Harms of Cognitive Behaviour Therapy Designed to Increase Activity Levels in Chronic Fatigue Syndrome: Questions Remain

Kindlon, Tom

doi:10.1159/000320778

Cited by 5 publications

(1 citation statement)

References 12 publications

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“…Heins et al stimulated a discourse on unwanted effects through the publication of their recent study in which symptom deterioration in cognitivebehavioral therapy (CBT) was systematically investigated by chronic fatigue syndrome patients (Heins et al 2010;Kindlon 2011;Heins et al 2011). In summary, it can be assumed that because of the central role of interpersonal interaction, psychotherapy will always include an element of risk for the patient as well as the therapist (Lambert and Barley 2002) .…”

Section: Introductionmentioning

confidence: 99%

Patients’ Perceptions of Risky Developments During Psychotherapy

Leitner

Märtens

Koschier

et al. 2012

J Contemp Psychother

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Research on risks and unwanted effects is largely missing in psychotherapy. Using exploratory factor analysis six dimensions of personal therapy situation were identified in a preliminary study, three of them were associated with risky developments during the psychotherapeutic process: (1) (poor) quality of therapeutic relationship, (2) burden caused by psychotherapy, and (3) dependency/isolation. Based on the finding of this study an online survey was performed to examine these three dimensions. Aside from these three factors another variable was associated with risky therapy developments: the online questionnaire also asked for premature terminations of psychotherapy as a consequence of risky conditions for the therapeutic development. Risky conditions were found to be associated with the following variables: (1) the combination of female patient-male therapist, (2) the therapeutic orientation (particularly with the psychodynamic approaches) and (3) the duration of therapy. Fewer humanistic and systemic psychotherapies were found among the high risk-prone group of patients who were at risk in at least three of the four variables which were associated with risky developments. Differences in the findings of the study regarding the four therapeutic orientations stress the importance of an extensive differential indication and a cooperative partnership between patient and therapist, in order to facilitate a positive patient participation towards the choice of therapy method and subsequent successful participation throughout the course of treatment. Further studies should also focus on female patient and male therapist psychotherapies. Taking findings of patient's perceptions that psychotherapy treatment has negative side effects seriously.Findings of patient's perceptions that psychotherapy treatment has negative side effects should not be ignored. Short title:Unwanted effects of psychotherapeutic treatment Research on risks and unwanted effects is largely missing in psychotherapy. Using exploratory factor analysis (EFA) six dimensions of personal therapy situation were identified in a preliminary study, three of them were associated with risky developments during the psychotherapeutic process: (1) (poor) quality of therapeutic relationship, (2) burden caused by psychotherapy, and (3) dependency/isolation. Based on the finding of this study an online survey was performed to examine these three dimensions. Aside from these three factors another variable was associated with risky therapy developments: the online questionnaire also asked for premature terminations of psychotherapy as a consequence of risky conditions for the therapeutic development.Risky conditions were found to be associated with the following variables: (1) the combination of female patient -male therapist, (2) the therapeutic orientation (particularly with the psychodynamic approaches) and (3) the duration of therapy. Fewer humanistic and systemic psychotherapies were found among the high risk-prone group of patients who were at risk in ...

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