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Abstract

Treatment choice" is the decision process whereby the psychotherapeutic methods and the psychotherapist are determined when psychotherapy is recommended for a specific client. In this article the problem of treatment choice is situated within an integrative view of psychotherapy. A review of the literature confirms the usefulness of the following concepts for treatment choice: client preferences, client control of the situation of choice, and the mutual acceptability of differing views of therapists and clients. These research findings reveal the importance of four elements in the psychotherapeutic intake strategy: exploration of the client's perspective, informing the client, negotiation as a process of confrontation between the client's and the clinician's perspective, and the client's ultimate choice between alternative treatment proposals.

Clinician interventions and participant characteristics that foster adaptive patient expectations for psychotherapy and psychotherapeutic change.

“…Others (e.g., Strupp, 1978) have advanced that expectations are markers for patients' underlying dynamics, suggesting that the therapist's task is to address the potential etiology of patients' expectations about what will and will not occur in the therapy process. Perhaps the most dominant contemporary approach to patients' treatment expectations is one of negotiation, with the therapist investigating the patient's perspective, informing the patient of the therapist's own perspective, entering a process negotiation, and letting the patient choose if the treatment seems appropriate (Van Audenhove & Vertommen, 2000). For example, a cognitive therapist who would not typically focus on a patient's childhood, might suggest the following to a patient who expects that a historical approach is necessary for change: "Actually, in discussing your thoughts, we will often find the root of these in your early childhood.…”

Psychotherapy role expectations and experiences – Discrepancy and therapeutic alliance among patients with substance use disorders

“…One clinical implication of our findings is the potential benefit of therapists discussing treatment expectations with patients at the onset of therapy. In targeting expectancies, potential discrepancies between patient and therapist will be made visible and thus possible to examine together in a so called negotiation approach to treatment selection (Bleyen, Vertommen, & Audenhove, 1998;Van Audenhove & Vertommen, 2000). This approach emphasizes the importance of collaboration and of a joint commitment to how the psychotherapy should be conducteda process that should start at the beginning of treatment, perhaps even before treatment begins.…”

How to use experience‐sampling technology to understand daily functioning: A practical guide for mental health professionals

“…This broader approach invites mental health professionals to defocus exclusive attention on symptom reduction and comprehensively grasp the realities of the individual's daily life functioning, including strengths and resilience (i.e., the ability to bounce back after stress) (Huber et al, 2011; Maj, 2020). To improve patients' resilience, strategies are needed that increase their autonomy and empower them (Aujoulat et al, 2007; Van Audenhove & Vertommen, 2000; Wakefield et al, 2018).…”