Training en supervisie in het hanteren van de therapeutische relatie

Hafkenscheid, Anton

doi:10.1007/s12485-015-0037-4

Cited by 6 publications

(8 citation statements)

References 16 publications

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“…There was no overlap with data used in the prior Dutch IMI‐C studies. Respondents were referred to the electronic IMI‐C format (Hafkenscheid, 2012) in workshops, paper presentations, postgraduate courses in clinical psychology and psychotherapy, and also in a well‐received Dutch text book, introducing the art and science of the therapeutic relationship from an interpersonal communication perspective (Hafkenscheid, 2014). Respondents participated voluntarily and anonymously.…”

Section: Methodsmentioning

confidence: 99%

Does a three‐dimensional Impact Message Inventory‐Circumplex (IMI‐C) enclose an indirect measure of reactance?

Hafkenscheid

Timmerman

2023

Clin Psychology and Psychoth

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Clinicians can rely on the Impact Message Inventory‐Circumplex (IMI‐C) to map their emotional reactions to their patients' communication style in octant and main dimension scores on the two‐dimensional interpersonal circle, based on affiliation (AFF) and control (CON) as the underlying main dimensions. However, modern emotion theories distinguish three, rather than two, robust dimensions of emotional experience and the perception of interpersonal behaviours: (1) positive versus negative evaluation (related to AFF), (2) strong versus weak (related to CON) and (3) active versus passive (arousal). In a large Dutch patient sample (N = 1,001), we first tested whether the two‐dimensional circumplex structure of the IMI‐C could be replicated using Browne's circumplex model. Then we explored whether a third dimension could be retrieved from therapists' IMI‐C responses using exploratory factor analysis, followed by orthogonal target rotation towards a partially specified target matrix, with the first two factors specified according to the circumplex structure, and the other factor(s) left free. The two‐dimensional circumplex of the IMI‐C could be validated to a fair extent. Using exploratory factor models, we found supporting evidence for a third factor, which could be interpreted as reflecting reactance (‘active’ vs. ‘passive’ opposition). We recommend to extend the current two‐dimensional interpretation to a three‐dimensional interpretation of IMI‐C responses, by adding a reactance dimension.

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Section: Methodsmentioning

confidence: 99%

Does a three‐dimensional Impact Message Inventory‐Circumplex (IMI‐C) enclose an indirect measure of reactance?

Hafkenscheid

Timmerman

2023

Clin Psychology and Psychoth

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“…Based on the clients’ ratings, the participants discuss what the therapist should maintain or increase and what the therapist should do better or differently in the next session. To reduce risk of social desirability of clients’ responses, as identified by Hafkenscheid,40 therapists are trained to specifically elicit negative feedback. The more negative feedback can be generated, the more treatment adaptations can be made, and the more therapy can be customised to the needs and desires of the patient.…”

Section: Methodsmentioning

confidence: 99%

Systematic client feedback to brief therapy in basic mental healthcare: study protocol for a four-centre clinical trial

et al. 2019

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IntroductionThe Partners for Change Outcome Management System (PCOMS) is a client feedback-system built on two brief visual analogue self-report scales. Prior studies of PCOMS have found effects varying from significant positive to negative. Aims of present study are; to test the predicted beneficial impact of PCOMS, while accounting for methodological flaws in prior studies and to clarify under which circumstances the addition of PCOMS to therapy has a beneficial effect.Methods and analysisThis study focuses on patients applying for brief, time-limited treatments. Four centres will be randomised to either treatment as usual (TAU) or TAU with PCOMS. All participating patients will be assessed four times. The full staff in the experimental condition will be trained in PCOMS. In the second part of this study, all therapists in the PCOMS condition will fill in a questionnaire concerning the influence of regulatory focus, self-efficacy, external or internal feedback orientation and perceived feedback validity of PCOMS. Finally, patients in the PCOMS condition will be asked to give feedback through a structured interview.The primary outcome measure is the Outcome Questionnaire over the period from beginning to end of therapy. The Mental Health Continuum-Short Form and Consumer Quality Index are also completed. In the primary analysis, outcomes of the two treatment conditions on treatment outcome, patient satisfaction, costs, drop-out and duration will be examined with a three-level (within patient, between patients and between therapists) multilevel analysis. The DSM-classification, sex, education level, age of each patient and therapist factors will be included as covariates.Ethics and disseminationThe Medical Ethics Committee of the University of Twente approved this study (K15-11, METC Twente). Data will be included from 1 January 2016 to 1 July 2019. Study results will be disseminated through peer-reviewed journals and conferences.Trial registration numberNTR5466; Pre-results.

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“…In allerlei werkvelden wordt gepleit voor het serieus nemen van de relatie als fundament voor de beroepsuitoefening, bijvoorbeeld om tot gedragsverandering te komen. In de ggz zien we in dit opzicht een verschil in visie tussen therapeutische scholen (Hafkenscheid, 2021). Zo beschouwen cliëntgerichte therapeuten de relatie als het eigenlijke werkingsmechanisme en daarmee als specifieke factor, terwijl cognitieve gedragstherapeuten de relatie slechts als voorwaardenscheppend zien ofwel als algemeen werkzame factor.…”

Section: Inleidingunclassified

Professionele pedagogische en hulpverleningsrelaties vragen meer dan een warm hart

Koomen

2023

JiO

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Betrokkenheid en verbondenheid van professionele opvoeders en hulpverleners met kinderen, jongeren en volwassenen in een afhankelijkheidspositie is van evident belang. Maar behalve een warm hart vraagt de omgang met relaties ook professionele kennis en vaardigheden, om een solide fundament te kunnen leggen voor de verdere beroepsuitoefening. Dit is in het belang van de cliënt maar ook in dat van de professionele opvoeder zelf. Te vaak wordt verondersteld dat het om een algemeen menselijke vaardigheid gaat die vanzelf al voldoende aanwezig is. Hieraan zou in opleidingen meer gericht aandacht moeten worden besteed. Dit vraagt op zijn beurt om goed uitgewerkte theorie over de professionele relatie tussen hulpverlener en cliënt inclusief empirische onderbouwing, waaraan het opvallend genoeg in veel werkvelden ontbreekt. In dit artikel wordt verkend wat conceptualisering en onderzoek naar de affectieve leerkracht-leerlingrelatie op basis van de gehechtheidstheorie, en de uitwerking in meetinstrumenten en relatie-interventies kan betekenen voor andere werkvelden. Trefwoorden: professionele relatie, pedagogisch, hulpverlening, onderwijs, professionele kennis Abstract The involvement and connection of professional educators and care providers with children, adolescents and adults in a position of dependence, is of obvious importance. Besides a warm heart, dealing with relationships also requires professional knowledge and skills to lay a solid foundation for further professional practice. This is in the client’s interest, but also in that of the professional educator. Too often it is assumed that relational competencies can be reduced to a general human skill that is already there. However, relational work requires specific education and professional training. This, in turn, asks for well-developed theory about the professional relationship between care provider and client, including empirical support, which is conspicuously lacking in many fields of care. This article explores what conceptualization and research on affective teacher-student relationships based on attachment theory, and its elaboration in measuring instruments and relationship interventions could mean for other fields. Keywords: professional relationship, pedagogical, care, education, professional training ---redactioneel--- Redactioneel In deze bewerking van de oratie die Helma Koomen uitsprak bij de aanvaarding van de Kohnstammleerstoel aan de UvA in juni 2022 schetst zij een helder beeld van de inmiddels in het onderwijsveld welbekende gehechtheidsbenadering van de leerling-leerkrachtrelatie. De kracht daarvan zit hem in het gedifferentieerde beeld van deze relatie in termen van nabijheid, conflict en afhankelijkheid en de theoretische fundering die hij biedt voor de ontwikkeling van assessment en interventies. Koomen betoogt dat deze uitwerking succesvol kan worden toegepast op relaties in andere professionele settings en daarbij voordelen heeft ten opzichte van andere benaderingen, zoals de ‘therapeutische alliantie’. Hoewel Koomen wijst op de beschikbaarheid van op de gehechtheidtheorie gebaseerde, effectieve interventies die leerkrachten en andere professionals kunnen helpen beter om te gaan met hun ondersteunings- en hulpverleningsrelaties, is het ook duidelijk dat er nog heel wat werk aan de winkel is om die ook te laten landen. Daarbij zal volop aandacht nodig zijn voor knellende vraagstukken rondom de opleiding van professionals in onderwijs en daarbuiten, de veelvoorkomende parttime aanstelling van leerkrachten, de korte duur van veel (therapeutische) contacten en de veelvuldige personele wisselingen in zowel de ambulante als residentiële zorg. Het redactioneel is geschreven door Hans Koot.

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Training en supervisie in het hanteren van de therapeutische relatie

Cited by 6 publications

References 16 publications

Does a three‐dimensional Impact Message Inventory‐Circumplex (IMI‐C) enclose an indirect measure of reactance?

Does a three‐dimensional Impact Message Inventory‐Circumplex (IMI‐C) enclose an indirect measure of reactance?

Systematic client feedback to brief therapy in basic mental healthcare: study protocol for a four-centre clinical trial

Professionele pedagogische en hulpverleningsrelaties vragen meer dan een warm hart

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