Therapist immediacy in brief psychotherapy: Case study II.

Kasper, Laura B.; Hill, Clara E.; Kivlighan, Dennis M.

doi:10.1037/a0013306

Cited by 68 publications

(114 citation statements)

References 39 publications

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“…In addition to this research, Hill and colleagues presented two single case studies of brief interpersonal therapy that focus on the therapeutic relationship and examine the qualitative nature of theses interventions as well as their impact on client involvement and outcome (Hill et al, ; Kasper, Hill, & Kivlighan, ). The studies showed that a focus on the therapeutic relationship can take on various forms (confronting and challenging, supportive and empowering etc.…”

mentioning

confidence: 99%

Exploring In‐Session Focus on the Patient–Therapist Relationship: Patient Characteristics, Process and Outcome

Kuutmann

Hilsenroth

2011

Clin Psychology and Psychoth

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This study explored the amount of in-session focus on the patient-therapist relationship during early treatment with patient pre-treatment interpersonal style, personality pathology, patient ratings of session process and outcome. The sample consisted of 76 outpatients engaged in short-term psychodynamic psychotherapy. Results showed that higher levels of pre-treatment personality pathology and interpersonal problems were positively related to a greater focus on the patient-therapist relationship early in treatment. This was especially true for patients with a cold/distant interpersonal style and low self-esteem. Moreover, these two patient pre-treatment characteristics demonstrated a significant change over the course of therapy. These post-treatment changes also demonstrated a significant relationship with greater early treatment focus on the patient-therapist relationship. In addition, we found an interaction effect between quality of object relations (i.e., higher levels of object relations) and greater early treatment focus on the patient-therapist relationship with subsequent changes in patient cold/distant interpersonal problems. Greater in-session focus on the therapeutic relationship was not significantly related to patient ratings of session process. Implications for clinical practice and future research are discussed.

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mentioning

confidence: 99%

Exploring In‐Session Focus on the Patient–Therapist Relationship: Patient Characteristics, Process and Outcome

Kuutmann

Hilsenroth

2011

Clin Psychology and Psychoth

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“…Case analyses by Hill et al (2008); Kasper, Hill, &Kivlighan (2008), andMayotte-Blum et al (2012) have showed that skilful use of immediacy on the part of the therapist was perceived by clients as showing caring and helpfulness, tended to facilitate expression of painful emotional material, and contributed to the client being able to develop closeness with other people in their life.…”

Section: Persistencementioning

confidence: 99%

A Life-Saving Therapy: The Theory-Building Case of "Cora"

Halvorsen

Benum²,

Haavind³

et al. 2016

PCSP

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The present paper presents a case study of long-term (121 sessions over three years), integrative therapy with "Cora," a client with a history of severe relational trauma that had led to difficulty in forming close relationships, and a history of hospitalization resulting from a series of suicide attempts. Despite these challenges, Cora reported a highly satisfactory outcome at the end of therapy. Using the format of a theory-building case study (McLeod, 2010;Stiles, 2007), qualitative analysis of session evaluations, session transcripts, and post therapy interviews were used to investigate how both the client and therapist understood the process of therapy and why it had been successful. Data from quantitative process and outcome measures were analyzed to provide contextual information. In spite of repeated challenges and difficult therapeutic situations, Cora and the therapist were able to establish a recurring pattern of interaction that they found relevant and productive and that was characterized by persistence. Other helpful aspects of the therapy process included acting with courage, and the use of symbolic representations of their accomplishments. The results contribute to our understanding of the process of therapy with clients who have been exposed to severe relational trauma. The discussion includes reflection on methodological issues associated with mixed-methods case study research in psychotherapy.

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“…It is therefore possible to develop a more comprehensive appreciation of the case of Krista (Hill et al, ) by contrasting it with other cases in this body of work. Particularly relevant are two recent cases from this research group that have explored the role of immediacy in therapy (Hill et al ; Kasper, Hill, & Kivlighan, ). Unlike these earlier cases, which were characterised by quite high levels of therapist use of immediacy, Krista's therapist appeared to make minimal use of immediacy, despite high levels of competence in other skills.…”

Section: Case Study Research In Counselling and Psychotherapy: Exemplmentioning

confidence: 99%

Systematic case study research: A practice‐oriented introduction to building an evidence base for counselling and psychotherapy

McLeod

Elliott

2011

Couns and Psychother Res

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Background: Historically, clinical case studies have played a central role in counselling and psychotherapy training and practice, by allowing practitioners to learn about ideas and interventions being developed by colleagues. In recent years, the development of methods for systematic collection and analysis of case data has made it possible for case study research to begin to make a contribution to the evidence base for therapy policy and practice. Aim: This paper provides an overview of the characteristics of rigorous case study research, introduces a set of studies that exemplify these principles, and reviews the relevance of systematic case study inquiry for policy, practice and training. Conclusions: If case study research is to fulfil its potential as a source of research‐based knowledge, it is essential for practitioners to publish more systematic case studies that document the range and scope of everyday therapeutic practice. It is also necessary to carry out further research into a variety of methodological issues associated with single‐case inquiry, as a means of further developing this approach to practice‐based research.

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Therapist immediacy in brief psychotherapy: Case study II.

Cited by 68 publications

References 39 publications

Exploring In‐Session Focus on the Patient–Therapist Relationship: Patient Characteristics, Process and Outcome

Exploring In‐Session Focus on the Patient–Therapist Relationship: Patient Characteristics, Process and Outcome

A Life-Saving Therapy: The Theory-Building Case of "Cora"

Systematic case study research: A practice‐oriented introduction to building an evidence base for counselling and psychotherapy

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