Client and Therapist Perspectives of Change in Collaborative Language Systems: An Interpretive Ethnography

Gehart-Brooks, Diane R.; Lyle, Randall R.

doi:10.1521/jsyt.1999.18.4.58

Cited by 10 publications

(22 citation statements)

References 17 publications

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“…These preliminary understandings can be in the form of strong notions about the nature of their family’s problems, including (a) a belief in a single cause or solution for their problem (Bowen, Madill, & Stratton, 2002), (b) a preference for an approximate number and length of sessions (Ma & Lai, 2007), (c) a preference of conjoint versus individual sessions (Allen & St. George, 2001), and (d) a competency criteria of and for the therapist and the therapy outcome (Davis & Piercy, 2007). “Generally clients expected to experience change in their relationships, to have the therapist listen, to better understand other family members, and to resolve past issues” (Gehart‐Brooks & Lyle, 1999, p. 67). In contrast to these clients and their certainties, some researchers found clients’ preconceptions to be less than clear as in this quote, “family members did not know what to expect” (Kuehl et al., 1990, p. 313).…”

Section: Resultsmentioning

confidence: 99%

Clients’ Relational Conceptions of Conjoint Couple and Family Therapy Quality: A Grounded Formal Theory

Chenail

George

Wulff

et al. 2011

J Marital Family Therapy

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Based upon a qualitative metasynthesis of 49 articles centered on clients' experiences of their conjoint couple and family therapy, the investigators constructed a grounded formal theory of Clients' Relational Conceptions of Conjoint Couple and Family Therapy Quality. The theory suggests from pretherapy conceptions to posttherapy reflections, clients' perceptions of conjoint couple and family therapy quality appear to consist of clients' constructed meanings regarding a series of interrelated relationships between clients and their therapists and therapy environments, between clients and themselves, between clients and other family members, and between process and outcome both inside and outside therapy. Within and across these relationships, clients appear to focus on expectations, connections, balance, and change when evaluating the quality of their clinical experiences. Based upon this theory, the investigators recommend that researchers continue to explore this clinical phenomenon and that therapists regularly seek clients' conceptions of quality in therapy.

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Section: Resultsmentioning

confidence: 99%

Clients’ Relational Conceptions of Conjoint Couple and Family Therapy Quality: A Grounded Formal Theory

Chenail

George

Wulff

et al. 2011

J Marital Family Therapy

View full text Add to dashboard Cite

show abstract

“…As in previous studies (Gehart & Lyle, 1999;Sells et al, 1994), coresearchers did not discuss ethnic, cultural, or race issues as possible confounding factors, perhaps indicating that these are more taboo subjects and/or less apparent factors. We could also add to the list factors such as therapist age, religion, social economic status, appearance, and ethnicity.…”

Section: Reflections On "Confounding Factors"mentioning

confidence: 63%

“…Therefore, it is interesting to note that Jones et al (1987) found that therapist gender was the third best predictor of outcome variance, behind the client-related factors of initial distress level and client age. If therapist gender is as closely associated with creating a successful alliance, as indicated by this and other studies, then therapists will need to attend more closely to this often "unmentioned" variable (Gehart & Lyle, 1999;Sells et al, 1994). If therapist gender is as closely associated with creating a successful alliance, as indicated by this and other studies, then therapists will need to attend more closely to this often "unmentioned" variable (Gehart & Lyle, 1999;Sells et al, 1994).…”

Section: Gender and Therapeutic Alliancementioning

confidence: 72%

“…It is difficult to ascertain whether all clients in the present study were concerned about the reported gender differ-ences before the interview, although clients in two previous studies raised similar issues about therapist gender without researcher prompts (Gehart-Brooks & Lyle, 1999;Sells et al, 1994). Although broad generalizations should be avoided given the small number of participants and relatively extensive treatment histories, therapists have much to learn from these clients' experiences.…”

Section: Discussionmentioning

confidence: 85%

“…Fam Proc 40:443-458, 2001 C LIENTS in two recent family therapy studies (Gehart-Brooks & Lyle, 1999;Sells, Smith, Coe, et al, 1994) have indicated that therapist gender is an important issue affecting their therapy experience. However, in the parallel interviews, the therapists of these clients did not report gender as a significant factor.…”

mentioning

confidence: 99%

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Client Experience of Gender in Therapeutic Relationships: An Interpretive Ethnography*

Gehart¹,

Lyle

2001

Family Process

Self Cite

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The purpose of this study was to explore clients' experiences of gender in therapeutic relationships in order to inform therapists of critical issues from clients' perspectives. To capture clients' views, the researchers chose an interpretive ethnographic design that used unstructured, collaborative interviews with clients who had worked with both female and male therapists. The interviews were analyzed using procedures developed by Kvale (1996), who emphasizes the importance of including the client's voice in data gathering, analysis, and final presentation. The results were reviewed with the clients to insure accurate presentation of their views. The final results were organized into six themes: client-therapist connection, male therapists, female therapists, topics discussed, effectiveness, and confounding factors. Researchers discuss the implications of gender-stereotyped behavior in therapy, the relationship between therapist gender and therapeutic alliance, and recommendations for practicing gender-sensitive therapy.

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Shared Sequences from Network Therapy with Adolescents Only the therapist Finds Meaningful

Lidbom¹,

Bøe

Kristoffersen

et al. 2016

ANZ J of Family Therapy

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As part of a larger research project, this qualitative study explores sequences from six network therapy sessions. We focused on these sequences because only the therapists found them to be meaningful; the other participants did not think they were significant. The aim of this study was to explore the therapists’ inner dialogues, the degree to which these inner dialogues consist of professional and personal voices, and what this means for the dialogical process. We used a multi‐perspective methodology that combines video recordings of network therapy sessions, participants’ interviews, and text analysis. We found that the outer dialogue and the therapists’ inner dialogues are strongly related to each other and that both personal experiences and professional knowledge are present in an implicit way, which helps the therapist to be present in the dialogical process both as a person and as a professional. We also found that when the outer dialogue is very emotional, the therapist moves away from the outer dialogue and becomes more present in their inner dialogues.

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Client and Therapist Perspectives of Change in Collaborative Language Systems: An Interpretive Ethnography

Cited by 10 publications

References 17 publications

Clients’ Relational Conceptions of Conjoint Couple and Family Therapy Quality: A Grounded Formal Theory

Clients’ Relational Conceptions of Conjoint Couple and Family Therapy Quality: A Grounded Formal Theory

Client Experience of Gender in Therapeutic Relationships: An Interpretive Ethnography*

Shared Sequences from Network Therapy with Adolescents Only the therapist Finds Meaningful

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