Qualitative Methods in Psychotherapy Outcome Research

Rodgers, Brian; Elliott, Robert

doi:10.1007/978-3-7091-1382-0_27

Cited by 29 publications

(17 citation statements)

References 70 publications

(72 reference statements)

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“…Participants completed individual semi‐structured interviews by telephone. The interview questions were adapted from the Client Change Interview (see Supplementary Interview Guide [Data S1]) 26 . The interviews were conducted by V. A. S., a Bachelor's level clinical research coordinator not involved in clinical care but familiar with Tele‐CBT research, under the supervision of a psychiatrist with qualitative methodology expertise (S. S.).…”

Section: Methodsmentioning

confidence: 99%

“If you're offered help, take it”: A qualitative study examining bariatric patients' experience of telephone‐based cognitive behavioural therapy

et al. 2020

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Summary The increased recognition of patients' mental health needs after bariatric surgery has resulted in the emergence of accessible psychosocial interventions; however, there is a dearth of literature on patient experience and satisfaction with these interventions. We explored patients' perceptions and experiences of telephone‐based cognitive behavioural therapy (Tele‐CBT) in this qualitative study. Ten participants from the Toronto Western Hospital Bariatric Surgery Program in Toronto, Canada who completed the Tele‐CBT (http://clinicaltrials.gov Identifier: NCT02920112) were individually interviewed from November 2014 to June 2016 until thematic saturation occurred (ie, no more new coding groups emerged). Interviews were transcribed, independently coded, checked for discrepancies, and analysed using grounded theory. Four themes emerged: (1) participants were generally satisfied with Tele‐CBT (eg, therapeutic alliance, resources provided, relevance of therapy to their own bariatric journey), (2) participants noticed emotional, cognitive, and behavioural changes following therapy, (3) the optimal time to deliver the Tele‐CBT was when weight loss plateaued, generally at one‐year post‐surgery, and (4) participants found the telephone modality convenient. CBT was generally found to be helpful and the telephone format increased convenience and accessibility. Patients reported learning skills and receiving resources that could help them improve their well‐being following bariatric surgery.

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Section: Methodsmentioning

confidence: 99%

“If you're offered help, take it”: A qualitative study examining bariatric patients' experience of telephone‐based cognitive behavioural therapy

et al. 2020

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“…Qualitative research that aim to explore clients’ general experiences in psychotherapy have largely been conducted post-session or post-treatment, by asking clients to recall events retrospectively. In these interviews, momentary experiences during the flow of events that occur during a session might be forgotten by the clients or might merge into more global impressions ( Rodgers and Elliott, 2015 ). Emotion episodes in therapy might be passing events lasting only for seconds at a time, and clinically relevant information about important micro-processes might be lost in post-session recalls.…”

Section: Introductionmentioning

confidence: 99%

Opening Up: Clients’ Inner Struggles in the Initial Phase of Therapy

et al. 2020

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ObjectiveTo explore how clients in clinical settings experience the process of opening up and sharing their inner experiences in the initial phase of therapy.MethodsTwo psychotherapy sessions of clients (N = 11) were videotaped and followed by interviews. Interpersonal process recall was used to obtain in-depth descriptions of clients’ immediate experiences in session. A follow-up interview was conducted 3 months later. The interviews were analyzed using thematic analysis.ResultsThe data revealed how and why clients distanced themselves from inner experiences in the initial phase of therapy. The overarching theme was “Holding back and struggling to open up,” which included four subthemes: (a) fearing the intensity and consequences of negative emotions; (b) experiences of being incapable and bodily stuck; (c) being insecure about one’s worthiness and right to share inner experiences with the therapist; and (d) struggling with feeling disloyal to loved ones.ConclusionThe participants held back because they feared different consequences of opening up. A range of concerns led participants to distance themselves from their inner experiences and/or to refrain from openly talking about them to the therapist. Concerns related to appropriate interpersonal conduct as client were especially important. This knowledge is highly relevant to clinicians when building safety for psychotherapeutic work.

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“…Extending this, the use of more qualitative methods for evaluating the outcomes of therapy would allow greater insight into the richness and diversity of these individual client change processes—and is both more personal and more political. Methods such as change interviews, diaries, timelines, and life space mapping all have the potential to be utilised as part of a routine data collection protocol (see Rodgers & Elliott, , for a fuller discussion of these methods). Similarly, drawing on the rich tradition of using single cases to articulate theory, new approaches to analysing, reporting, and disseminating single cases aim to reposition systematic case studies as a legitimate evidence base for psychotherapy (see McLeod, , for a fuller discussion of this).…”

Section: Resultsmentioning

confidence: 99%

The trouble with numbers: Some fundamental flaws with using standardised outcome measures

Rodgers

2017

Psychother Politics Int

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The modern paradigm of evidence‐based practice dominates the therapeutic world and influences all aspects of the profession. Yet this pervasive concept is based on surprisingly shaky ground. When looked at in detail, the source of the raw data used as the basis of much of this evidence, standardised outcome measures, can be seen to be fundamentally flawed. This article sets out the many methodological, sociopolitical, and technical flaws in standardised outcome measures, and asks what this means for the field of psychotherapy.

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Qualitative Methods in Psychotherapy Outcome Research

Cited by 29 publications

References 70 publications

“If you're offered help, take it”: A qualitative study examining bariatric patients' experience of telephone‐based cognitive behavioural therapy

“If you're offered help, take it”: A qualitative study examining bariatric patients' experience of telephone‐based cognitive behavioural therapy

Opening Up: Clients’ Inner Struggles in the Initial Phase of Therapy

The trouble with numbers: Some fundamental flaws with using standardised outcome measures

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