Abstract:Patients' expectations about the efficacy and nature of psychotherapy have long been considered important common treatment factors, and the empirical literature has largely supported this perspective. In this practice-oriented review, we examine the research on the association between patients' psychotherapy expectations and both adaptive treatment processes and outcomes. We also examine the research on specific psychotherapist interventions and patient and psychotherapist characteristics that influence the de… Show more
“…It is unlikely, for example, that most CBT or psychodynamic therapists working with young people would think of themselves as taking a doctor-like role in therapy, yet for many young people, this may be what they are expecting. Whether disconfirming pre-treatment expectations leads to better or worse engagement is a matter of debate in the adult therapy literature (see Constantino et al, 2012), but this study would seem to support the need to both explicitly explore young people's expectations of therapy, and to engage in honest negotiation early in treatment about what therapy may involve. Recent attempts to offer young people better information about CAMHS before beginning therapy are illustrated by My CAMHS Choices (www.mycahmschoices.org), in which therapists answer questions in online video clips about therapy, with the topics being identified by young service users.…”
Objective: To explore hopes and expectations for therapy among a clinical population of depressed adolescents. Method: As part of a randomised clinical trial, 77 adolescents aged 11 to 17, with moderate to severe depression, were interviewed using a semi-structured interview schedule.The interviews were analysed qualitatively, using Framework Analysis. Results: The findings are reported around five themes: "The difficulty of imagining what will happen in therapy", "the 'talking cure'"; "the therapist as doctor", "therapy as a relationship" and "regaining the old self or developing new capacities". Conclusions: Differing expectations are likely to have implications for the way young people engage with treatment, and failure to identify these expectations may lead to a risk of treatment breakdown.
“…It is unlikely, for example, that most CBT or psychodynamic therapists working with young people would think of themselves as taking a doctor-like role in therapy, yet for many young people, this may be what they are expecting. Whether disconfirming pre-treatment expectations leads to better or worse engagement is a matter of debate in the adult therapy literature (see Constantino et al, 2012), but this study would seem to support the need to both explicitly explore young people's expectations of therapy, and to engage in honest negotiation early in treatment about what therapy may involve. Recent attempts to offer young people better information about CAMHS before beginning therapy are illustrated by My CAMHS Choices (www.mycahmschoices.org), in which therapists answer questions in online video clips about therapy, with the topics being identified by young service users.…”
Objective: To explore hopes and expectations for therapy among a clinical population of depressed adolescents. Method: As part of a randomised clinical trial, 77 adolescents aged 11 to 17, with moderate to severe depression, were interviewed using a semi-structured interview schedule.The interviews were analysed qualitatively, using Framework Analysis. Results: The findings are reported around five themes: "The difficulty of imagining what will happen in therapy", "the 'talking cure'"; "the therapist as doctor", "therapy as a relationship" and "regaining the old self or developing new capacities". Conclusions: Differing expectations are likely to have implications for the way young people engage with treatment, and failure to identify these expectations may lead to a risk of treatment breakdown.
“…Health professionals’ ability to inspire and maintain hope is viewed as playing a central role in the motivational resources necessary for recovery [40–42]. Having life goals increases service users’ motivation for treatment [43], and such goals contribute to health and well-being [43, 44].…”
BackgroundRecovery can be understood as a subjective process guided by personal expectations, goals and hopes. The aim of the study was to explore how persons using a Community Mental Health Centre (CMHC) experienced that their expectations for treatment, and goals and hopes for recovery were supported by the health professionals during treatment.MethodsEmploying a hermeneutic–phenomenological approach, eight service users were interviewed about their expectations for treatment and their goals and hopes for recovery at the start of their contact with health professionals at a CMHC. Two years later, they were re-interviewed about their experiences of treatment and support from the health professionals in their work towards these goals and hopes. A collaborative approach was adopted. A co-researcher with lived experience took part in all stages of the study. Data were analysed by means of a data-driven stepwise approach in line with thematic analysis.ResultsFive themes reflecting how participants experienced support from health professionals at the CMHC in their work towards their recovery goals were elicited, as follows: developing an understanding of oneself and one’s mental health problems; learning how to change feelings and behaviours; being ‘pushed’ into social arenas; finding helpful medication; and counselling in family, practical and financial issues. The participants’ expectations about counselling with regard to longer-term family, practical, and financial challenges were insufficiently met by the CMHC. In the experience of the service users, recovery occurred within the context of their everyday life with or without the support of their professional helpers.ConclusionsTo facilitate recovery, health professionals should acknowledge the service user’s personal goals and hopes and take a more comprehensive and longer-term approach to his or her needs and desires. Acknowledging and facilitating recovery goals by offering counselling with regard to family, practical and financial issues seems particularly important.Electronic supplementary materialThe online version of this article (doi:10.1186/s12888-016-1133-x) contains supplementary material, which is available to authorized users.
“…При этом совпадение ожиданий пациента с объяснением бу-дущего процесса лечения, которое при первом кон-такте дает психотерапевт, в значительной мере вли-яет на дальнейшее участие пациента в лечении [31]. Кроме того, пациенты могут приходить к психоте-рапевту с уже готовыми ожиданиями в отношении того, как будет проводиться психотерапия и какими могут быть ее результаты: при этом чем выше ожи-дания, тем больше пациент вовлекается в процесс лечения, тем больший эффект можно видеть в ходе терапии и сильнее эффект «реморализации» [30][31][32][33]. Здесь может быть проведена аналогия с феноме-ном «чуда» в религии.…”
Section: влияние эффекта плацебо как общего фактора психотерапии в наunclassified
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