Patterns of Discord

Where Do We Go From Here? The Goal Perspective in Psychotherapy.

“…Empirically, correspondence between the patients’ and the therapists’ treatment goals seems to have positive effects on the process and outcome of psychotherapy (Tryon & Winograd, 2001; see also Orlinsky, Ronnested, & Willutzki, 2004). However, the rather low correspondence between patients’ goals and therapists’ goals found in earlier studies indicates that it is necessary to explicitly strive for this agreement (Dimsdale, 1975; Dimsdale, Klerman, & Shershow, 1979; Polak, 1970; Thompson & Zimmerman, 1969). As a consequence, fostering goal agreement is a central component in Alliance Fostering Therapy according to Crits-Christoph et al (2006), which is proposed as a supplement to existing empirically supported therapies.…”

“…However, the rather low correspondence between patients' goals and therapists' goals found in earlier studies indicates that it is necessary to explicitly strive for this agreement (Dimsdale, 1975;Dimsdale, Klerman, & Shershow, 1979;Polak, 1970;Thompson & Zimmerman, 1969). As a consequence, fostering goal agreement is a central component in Alliance Fostering Therapy according to Crits-Christoph et al (2006), which is proposed as a supplement to existing empirically supported therapies.…”

Where Do We Go From Here? The Goal Perspective in Psychotherapy.

“…Empirically, correspondence between the patients’ and the therapists’ treatment goals seems to have positive effects on the process and outcome of psychotherapy (Tryon & Winograd, 2001; see also Orlinsky, Ronnested, & Willutzki, 2004). However, the rather low correspondence between patients’ goals and therapists’ goals found in earlier studies indicates that it is necessary to explicitly strive for this agreement (Dimsdale, 1975; Dimsdale, Klerman, & Shershow, 1979; Polak, 1970; Thompson & Zimmerman, 1969). As a consequence, fostering goal agreement is a central component in Alliance Fostering Therapy according to Crits-Christoph et al (2006), which is proposed as a supplement to existing empirically supported therapies.…”

“…However, the rather low correspondence between patients' goals and therapists' goals found in earlier studies indicates that it is necessary to explicitly strive for this agreement (Dimsdale, 1975;Dimsdale, Klerman, & Shershow, 1979;Polak, 1970;Thompson & Zimmerman, 1969). As a consequence, fostering goal agreement is a central component in Alliance Fostering Therapy according to Crits-Christoph et al (2006), which is proposed as a supplement to existing empirically supported therapies.…”

Outcome studies in mental hospitals: A review.

“…There are a variety of conflicting demands (treatment goals) imposed on the institution (Erickson, 1972;Krause, 1969;May et al, 1966). Even within the institution, there are differences about what constitutes progress (Carr & Whittenbaugh, 1969;Dietze, 1966Dietze, , 1967Polack, 1970). We have problems agreeing on diagnosis (Zigler & Phillips, 1961) or even whether the present diagnostic system is of value.…”

Consensus in the therapeutic relationship.

“…The more interactional the topic being assessed is, the more bias and personal judgment will be revealed in individual viewpoints, and the resulting levels of consensus will be lower. Evaluations of the patient's condition (e.g., Derogatis, Lipman, Covi, & Rickels, 1971;Dougherty, 1976;Mintz, Luborsky, & Christoph, 1979;Penk, Uebersax, Andrews, & Charles, 1980) consistently yield higher levels of patient/therapist agreement than do evaluations of the more interactive aspects of the process of or relationship in therapy, especially when therapist-produced qualities of the relationship are judged (e.g., Barrett-Lennard, 1962;Kiesler, Mathieu, & Klein, 1967;Mintz, Auerbach, Luborsky, & Johnson, 1973;Polak, 1970). Consensus on these interactional judgments can only be reached through an explicit and mutual effort, and the increased complexity of the issue of consensus in these areas is reflected in the lower levels of agreement within the dyad.…”

Where Do We Go From Here? The Goal Perspective in Psychotherapy.

“…Empirically, correspondence between the patients’ and the therapists’ treatment goals seems to have positive effects on the process and outcome of psychotherapy (Tryon & Winograd, 2001; see also Orlinsky, Ronnested, & Willutzki, 2004). However, the rather low correspondence between patients’ goals and therapists’ goals found in earlier studies indicates that it is necessary to explicitly strive for this agreement (Dimsdale, 1975; Dimsdale, Klerman, & Shershow, 1979; Polak, 1970; Thompson & Zimmerman, 1969). As a consequence, fostering goal agreement is a central component in Alliance Fostering Therapy according to Crits-Christoph et al (2006), which is proposed as a supplement to existing empirically supported therapies.…”

“…However, the rather low correspondence between patients' goals and therapists' goals found in earlier studies indicates that it is necessary to explicitly strive for this agreement (Dimsdale, 1975;Dimsdale, Klerman, & Shershow, 1979;Polak, 1970;Thompson & Zimmerman, 1969). As a consequence, fostering goal agreement is a central component in Alliance Fostering Therapy according to Crits-Christoph et al (2006), which is proposed as a supplement to existing empirically supported therapies.…”

Outcome studies in mental hospitals: A review.

“…There are a variety of conflicting demands (treatment goals) imposed on the institution (Erickson, 1972;Krause, 1969;May et al, 1966). Even within the institution, there are differences about what constitutes progress (Carr & Whittenbaugh, 1969;Dietze, 1966Dietze, , 1967Polack, 1970). We have problems agreeing on diagnosis (Zigler & Phillips, 1961) or even whether the present diagnostic system is of value.…”

Consensus in the therapeutic relationship.

“…The more interactional the topic being assessed is, the more bias and personal judgment will be revealed in individual viewpoints, and the resulting levels of consensus will be lower. Evaluations of the patient's condition (e.g., Derogatis, Lipman, Covi, & Rickels, 1971;Dougherty, 1976;Mintz, Luborsky, & Christoph, 1979;Penk, Uebersax, Andrews, & Charles, 1980) consistently yield higher levels of patient/therapist agreement than do evaluations of the more interactive aspects of the process of or relationship in therapy, especially when therapist-produced qualities of the relationship are judged (e.g., Barrett-Lennard, 1962;Kiesler, Mathieu, & Klein, 1967;Mintz, Auerbach, Luborsky, & Johnson, 1973;Polak, 1970). Consensus on these interactional judgments can only be reached through an explicit and mutual effort, and the increased complexity of the issue of consensus in these areas is reflected in the lower levels of agreement within the dyad.…”

Where Do We Go From Here? The Goal Perspective in Psychotherapy.

“…Empirically, correspondence between the patients’ and the therapists’ treatment goals seems to have positive effects on the process and outcome of psychotherapy (Tryon & Winograd, 2001; see also Orlinsky, Ronnested, & Willutzki, 2004). However, the rather low correspondence between patients’ goals and therapists’ goals found in earlier studies indicates that it is necessary to explicitly strive for this agreement (Dimsdale, 1975; Dimsdale, Klerman, & Shershow, 1979; Polak, 1970; Thompson & Zimmerman, 1969). As a consequence, fostering goal agreement is a central component in Alliance Fostering Therapy according to Crits-Christoph et al (2006), which is proposed as a supplement to existing empirically supported therapies.…”

“…However, the rather low correspondence between patients' goals and therapists' goals found in earlier studies indicates that it is necessary to explicitly strive for this agreement (Dimsdale, 1975;Dimsdale, Klerman, & Shershow, 1979;Polak, 1970;Thompson & Zimmerman, 1969). As a consequence, fostering goal agreement is a central component in Alliance Fostering Therapy according to Crits-Christoph et al (2006), which is proposed as a supplement to existing empirically supported therapies.…”

Outcome studies in mental hospitals: A review.

“…There are a variety of conflicting demands (treatment goals) imposed on the institution (Erickson, 1972;Krause, 1969;May et al, 1966). Even within the institution, there are differences about what constitutes progress (Carr & Whittenbaugh, 1969;Dietze, 1966Dietze, , 1967Polack, 1970). We have problems agreeing on diagnosis (Zigler & Phillips, 1961) or even whether the present diagnostic system is of value.…”

Consensus in the therapeutic relationship.

“…The more interactional the topic being assessed is, the more bias and personal judgment will be revealed in individual viewpoints, and the resulting levels of consensus will be lower. Evaluations of the patient's condition (e.g., Derogatis, Lipman, Covi, & Rickels, 1971;Dougherty, 1976;Mintz, Luborsky, & Christoph, 1979;Penk, Uebersax, Andrews, & Charles, 1980) consistently yield higher levels of patient/therapist agreement than do evaluations of the more interactive aspects of the process of or relationship in therapy, especially when therapist-produced qualities of the relationship are judged (e.g., Barrett-Lennard, 1962;Kiesler, Mathieu, & Klein, 1967;Mintz, Auerbach, Luborsky, & Johnson, 1973;Polak, 1970). Consensus on these interactional judgments can only be reached through an explicit and mutual effort, and the increased complexity of the issue of consensus in these areas is reflected in the lower levels of agreement within the dyad.…”