Termination anxiety as it affects the therapist.

Martin, Emily; Schurtman, Robert

doi:10.1037/h0088532

Cited by 23 publications

(26 citation statements)

References 28 publications

(42 reference statements)

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“…This view applies more often to clients, but has also been applied to therapists, whose responses to termination, positive as well as negative, have been analyzed as features of the mourning process (Martin & Schurtman, 1985;Quintana, 1993;Ward, 1984).…”

Section: Limitations and Contributionsmentioning

confidence: 98%

“…Termination of treatment is recognized as an emotionally difficult experience not only for clients (Anthony & Pagano, 1998;Baum, 2005;Fortune, 1987;Fortune, Pearlingi, & Rochelle, 1992;Kramer, 1990;Marx & Gelso, 1987), but also for therapists (Martin & Schurtman, 1985;Northen, 1988;Siebold, 1991;Webb, 1985). In this paper patient and client are used interchangeably to indicate the recipient of the therapeutic services.…”

Section: Introductionmentioning

confidence: 96%

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Therapists’ Responses to Treatment Termination: An Inquiry into the Variables that Contribute to Therapists’ Experiences

Baum

2006

Clin Soc Work J

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The study investigates predictors of emotional responses to treatment termination in a sample of 48 professional social workers and 92 student social workers in Israel. The findings show that the respondents found treatment termination to be moderately difficult, and client initiated terminations to be especially difficult and to bring in its wake particularly negative emotions. They also show that the aftermath of the termination was related to the process. The less abrupt the termination, the more control the therapists had over the termination process, the more central the therapeutic relationship was to them, the more they attained the therapeutic goals, the less they believed that the therapy had failed, the more choice they had in the treatment termination, and the more they wanted the termination, the more positive self-feelings the therapist reported. The paper suggests that treatment termination is better viewed as a transition than a loss and discusses the clinical implications of the findings.

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Section: Limitations and Contributionsmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 96%

Therapists’ Responses to Treatment Termination: An Inquiry into the Variables that Contribute to Therapists’ Experiences

Baum

2006

Clin Soc Work J

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“…Most of the 1 studies exploring clients feelings stress anger, regression, rage, denial, (Bywaters, 1975;Fortune et al, 1992), as well as loss, sadness, and anxiety (Kramer, 1986). At the same time, various studies identify pride, sense of accomplishment (Fortune et al, 1992;Martin & Schurtman, 1985;Webb, 1985), sense of maturity, and feelings of newly gained independence (Fortune, 1987).…”

Section: Introductionmentioning

confidence: 94%

“…Nor has the length of the treatment (Northen, 1988). On the other hand, clients' previous loss experiences (Gould, 1977;Martin & Schurtman, 1985;Marx & Gelso, 1987;Webb, 1985) have been found to make TT more difficult.…”

Section: Introductionmentioning

confidence: 96%

Correlates of Clients’ emotional and Behavioral Responses to Treatment Termination

Baum

2005

Clin Soc Work J

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This study investigates the associations between clients' emotional and behavioral responses to treatment termination and eight sets of indepentent variables, covering the source of termination (client, therapist, external source); the termination process (speed, centrality, control, choice, and desire), and the perceived outcome (failure, goal achievement) of the therapy. Subjects were 92 student therapists and 40 professional therapists, who reported on their clients' perceptions, experiences, and responses. All the variables examined were associated with one or another client response. The findings support the view of treatment termination not only as a loss experience but also as a transition. They highlight the need for therapists to pay careful attention to both the source and the process of treatment termination.

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“…Even if termination of therapy is an expected event, therapists may still experience negative reactions. Martin and Schurtman (1985) found that therapists often felt uneasy about the ending of therapy and experienced a variety of affective reactions. They reported that therapists experienced feelings of loss, especially if they had unresolved issues of separation in their own histories.…”

Section: The Effects Of Termination On Therapistsmentioning

confidence: 99%

A conflict of responsibilities: A grounded theory study of clinical psychologists' experiences of client non‐attendance within the British National Health Service

Tweed

Salter

2000

British Journal of Medical Psychology

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Within psychotherapy process research, the effects of client non-attendance upon therapists has been neglected. The present study interviewed six clinical psychologists concerning their experiences of client non-attendance in health service practice in the UK. Their accounts were analysed using a grounded theory method. A core category was identified and termed 'responsibility'. This highlighted conflicting relationships between participants' responsibilities in several areas. A process model pertaining to non-attendance was also developed. Client non-attendance was seen to produce a level of disruption, experienced as an affective reaction and often experienced in terms of negative affect. In response, re-organizational strategies were used to restore equilibrium. Reasons are suggested as to why negative affective reactions were experienced. These include factors concerning therapeutic competency, but also reflect upon the profession's espousal of an 'all-knowing' expert identity. This is seen to be incongruent to the complexities of clinical practice.

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Termination anxiety as it affects the therapist.

Cited by 23 publications

References 28 publications

Therapists’ Responses to Treatment Termination: An Inquiry into the Variables that Contribute to Therapists’ Experiences

Therapists’ Responses to Treatment Termination: An Inquiry into the Variables that Contribute to Therapists’ Experiences

Correlates of Clients’ emotional and Behavioral Responses to Treatment Termination

A conflict of responsibilities: A grounded theory study of clinical psychologists' experiences of client non‐attendance within the British National Health Service

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