Psychotherapy as the Interpretation of Being: Hermeneutic Perspectives on Psychotherapy

Martin, Jack; Thompson, Janice

doi:10.1080/10720530390117830

Cited by 15 publications

(19 citation statements)

References 6 publications

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“…Many idiographic therapists' approaches involve interpersonal engagement in relatively unstructured interactive processes, expressed in sharing of patterns of experiences, actions, feelings, memories, and concerns about relationships and their associated meanings; processes that are difficult to manualize (Kaye, 1995). Idiographic psychotherapists emphasize the salience of changes that involve the whole socially and historically constituted person, changes that transcend symptoms and categories (Martin & Thompson, 2003).…”

Section: Resultsmentioning

confidence: 99%

“…Idiographic therapies are characterized by strategies to help individuals connect diverse sources of information and experiences, including memories, emotions, omissions, recurring patterns of relating; with the goals of living more satisfying and effective lives, having richer and more satisfying relationships, and finding new ways to become more effective agents in their lives (Martin & Thompson, 2003). Idiographic therapies can be difficult to manualize because they are structured to facilitate engagement in a process of exploration and mutual understanding in ways intended to facilitate opportunities for new more satisfying and prosocial ways of living, relating, and experiencing.…”

Section: Idiographic Therapiesmentioning

confidence: 99%

“…Simply put, RCT and most psychotherapy efficacy studies that comprise the current EBT literature are structured and privileged by the epistemic assumptions and moral understandings of the individuals conducting the studies (Cushman & Gilford, 2000;Luborsky et al, 1999;Martin & Thompson, 2003).…”

Section: Circularitymentioning

confidence: 99%

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Psychotherapy Outcome Research: Issues and Questions

Shean

2016

Psychodynamic Psychiatry

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Emphasis on identifying evidence-based therapies (EBTs) has increased markedly. Lists of EBTs are the rationale for recommendations for how psychotherapy provider training programs should be evaluated, professional competence assessed, and licensure and reimbursement policies structured. There are however methodological concerns that limit the external validity of EBTs. Among the most salient is the circularity inherent in randomized control trials (RCTs) of psychotherapy that constrains the manner in which the psychological problems are defined, psychotherapy can be practiced, and change evaluated. RCT studies favor therapies that focus of specific symptoms and can be described in a manual, administered reliably across patients, completed in relatively few sessions, and involve short-term evaluations of outcome. The epistemological assumptions of a natural science approach to psychotherapy research limit how studies are conducted and assessed in ways that that advantage symptom-focused approaches and disadvantage those approaches that seek to bring broad recovery-based changes. Research methods that are not limited to RCTs and include methodology to minimize the effects of "therapist allegiance" are necessary for valid evaluations of therapeutic approaches that seek to facilitate changes that are broader than symptom reduction. Recent proposals to adopt policies that dictate training, credentialing, and reimbursement based on lists of EBTs unduly limit how psychotherapy can be conceptualized and practiced, and are not in the best interests of the profession or of individuals seeking psychotherapy services.

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Section: Resultsmentioning

confidence: 99%

Section: Idiographic Therapiesmentioning

confidence: 99%

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Psychotherapy Outcome Research: Issues and Questions

Shean

2016

Psychodynamic Psychiatry

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“…The use of therapy manuals in RCT studies allows for enhanced control over the experimental treatment under study but restricts the types of psychotherapeutic interventions that can be studied. The requirements of RCT designs in effect help to ensure the reliability of reported effects but limit the manner in which problems, treatments, and outcome criteria are defined, understood, and assessed [3,[9][10][11]. The effects of therapy moderators are assumed to be randomized in RCT design studies based on the assumption that randomization of group assignment takes into account potential effects of known moderators of therapeutic effects such as level of distress, social impairment, comorbidity, self-reflectiveness, readiness for change, openness to experience, level of engagement, ability to verbalize feelings, social support, and coping [1-3, 7, 10, 11].…”

Section: Rct Advantages and Limitationsmentioning

confidence: 99%

“…Idiographic therapies emphasize the multifaceted origins and nature of mental disorders and understand recovery as an ongoing process that requires flexibility on the part of the therapists, as well as responsibility, commitment, and motivation to change on the part of the patient. The goals of idiographic therapies are not limited to symptom reduction and include enhanced connection of memories, emotions, changes in patterns of problematic experiences, and relating in ways that enable patients to live more satisfying and effective symptom-free lives, to have richer and more satisfying relationships, and to find new ways to become more effective agents in their lives [1,7,11,12].…”

Section: Rct Advantages and Limitationsmentioning

confidence: 99%

Limitations of Randomized Control Designs in Psychotherapy Research

Shean

2014

Advances in Psychiatry

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Despite the growing influence of lists of empirically supported therapies (ESTs) there are concerns about the design and conduct of this body of research. These concerns include limitations inherent in the requirements of randomized control trials (RCTs) that favor those psychotherapies that define problems and outcome in terms of uncomplicated symptoms. Additional concerns have to do with criteria for patient selection, lack of integration with research on psychotherapy process and effectiveness studies, limited outcome criteria, and lack of controls for experimenter bias. RCT designs have an important place in outcome research; however it is important to recognize that these designs also place restrictions on what and how psychotherapy can be studied. There is a need for large scale psychotherapy outcome research based on designs that allow for inclusion of process variables and the study of the effects of those idiographic approaches to therapy that do not lend themselves to RCT designs. Interpretative phenomenological analysis may provide a useful method for the evaluation of the effectiveness of idiographic approaches to psychotherapy where outcome is not understood solely in terms of symptom reduction.

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Introduction: Practice as Transformative Wholeness

Gordon

2019

Aikido as Transformative and Embodied Pedagogy

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Psychotherapy as the Interpretation of Being: Hermeneutic Perspectives on Psychotherapy

Cited by 15 publications

References 6 publications

Psychotherapy Outcome Research: Issues and Questions

Psychotherapy Outcome Research: Issues and Questions

Limitations of Randomized Control Designs in Psychotherapy Research

Introduction: Practice as Transformative Wholeness

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