Revisiting a meta-analysis of helpful aspects of therapy in a community counselling service

Quick, Emma L; Dowd, Claire; Spong, Sheila

doi:10.1080/03069885.2017.1340582

Cited by 6 publications

(6 citation statements)

References 23 publications

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“…Interestingly, proactive and ongoing engagement in the use, selection and practice of CBT skills emerged as a helpful experience from the analysis. While this category may be understood as ‘client involvement’ in the context of previous research on helpful impacts in psychotherapy (Quick et al, 2018; Timulak, 2007), it could also be construed as client agency, which in the psychotherapy context is defined as ‘expectations related to the active, purposeful use of psychotherapy to meet needs, solve problems, and make life changes’ (Coleman & Neimeyer, 2015, p. 3). Extending this idea to after treatment has ended, it can be argued that by actively practicing and purposefully selecting CBT skills to meet mental health needs and solve problems (e.g., findings described under symptom‐driven selection and combination of skills, adaptation and idiosyncratic use of skills and continued skills practice & integration with daily living ), participants were in fact demonstrating agency.…”

Section: Discussionmentioning

confidence: 99%

Following up internet‐delivered cognitive behaviour therapy (CBT): A longitudinal qualitative investigation of clients' usage of CBT skills

Eilert

Timulák

Duffy

et al. 2021

Clin Psychology and Psychoth

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Background: While the acquisition and application of Cognitive Behaviour Therapy (CBT) skills is a core component and likely mechanism of effect maintenance in all CBT-based treatments, the extent of post-therapeutic CBT skills usage among internet-delivered CBT (iCBT) clients remains under-researched.Method: Nested within a pragmatic randomized controlled trial, 241 participants received an 8-week supported iCBT intervention for anxiety and/or depression and answered open-ended questions about their use and experience of CBT skills at 3-, 6-, 9-, and 12-month follow-up. Recurrent, cross-sectional qualitative analysis following the descriptive and interpretive approach was used to create a taxonomy, through which all qualitative data was coded.Results: In total, 479 qualitative responses across 181 participants were analysed.Participants reported using a wide range of CBT skills and associated helpful and hindering experiences and impacts. The reasons for discontinued CBT skills usage were diverse, ranging from rare adverse effects to healthy adaptation. Conclusion:The study shows how clients receiving iCBT in routine care learn CBT skills during treatment and utilize them in productive ways post-treatment. Findings coincide with similar research in face-to-face CBT and may inform future research to drive innovation and iCBT intervention development.

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Section: Discussionmentioning

confidence: 99%

Following up internet‐delivered cognitive behaviour therapy (CBT): A longitudinal qualitative investigation of clients' usage of CBT skills

Eilert

Timulák

Duffy

et al. 2021

Clin Psychology and Psychoth

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“…Notably, these perceptions may differ between clients (Mcelvaney & Timulak, 2013). Between-client variability in perceptions may be linked with individual client factors, such as the degree to which clients experience improvements in outcomes (Mcelvaney & Timulak, 2013), the type of treatment received (Quick et al, 2018), or the number of psychotherapy sessions completed (Llewelyn, 1988).…”

Section: Helpfulness In Psychotherapymentioning

confidence: 99%

“…Clients have reported a range of factors that they have found helpful in psychotherapy, including aspects of their own characteristics (Quick, Dowd, & Spong, 2018; Timulak et al, 2017), a positive client–therapist relationship (Mcelvaney & Timulak, 2013), and specific therapy activities (Burke et al, 2019). Notably, these perceptions may differ between clients (Mcelvaney & Timulak, 2013).…”

Section: Helpfulness In Psychotherapymentioning

confidence: 99%

Client and therapist agreement in moment‐to‐moment helpfulness ratings in psychotherapy: A microprocess approach

et al. 2020

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Method: Clients (n = 16; M age = 32.88 years; 81% female) and their therapists (n = 10; 80% female) from a training clinic provided moment-to-moment ratings while reviewing a video recording of a recent session. West and Kenny's Truth-and-Bias (T&B) model was used to examine agreement in ratings. Multilevel modeling was used to evaluate the agreementalliance association while controlling for sessions completed. Results: Consistent with the T&B model, client-therapist ratings were temporally congruent and were not discrepant overall. Greater congruence and smaller discrepancies were linked with stronger alliances. Conclusions: The within-session and between-dyad variability in helpfulness ratings highlight the utility of moment-tomoment rating methods. Findings suggest that therapists should attune to client perceptions on a within-session level and attunement may be a target for enhancing the alliance.

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“…These studies are nevertheless useful to psychodynamic research in considering study design and methodology, including generating potential categories for a coding system to classify results (Lietaer and Neirinck, 1986;Paulson et al, 1999). Studies that use different modalities (Quick et al, 2018;Swift et al, 2017) or rely on nonpsychodynamic constructs (Castonguay et al, 2010) have provided important background information. The working alliance, one aspect of the therapeutic relationship, predicts positive outcomes across different therapeutic approaches (Flu ¨ckiger et al, 2018;Norcross, 2002;Horvath and Symonds, 1991;Wampold and Imel, 2015;Uckelstam et al, 2018;Xu and Tracey, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…The working alliance, one aspect of the therapeutic relationship, predicts positive outcomes across different therapeutic approaches (Flu ¨ckiger et al, 2018;Norcross, 2002;Horvath and Symonds, 1991;Wampold and Imel, 2015;Uckelstam et al, 2018;Xu and Tracey, 2015). Contemporary studies focus on patients' (not just therapists') experiences of what was helpful in psychotherapy (Castonguay et al, 2010;Lilliengren and Werbart, 2005;Quick et al, 2018;Swift et al, 2017;Timulak, 2007;Timulak and Keogh, 2017). Lilliengren and Werbart (2005, p. 570) argue that a therapist-centered vision of the therapeutic action is insufficient, suggesting that a therapeutic collaboration might enhance the patient's participation in the relationship and facilitate the patient's increased "capacity to think and process problems.…”

Section: Introductionmentioning

confidence: 99%

In the patient’s own words: a qualitative study of what patients find helpful in psychodynamic psychotherapy

Richardson

Ernst

Drill

et al. 2023

JMHTEP

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Purpose This study aims to examine what patients say is helpful in psychodynamic psychotherapy by analyzing responses to an open-ended question at two time points: three months into treatment and termination. Design/methodology/approach Participants in this naturalistic study were a diverse group of patients seeking treatment at a psychodynamic psychotherapy training clinic (within a public hospital system). The authors used thematic analysis to categorize patient responses to an open-ended question about what is helpful in their treatment. Findings The authors found that a majority of patients found their psychotherapy helpful, and patient responses broke down into 16 categories. Themes that emerged from categories were what patients experience or feel, what therapists/therapy provides and what patients do in therapy. The most frequently endorsed category at both three months and termination was embedded within other categories, “mention of an other,” which captured when patients specifically mentioned another person (i.e. the therapist) in their response. The next most frequently endorsed categories were “talking/someone to talk with,” “feeling better/experiencing well-being/improved functioning” and “having regularity/structure” (at three months) and “having attention directed at experience,” “having regularity/structure” and “experiencing the professional role of the therapist” (at termination). Originality/value Findings shed light on factors contributing to helpful psychotherapy from patients’ perspectives in their own words. While previous research has shown that the therapy relationship is an important factor in effective therapy, the findings of this study highlight this ingredient in a personal, spontaneous way.

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Revisiting a meta-analysis of helpful aspects of therapy in a community counselling service

Cited by 6 publications

References 23 publications

Following up internet‐delivered cognitive behaviour therapy (CBT): A longitudinal qualitative investigation of clients' usage of CBT skills

Following up internet‐delivered cognitive behaviour therapy (CBT): A longitudinal qualitative investigation of clients' usage of CBT skills

Client and therapist agreement in moment‐to‐moment helpfulness ratings in psychotherapy: A microprocess approach

In the patient’s own words: a qualitative study of what patients find helpful in psychodynamic psychotherapy

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