The purpose of this research is to investigate former client's perception of change, reasons for consultation, therapeutic relationship, and termination. Semistructured interviews were conducted with 17 former clients who had been in a psychotherapeutic treatment. A qualitative approach, based on consensual qualitative research (CQR) was used to analyze the interviews. Results show how the balance of negative and positive aspects of the therapeutic relationship is associated with the perception of change. Likewise, categories related to reasons for consultation were associated with types of change and therapy termination. The relevance of the client's perspective is increasingly being recognized as valuable for the understanding of the psychotherapeutic processes and generates hypotheses for future research.
The ethical practices of psychotherapy researchers were surveyed online. A total of 257 completed surveys were received from researchers worldwide. Eighty-nine percent of researchers admitted to at least one of the listed behaviors. The most common faults were related to excessive work demands: 44% of the respondents reported "inadequate monitoring of research projects due to work overload" and 37% reported "cutting corners in a hurry to complete a project." North America was lower in almost all of the reported behaviors. The results about specific behaviors related to psychotherapy research for which rules are still fuzzy reflect the disagreement among researchers. The high prevalence of misbehavior in psychotherapy research is a warning that cannot be ignored.
Despite recent attempts to develop a consensus definition, questions still remain as to what constitutes corrective experiences (CEs) in psychotherapy and how clients perceive them. This qualitative study assessed clients' first person accounts of CEs associated with their own treatment-related changes. Participants were 8 clients in private psychotherapy in Buenos Aires. Treatment, by therapists from diverse theoretical backgrounds, varied from 4 to 24 months. The Patients' Perceptions of Corrective Experiences in Individual Therapy interview protocol was used to assess clients' perceptions of CEs at posttreatment. All interviews were audiorecorded and transcribed and submitted to a 2-stage thematic analysis to assess CEs and the contextual factors that contributed to them. Of the 8 participants, 5 narrated stories about CEs that changed the way they thought about themselves and their behavior. Additionally, clients highlighted disconfirmation of therapist role expectations and surprise regarding therapists' actions and behaviors as mechanisms of these corrective moments.
The ethical practices of psychotherapy researchers in Latin America were surveyed online. Of the 114 psychotherapy researchers to whom the survey was sent, 76 responded (67% response rate). Seventy-seven percent of the respondents had not received formal training in research ethics, yet 84% indicated that formal training is useful for the prevention of scientific misbehavior. Researchers admitted to various ethically questionable practices, the most common of which were related to authorship. None reported having fabricated or falsified data. The need for adequate training and evaluation of research projects is addressed.
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