Therapist attitudes and patient outcomes. III. A latent class analysis of therapists

Sandell, Rolf; Lazar, Anna; Grant, Johan; Carlsson, Jan; Schubert, Johan; Broberg, Jeanette

doi:10.1348/147608306x105694

Cited by 24 publications

(25 citation statements)

References 39 publications

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“…Techniques that may work in psychoanalysis are not necessarily optimal in conducting psychotherapy. It has been found that psychotherapists endorsing psychoanalytic values achieve less positive outcome in psychotherapy than more eclectically minded therapists (Sandell et al, 2006(Sandell et al, , 2007. In interviews (Carlsson et al, 2011), it was found that a major ambition of the psychotherapy students was to achieve recognition as psychotherapists.…”

Section: Discussionmentioning

confidence: 99%

The development of therapeutic attitudes during and after psychotherapy training

Carlsson

Norberg

Schubert

et al. 2011

European Journal of Psychotherapy & Counselling

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The aim of this study was to explore changes in psychotherapeutic attitudes of students during training in psychodynamic psychotherapy and the first few years after it. Forty-six students were asked to answer a therapeutic identity questionnaire at three times during training and at one time after it. Twenty-one students completed the questionnaire on all four occasions. The questionnaire assessed attitudes on nine scales relating to beliefs about curative elements in psychotherapy, therapeutic style, and basic assumptions about psychotherapy and human nature. At the beginning of training, students had a clear psychoanalytical orientation, similar to that of their supervisors. From the last year of training, after supervision had ended, and continuing during the post-training period, students distanced themselves from the psychoanalytical orientation and their supervisors toward a more eclectic position. This development may reflect the formation of an autonomous therapeutic identity.Ziel der vorliegenden Studie war es, die Veraenderungen psychotherapeutischer Haltungen von Studenten waehrend ihrer Ausbildung in psychodynamischer Psychotherapie und in den ersten Jahren nach Abschluss der Ausbildung zu untersuchen. 46 Studenten waren dreimal waehrend ihrer Ausbildung und einmal nach dem Abschluss derselben gebeten worden, einen Fragebogen hinsichtlich ihrer therapeutischen Identitaet auszufuellen. Davon fuellten 21 den Fragebogen tatsaechlich viermal aus. Der Fragebogen bewertete auf neuen Skalen die Ansichten der Befragten hinsichtlich heilender Elemente in der Psychotherapie, hinsichtlich therapeutischer Stile und hinsichtlich grundsaetzlicher Annahmen bezueglich Psychotherapie als solcher und der Natur des Menschen. Die Untersuchung ergab, dass die Studenten zu Beginn ihrer Ausbildung eine eindeutig psychoanalytische Orientierung verfolgten, die der ihrer Supervisoren entsprach. Mit dem letzten Ausbildungsjahr, nach Beendigung der Supervision und waehrend der auf die Ausbildung folgenden Zeit haben sich die Studenten von der psychoanalytischen Ausrichtung und den Supervisoren distanziert und sich zu einer eklektischen Position hinentwickelt. Diese Entwicklung koennte die Begruendung einer eigenstaendigen therapeutischen Identitaet widerspiegeln.El objetivo de este studio fue explorar los cambios en las actitudes terape´uticas de los estudiantes durante su formacio´n en terapia psicodina´-mica y en los primeros an˜os despue´s de terminada e´sta. Se pidio´a 46 estudiantes responder a un cuestionario sobre identidad terape´utica, tres veces durante la formacio´n y una vez despue´s de finalizada. 21 estudiantes completaron el cuestionario en todas las cuatro ocasiones. El cuestionario evaluoĺ as actitudes en 9 escalas relativas a sus creencias en relacio´n con el element curative en psicoterapia, sus supuestos ba´sicos y la naturaleza humana. Al comienzo de su entrenamiento, los estudiantes tenı´an una clara orientacio´n psicolo´gica, semejante a la de sus supervisores. Despue´s del u´ltimo an˜o, habiendo finalizad...

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Section: Discussionmentioning

confidence: 99%

The development of therapeutic attitudes during and after psychotherapy training

Carlsson

Norberg

Schubert

et al. 2011

European Journal of Psychotherapy & Counselling

Self Cite

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“…As the therapist brings these to the consulting room, they will likely serve as a backdrop to his or her management of the therapeutic relationship and the therapy process. After a latency of about 20 years the focus of Fey and Rice (Fey, 1958;Rice, Fey, & Kepecs, 1972;Rice, Gurman, & Razin, 1974), McNair and Lorr (1964), Sundland (Sundland, 1977;Sundland & Barker, 1962), Wallach and Strupp (1964), Weissman, Goldschmid and Stein (1971), Wogan and Norcross (1985) and others on these processes was reintroduced by Orlinsky S. Taubner et al Research Network, 1997;Orlinsky, et al, 1999) and, somewhat later, by Sandell (Sandell, et al, 2004;Sandell, et al, 2006;Sandell, et al, 2007).…”

Section: Research On the Therapistmentioning

confidence: 99%

“…Applying the TASC-2-Scales to a sample of 167 therapists from the Stockholm Outcome of Psychoanalysis and Psychotherapy Project (STOPPP) Sandell et al (2006;Sandell, et al, 2007) found that patients' changes in psychological distress were moderated by therapists' attitudes. Kindness as a curative factor, Neutrality as a therapeutic style factor, and Artistry as a basic assumption factor were associated with long-term success.…”

Section: Therapeutic Attitudes and Work Involvementmentioning

confidence: 99%

Therapeutic attitudes and practice patterns among psychotherapy trainees in Germany

Taubner

Kächele

Visbeck

et al. 2010

European Journal of Psychotherapy & Counselling

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Aim: This study aims to explore if and how values and attitudes from trainees of different psychotherapeutic schools vary during training. Another aim has been to evaluate the extent of their therapeutic selfconfidence during training. Methods: In a cross-sectional study, 171 trainees in German institutes with different theoretical orientations (Psychoanalysis -PA, Psychodynamic Therapy -PT and Cognitive Behavioral Therapy -CBT) participated. Results are reported for two questionnaires: Therapeutic-Attitudes-Candidate-Version (ThAT-CV) and Work-Involvement-Scales (WIS). Results: Therapeutic attitudes showed significant differences between trainees with different theoretical orientations but no significant difference between different levels of training within the same school. Whereas the PA and CBT trainees endorsed contrasting attitude profiles, the PT group displayed less differentiated attitudes in between those contrasts. Most trainees experienced their psychotherapeutic practice as challenging, and Stressful Involvement in therapy sessions was lower with more years in training. Female trainees reported more Healing Involvement and felt more competent in general than their male colleagues. Self-reported competence was higher the more congruent the trainees' attitudes with their school's theoretical orientation. Conclusions: The ThAT-CV discriminates significantly between trainees of different therapeutic schools. Our sample demonstrates high identification with attitudes belonging to their theoretical orientation. This may account for high ratings of self-reported therapeutic competence. Attitudes seem to be formed before training and change little thereafter. Less differentiated attitudes may explain PT-trainees' higher levels of Stressful Involvement.

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“…However, evidence is accumulating for the variability among therapists as well (Beutler, 1997;Blatt, Sanislow, Zuroff, & Pilkonis, 1996;Crits-Christoph & Mintz, 1991;Kim, Wampold, & Bolt, 2006;Lafferty, Beutler, & Crago, 1989;Lambert, 1990;Luborsky et al, 1986;Luborsky, McLellan, Diguer, Woody, & Seligman, 1997;Luborsky, McLellan, Woody, O'Brien, & Auerbach, 1985;Wampold & Brown, 2005). Also, two studies using LC regression analysis reported large between-therapists differences (Sandell et al, 2006a(Sandell et al, , 2006b. Obviously, in this study, as for most psychotherapy studies, there was a partial confounding between patients and therapists, because each patient had only one therapist, although each therapist may have had more than one patient, and there was no random selection between the two.…”

Section: Discussionmentioning

confidence: 79%

“…Of the therapists, 95% claimed to be ''rather strongly'' or ''strongly'' oriented toward a psychoanalytic or psychodynamic theoretical position, and 11% claimed also to share ''strongly'' or ''rather strongly'' an eclectic position. Further details Individual differences in change during therapy 691 on the treatment providers are given in Sandell et al (2006aSandell et al ( , 2006b.…”

Section: Treatments and Therapistsmentioning

confidence: 99%

An individual differences perspective on change in psychotherapy: The case of health care utilization

Lazar

Sandell

Grant

2007

Psychotherapy Research

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Therapist attitudes and patient outcomes. III. A latent class analysis of therapists

Abstract: Therapists with a psychoanalytic or eclectic orientation are systematically different in terms of the outcomes they tend to contribute to with their patients. This variation is partly accounted for by differences in their therapeutic attitudes.

Cited by 24 publications

References 39 publications

The development of therapeutic attitudes during and after psychotherapy training

The development of therapeutic attitudes during and after psychotherapy training

Therapeutic attitudes and practice patterns among psychotherapy trainees in Germany

An individual differences perspective on change in psychotherapy: The case of health care utilization

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