited by 15 publications

(5 citation statements)

References 21 publications

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“…Brown-Standridge (1989) provided a 2 × 2 × 2 matrix to illustrate the dimensions of a homework task that are applied when considering the appropriateness of the task for a client presentation. The task may be direct (i.e., a behavioral or cognitive task) or indirect (i.e., a metaphorical task, therapeutic suggestion, or message anecdote).…”

Section: Resultsmentioning

confidence: 99%

The Process of Recommending Homework in Psychotherapy: A Review of Therapist Delivery Methods, Client Acceptability, and Factors That Affect Compliance.

Scheel

Hanson

Razzhavaikina

2004

Psychotherapy: Theory, Research, Practice, Training

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Section: Resultsmentioning

confidence: 99%

The Process of Recommending Homework in Psychotherapy: A Review of Therapist Delivery Methods, Client Acceptability, and Factors That Affect Compliance.

Scheel

Hanson

Razzhavaikina

2004

Psychotherapy: Theory, Research, Practice, Training

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“…Homework involves even more of a demand on the client to enact the proposed action and so is on the most directive end of the continuum. Other scholars have similarly distinguished between indirect (a metaphorical task, a therapeutic suggestion) and direct (assignment of a task or homework) therapeutic tasks (e.g., Brown-Standridge, 1989).…”

Section: Definitions and Clinical Descriptionmentioning

confidence: 99%

Psychotherapist advice, suggestions, recommendations: A research review.

Hill¹,

Knox²,

Duan³

2023

Psychotherapy

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Psychotherapists provide at least some advice, suggestions, and recommendations (ASR) in most treatment approaches. We define ASR, offer clinical examples, and review the research evidence for the immediate insession, immediate delayed, and intermediate effects of ASR, as well as for the moderators of these effects in individual psychotherapy. In seven studies with 327 clients and 131 therapists, we found evidence of neutral immediate in-session outcomes (e.g., client experiencing levels), neutral immediate delayed outcomes (e.g., client-rated helpfulness during postsession videotape reviews), and positive intermediate outcomes (e.g., implementation of recommendations as rated in subsequent sessions) for ASR. These differences may be related to methodological variations in studies in addition to the different timing of the outcome measurement. In terms of moderators, there is some evidence that the working alliance, client collaboration prior to the ASR, content of the ASR, and therapist and client attachment styles moderate the effects of immediate in-session outcomes, and that type, difficulty, and therapist influence moderate the effects of intermediate outcomes of ASR. We conclude with research limitations, training implications, and therapeutic practices related to ASR. Clinical Impact StatementQuestion: Although most therapists at least occasionally offer advice, suggestions, and recommendations, the research on this topic is minimal. We sought to examine the evidence for whether therapists should provide advice, suggestions, and recommendations to clients. Findings: On average, clients decrease their level of collaboration (i.e., engagement) immediately after therapists give advice, suggestions, and recommendations (ASR), although they seem to profit from more directive forms of ASR when asked to remember and record them after sessions. Meaning: Therapists are advised to have a good working alliance before giving ASR. Next Steps: More research is needed about markers for when therapists should provide advice, suggestions, and recommendation and about therapist and client variables that influence the use and effectiveness of these skills.

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“…(5) Co-constructing and/or prescribing behavioral tasks System-oriented therapists often prescribe behavioral tasks to mobilize change and/or to assist with problem management. These direct assignments may or may not encourage the client's approval of the task (Brown-Standridge, 1989;Omer, Golden, & Priebe, 2016). SDM and collaborative approaches attempt to center the client's voice on the construction, the optimal context, the timing, and likelihood of adherence to the task (Metz et al, 2019).…”

Section: Coach: Yesmentioning

confidence: 99%

Centering the Voice of the Client: On Becoming a Collaborative Practitioner with Low‐Income Individuals and Families

2020

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Despite current interest in collaborative practices, few investigations document the ways practitioners can facilitate collaboration during in-session interactions. This investigation explores verbatim psychotherapy transcripts to describe and illustrate therapist's communications that facilitate or hinder centering client's voice in work with socioeconomically disadvantaged populations. Four exemplar cases were selected from a large intervention trial aimed at improving shared decision making (SDM) skills of psychotherapists working with low-income clients. The exemplar cases were selected because they showed therapist's different degrees of success in facilitating SDM. Therapist's verbalizations were grouped into five distinct communicative practices that centered or de-centered the voice of clients. Communication practices were examined through the lens of collaborative approaches in family therapy. The analysis suggests that cross-fertilization between SDM and family-oriented collaborative and critical approaches shows promise to illuminate and enhance the challenging road from clinician-led to client-led interactions. This paper also stresses the importance of incorporating relational intersectionality with individuals and families who may not feel entitled to express their expectations or raise questions when interacting with authority figures.

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A Paradigm for Construction of Family Therapy Tasks

Cited by 15 publications

References 21 publications

The Process of Recommending Homework in Psychotherapy: A Review of Therapist Delivery Methods, Client Acceptability, and Factors That Affect Compliance.

The Process of Recommending Homework in Psychotherapy: A Review of Therapist Delivery Methods, Client Acceptability, and Factors That Affect Compliance.

Psychotherapist advice, suggestions, recommendations: A research review.

Centering the Voice of the Client: On Becoming a Collaborative Practitioner with Low‐Income Individuals and Families

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