Structure of the therapy session.

Persons, Jacqueline B.; Davidson, Joan; Tompkins, Michael A.

doi:10.1037/10389-003

Cited by 3 publications

(13 citation statements)

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“…The few occasions where clients initiated the first topic reveal the uncertainty faced, by at least some of them, about what to expect from therapy. These occasions are specific evidence of broader uncertainty about psychotherapy that has been highlighted in previous research . For example, Alison (P45) initiated the first topic by asking ‘How do we start?’ and Isabel (P152) by asking ‘Do you ask me questions or do I talk?’ Their questions indicate these clients do not know what to expect from CBT and provide insight into the basic expectations therapists need to manage at the outset of therapy.…”

Section: Discussionmentioning

confidence: 88%

“…In contrast to long‐standing familiarity with GP consultations, people utilising a service like psychotherapy may be unsure about what is involved or could have unrealistic or incorrect expectations . Given that explanations are a fundamental technique to manage the expectations of others, this article focuses on how therapists manage their clients’ expectations from the outset of therapy.…”

Section: Introductionmentioning

confidence: 99%

“…In both traditional and online therapy, further evidence about the therapeutic process is required to support optimal clinical practice . For instance, initial moments of the beginning of therapy afford an important opportunity to establish shared expectations that may ultimately influence therapeutic outcome . It can be particularly important for clients to appreciate that many sessions may be required to achieve therapeutic benefit and that initial progress may not therefore be as rapid as they might have anticipated.…”

Section: Introductionmentioning

confidence: 99%

“…The initial moments of first sessions in CBT, which are predominantly focused on assessing a client's situation (hereafter referred to as the ‘assessment phase’), afford opportunities for therapists to explain to clients what therapy will be like. This has been described as orienting clients to the structure of therapy and is crucial for appropriately involving them from the outset of treatment . There are two main reasons for focusing on first session openings: first, because the strategies that therapists use to open, structure and manage clients’ expectations are thought to be important for therapeutic success; and second, because how therapy is initiated may influence the relationship between therapist and client .…”

Section: Introductionmentioning

confidence: 99%

“…This has been described as orienting clients to the structure of therapy and is crucial for appropriately involving them from the outset of treatment . There are two main reasons for focusing on first session openings: first, because the strategies that therapists use to open, structure and manage clients’ expectations are thought to be important for therapeutic success; and second, because how therapy is initiated may influence the relationship between therapist and client . Achieving consensus about the tasks and goals of therapy is an important part of therapeutic relationships .…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Managing clients’ expectations at the outset of online Cognitive Behavioural Therapy (CBT) for depression

Ekberg

Barnes

Keßler

et al. 2014

Health Expectations

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BackgroundEngaging clients in psychotherapy by managing their expectations is important for therapeutic success. Initial moments in first sessions of therapy are thought to afford an opportunity to establish a shared understanding of how therapy will proceed. However, there is little evidence from analysis of actual sessions of therapy to support this.ObjectiveThis study utilised recorded session logs to examine how therapists manage clients’ expectations during the first two sessions of online Cognitive Behavioural Therapy (CBT).MethodsExpectation management was investigated through conversation analysis of sessions from 176 client‐therapist dyads involved in online CBT. The primary focus of analysis was expectation management during the initial moments of first sessions, with a secondary focus on expectations at subsequent points.AnalysisClients’ expectations for therapy were most commonly managed during the initial moments of first sessions of therapy. At this point, most therapists either produced a description outlining the tasks of the first and subsequent sessions (n = 36) or the first session only (n = 108). On other occasions (n = 32), no attempt was made to manage clients’ expectations by outlining what would happen in therapy. Observations of the interactional consequences of such an absence suggest clients may struggle to engage with the therapeutic process in the absence of appropriate expectation management by therapists.ConclusionClients may more readily engage from the outset of therapy when provided with an explanation that manages their expectation of what is involved. Therapists can accomplish this by projecting how therapy will proceed, particularly beyond the initial session.

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Section: Discussionmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Managing clients’ expectations at the outset of online Cognitive Behavioural Therapy (CBT) for depression

Ekberg

Barnes

Keßler

et al. 2014

Health Expectations

View full text Add to dashboard Cite

show abstract

Relationship between Expectation Management and Client Retention in Online Cognitive Behavioural Therapy

Ekberg

Barnes

Keßler

et al. 2014

Behav. Cogn. Psychother.

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(2015) Relationship between expectation management and client retention in online cognitive behavioural therapy. Behavioural and Cognitive Psychotherapy, 43 (6 A note on versions:The version presented here may differ from the published version or from the version of record. If you wish to cite this item you are advised to consult the publisher's version. Please see the repository url above for details on accessing the published version and note that access may require a subscription.For more information, please contact eprints@nottingham.ac.uk Behavioural and Cognitive Psychotherapy, 2015, 43, 732- University of Bristol, UKBackground: Engaging clients from the outset of psychotherapy is important for therapeutic success. However, there is little research evaluating therapists' initial attempts to engage clients in the therapeutic process. This article reports retrospective analysis of data from a trial of online cognitive behavioural therapy (CBT) for depression. Qualitative and quantitative methods were used to evaluate how therapists manage clients' expectations at the outset of therapy and its relationship with client retention in the therapeutic intervention. Aims: To develop a system to codify expectation management in initial sessions of online CBT and evaluate its relationship with retention. Method: Initial qualitative research using conversation analysis identified three communication practices used by therapists at the start of first sessions: no expectation management, some expectation management, and comprehensive expectation management. These findings were developed into a coding scheme that enabled substantial inter-rater agreement (weighted Kappa = 0.78; 95% CI: 0.52 to 0.94) and was

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Romantic Relationships and Mental Health: Investigating the Role of Self-Expansion on Depression Symptoms

McIntyre

Mattingly

Stanton

et al. 2022

Journal of Social and Personal Relationships

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Close relationships have the potential to fundamentally alter relationship partners’ self-concepts and, consequently, can impact individuals’ mental health. One type of relationship-induced self-concept change is self-expansion, which describes the cognitive reorganization of the self that can occur when individuals include aspects of their partner into the self, or when they share novel and challenging activities together. In the current research, we hypothesized that greater self-expansion would be associated with fewer depression symptoms. In support of this hypothesis, across four studies using cross-sectional, dyadic, daily diary, and longitudinal methodologies, we found that self-expansion was negatively associated with depression symptoms. This association was robust and remained a significant predictor of depression symptoms when controlling for demographic factors (gender, age, relationship length; Studies 1–4) and known risk factors of depression (dysfunctional attitudes, major life stressors, self-concept clarity; Study 2). Moreover, individuals’ self-expansion negatively predicted depression symptoms at the daily level (Study 3) and longitudinally over 9 months (Study 4). These results are the first to show the link between self-expansion and depression symptoms, suggesting that self-expansion may have robust benefits for individuals, beyond improving relationship dynamics.

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Structure of the therapy session.

Cited by 3 publications

References 0 publications

Managing clients’ expectations at the outset of online Cognitive Behavioural Therapy (CBT) for depression

Managing clients’ expectations at the outset of online Cognitive Behavioural Therapy (CBT) for depression

Relationship between Expectation Management and Client Retention in Online Cognitive Behavioural Therapy

Romantic Relationships and Mental Health: Investigating the Role of Self-Expansion on Depression Symptoms

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