Factors in the patient-therapist interaction and outcome: A review of the literature

Kilmann, Peter R.; Scovern, Albert W.; Moreault, Denise

doi:10.1016/0010-440x(79)90044-0

Cited by 10 publications

(5 citation statements)

References 45 publications

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“…Problem complexity has also been associated with poor relationship development. 99 One significant factor related to negative outcome is therapists' underestimation of the seriousness of problems. 100 In contrast, factors that may be associated with the development of good working relationships include patients who have had therapy previously, have less severe personality disturbances and have begun to address their problems.…”

Section: Patient Factorsmentioning

confidence: 99%

A review and critical appraisal of measures of therapist-patient interactions in mental health settings

Cahill¹,

Barkham²,

Hardy³

et al. 2008

Health Technol Assess

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Section: Patient Factorsmentioning

confidence: 99%

A review and critical appraisal of measures of therapist-patient interactions in mental health settings

Cahill¹,

Barkham²,

Hardy³

et al. 2008

Health Technol Assess

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“…There are already some reviews on the influence of certain therapeutic techniques and their effect on the therapeutic alliance or the therapeutic outcome (Ackerman & Hilsenroth, ; Hill, ; Hilsenroth & Cromer, ; Kilmann, Scovern, & Moreault, ). However, of these, only Hill's () article deals directly with the effect of certain statements on the outcome.…”

Section: Introductionmentioning

confidence: 99%

Effects of the therapist's statements on the patient's outcome and the therapeutic alliance: A systematic review

Kadur

Lüdemann

Andreas

2020

Clin Psychology and Psychoth

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This systematic review summarizes articles that examined the effects of the psychotherapist's statements on the outcome of the patient and the therapeutic alliance. The databases PsychINFO, PSYNDEX, PubMed, and PsychARTICLES were searched, and English peer‐reviewed articles were included. Participants should be adult patients with Diagnostic and Statistical Manual of Mental Disorders diagnosis who were receiving evidence‐based psychotherapy in an individual setting. Studies with a standardized, observer‐based measurement of the therapist's verbal utterances on the basis of verbatim transcripts of therapy sessions were included. Furthermore, there should be a standardized measurement of the symptom outcome or a measurement of the therapeutic alliance. The 10 included articles showed that supportive and exploratory statements and addressing aspects in the therapeutic relationship were perceived as positive regarding symptom outcome. Negative effects were particularly evident with controlling and challenging statements of the therapist. Regarding the therapeutic alliance, both positive and negative as well as nonsignificant results were obtained. The results of this review suggest that the question of which statements by therapists correlate positively or negatively with the outcome of therapy and the therapeutic alliance cannot be answered unequivocally and must be applied to more individual and specific situations.

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“…Investigators therefore have moved to interactional models, checking for characteristics by treatment technique by pathology interac tions, and to matching strategies. Matching patient and therapist has largely failed, perhaps because of methodological weaknesses and reliance on sim plistic matching variables (Kilmann et al 1979). In consequence, efforts have been renewed to dissect and influence the therapeutic relationship or alliance since there, perhaps, resides the common meeting ground of patient and therapist characteristics, nonspecifi c effects, and the search for characteristics common to all effective interventions (Luborsky 1976, Strupp & Hadley 1979.…”

Section: Refinement and Complexity Of Questions Addressedmentioning

confidence: 99%

Clinical Psychology: Individual Methods

Phillips¹,

Bierman²

1981

Annu. Rev. Psychol.

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Factors in the patient-therapist interaction and outcome: A review of the literature

Cited by 10 publications

References 45 publications

A review and critical appraisal of measures of therapist-patient interactions in mental health settings

A review and critical appraisal of measures of therapist-patient interactions in mental health settings

Effects of the therapist's statements on the patient's outcome and the therapeutic alliance: A systematic review

Clinical Psychology: Individual Methods

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