Qualitative meta-analysis of insight events in psychotherapy

Timulák, Ladislav; McElvaney, Rosaleen

doi:10.1080/09515070.2013.792997

Cited by 42 publications

(38 citation statements)

References 32 publications

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“…Significant events studies have revealed that there can often be a mismatch between what therapists and clients consider to be helpful, that is, a match was found in only about 30% of events (e.g., Martin & Stelmaczonek, 1988). Clients’ perspectives in intensive studies of specific type of events (e.g., insight events; Timulak & McElvaney, ) have also showed that clients often work further with the insight they attained during the session on their own (often doing so internally without sharing it with the therapist). Other findings suggest that the impact of a significant event may depend upon a lengthy client process preceding the event, one that makes the client more responsive to the event and the particular actions in it.…”

Section: Significant Events Studiesmentioning

confidence: 99%

“…With a growing number of qualitative studies there is inevitably a corresponding accumulation of research findings. Systematic reviews have recently been supplemented by qualitative meta‐analyses (Timulak, ), a method that has evolved in other disciplines such as nursing but is relatively new to psychotherapy research (e.g., Timulak, ; Timulak et al., ; Timulak & McElvaney, ). Most recently, Levitt, Pomerville, and Surace () performed a comprehensive qualitative meta‐analysis of clients’ experiences of psychotherapy based on findings from 109 qualitative studies on individual therapy (1,414 clients).…”

Section: Qualitative Meta‐analyses Of Clients’ Experiences In Therapymentioning

confidence: 99%

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The client's perspective on (experiences of) psychotherapy: A practice friendly review

Timulák

Keogh

2017

J Clin Psychol

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Recent decades have seen a significant increase in the number of studies exploring client perspectives on, and experiences of, psychotherapy. The present article provides a practice friendly overview of this research, identifying common domains of inquiry, and providing examples of findings relevant to practitioners. Research in this area can be categorized in terms of the client's perspective pertaining to theoretical constructs, studies of client satisfaction, and qualitative studies that are either open-ended or explore specific aspects of client experiences. Examples of this latter category include studies looking at distinct processes (e.g., self-disclosure), particular theoretical constructs (e.g., therapeutic alliance), helpful versus unhelpful aspects of therapy, and significant events. Research suggests that therapist willingness to seek client perspectives, openness to hear what clients have to say, nondefensiveness in the face of negative feedback, and ability to modulate actions accordingly are all likely to contribute to stronger relationships with clients and stronger collaboration, correspondingly contributing to stronger therapeutic outcomes.

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Section: Significant Events Studiesmentioning

confidence: 99%

Section: Qualitative Meta‐analyses Of Clients’ Experiences In Therapymentioning

confidence: 99%

The client's perspective on (experiences of) psychotherapy: A practice friendly review

Timulák

Keogh

2017

J Clin Psychol

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“…IPR research began to take hold in psychotherapy with the seminal work of Elliott (Elliott, 1986;Elliott & Shapiro, 1988) and the method has continued to grow and be modified for use in various contexts (e.g. Egeli, Brar, Larsen, & Yohani, 2013;Levitt & Piazza-Bonin, 2011;O'Hara & Schofield, 2008;Timulak & McElvaney, 2013). IPR was selected for its ability to elicit there-and-then experiences from participants, inviting them to discuss overt as well as unspoken thoughts and feelings as they remembered them to have occurred during the session (Kagan, 1984).…”

Section: Data Collectionmentioning

confidence: 99%

Hope in a strengths-based group activity for individuals with chronic pain

Larsen

King

Stege

et al. 2015

Counselling Psychology Quarterly

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While hope has been described as the ability to imagine a future in which one wishes to participate, individuals with chronic pain can have difficulty maintaining hope due to the pervasive impact of pain on multiple facets of their lives. This research examines client experiences of hope during a hope and strengths activity offered as part of a group treatment plan for individuals experiencing chronic pain. Entitled Being Hopeful in the Face of Chronic Pain, the group was developed in order to focus on hope and generative emotional experiences, experiences often lacking for individuals with chronic pain. The group activity being studied specifically addressed participants' current strengths and strengths they hope-to-have-more-of. The study employed basic qualitative inquiry and utilized interpersonal process recall individual interviews to stimulate participant recall. Twelve participants (spanning three separate group offerings) individually discussed their personal experiences as they unfolded during a specific hope and strengths-focused activity. Participants described experiences during the group activity that fostered personal hope via perspective shifts, communion, comparison and connection with other group members. Findings are discussed in the context of current literature on hope, chronic pain, positive psychology and group interventions.

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“…21 Investigating therapeutic processes requires a detailed analysis of what happens in therapy, how it is experienced by clients, and why they find it helpful or hindering. [22][23][24][25] Greater transparency regarding precisely how and why digital interventions achieve psychological change is likely to increase user trust, streamline interventions to their key components, and, consequently, increase reach. 18 Transdiagnostic interventions delivered in traditional and computerized formats have been shown to provide equivalent effects to disorder specific interventions of their type 26,27 and offer greater interactivity, flexibility and importantly, scalability.…”

Section: Introductionmentioning

confidence: 99%

Agents of change: Understanding the therapeutic processes associated with the helpfulness of therapy for mental health problems with relational agent MYLO

2020

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Objective: To understand the therapeutic processes associated with the helpfulness of an online relational agent intervention, Manage Your Life Online (MYLO).Methods: Fifteen participants experiencing a mental health related problem used Manage Your Life Online for 2 weeks. At follow-up, the participants each identified two helpful and two unhelpful questions posed by Manage Your Life Online within a single intervention session. Qualitative interviews were conducted and analyzed using thematic and content analysis to gain insight into the process of therapy with Manage Your Life Online.Results: MYLO appeared acceptable to participants with a range of presenting problems. Questions enabling free expression, increased awareness, and new insights were key to a helpful intervention. The findings were consistent with the core processes of therapeutic change, according to Perceptual Control Theory, a unifying theory of psychological distress. Questions that elicited intense emotions, were repetitive, confusing, or inappropriate were identified as unhelpful and were associated with disengagement or loss of faith in Manage Your Life Online. Conclusions:The findings provide insight into the likely core therapy processes experienced as helpful or hindering and outlines further ways to optimize acceptability of Manage Your Life Online.

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Qualitative meta-analysis of insight events in psychotherapy

Cited by 42 publications

References 32 publications

The client's perspective on (experiences of) psychotherapy: A practice friendly review

The client's perspective on (experiences of) psychotherapy: A practice friendly review

Hope in a strengths-based group activity for individuals with chronic pain

Agents of change: Understanding the therapeutic processes associated with the helpfulness of therapy for mental health problems with relational agent MYLO

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