Client experiences of helpful factors in a day treatment program: A qualitative approach

Mörtl, Kathrin; Wietersheim, Jörn von

doi:10.1080/10503300701797016

Cited by 38 publications

(28 citation statements)

References 23 publications

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“…These findings are in line with those of Mörtl and Von Wietersheim (2008) and Kivlighan, Multon, and Brossart (1996), who identified group‐related processes as the most important factors identified by clients who had experienced group therapy, with therapeutic relationship (between client and therapist) ranked in fifth place out of a possible eight helpful factors.…”

Section: Discussionsupporting

confidence: 89%

Helpful aspects of outdoor therapy experiences: An online preliminary investigation

Revell

Duncan

Cooper

2013

Couns and Psychother Res

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Background: The term outdoor therapy can be used to refer to a wide range of outdoor programmes including adventure therapy and wilderness therapy. Much of the research in the outdoor therapy field has focused on outcomes of these programmes rather than exploring the actual processes that are inherent in these experiences. Aim: This study investigated participants' perspectives of helpful aspects of outdoor therapy experiences. Method: By means of an international online survey, participants reported what was helpful about their experiences of outdoor therapy. A mixed method approach was used, with the qualitative data being analysed with the use of grounded theory methodology to conduct thematic analysis. The quantitative data was analysed using descriptive and inferential statistics. Findings: A total of 43 complete responses were received. Quantitative and qualitative analysis established that being in the outdoors was the most helpful factor. Of 19 given aspects ‘to be outdoors’ was ranked the highest and ‘being outdoors’ emerged as a main category in the thematic analysis (84%, (n=36)). ‘Group related aspects’ were all rated higher, on average, than ‘your relationship with therapist’. Such findings contradict previous research on how important the therapeutic relationship is in facilitating positive therapeutic encounters. Conclusion: Although very much a preliminary survey, findings suggest that further investigation into the meaning attached to being outdoors and how this might affect/impact upon the therapeutic relationship is needed.

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Section: Discussionsupporting

confidence: 89%

Helpful aspects of outdoor therapy experiences: An online preliminary investigation

Revell

Duncan

Cooper

2013

Couns and Psychother Res

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“…A Change Interview (Elliott, Slatick, & Urman, ) is a semi‐structured interview comprising open‐ended questions which provides the researcher with clients’ narratives and explanations about changes as they were perceived and experienced by the clients over the course of therapy (Clarke, Rees, & Hardy, ; Elliott et al, ; Moertl & Wietersheim, ). Interviews were structured around the following set of questions: (a) What has therapy been like for you so far?…”

Section: Methodsmentioning

confidence: 99%

Change process in systemic therapy: A qualitative investigation

Dourdouma

Gelo

Moertl

2019

Couns and Psychother Res

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This study addresses the process of therapeutic change in individuals who received systemic therapy. This study is an exploratory qualitative study based on the client's perceptions and therapeutic experiences. The sample included 10 clients who had completed their therapy with systemic therapists. The method used for the collection of the data was semi‐structured interviews (Change Interview; Elliott, Slatick, & Urman, 2001). The interviews were analysed using grounded theory analysis. The results showed that both specific and common factors in therapy function in a co‐occurring mode, hence suggesting a synergy effect between common factors and specific techniques or therapist factors in psychotherapy. The core category ‘experience of therapeutic change, within the secure frame of therapy, is a process of deconstructing and reconstructing the house you live in: Yourself’ emerged based on self‐exploration and self‐discovery and is then discussed in a theoretical constructivist framework. Implications for research on the issue of the process of therapeutic change are discussed.

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“…En este campo, durante los últimos años se ha incrementado la investigación cualitativa centrada en la experiencia subjetiva de los pacientes como un elemento clave para la evaluación de los procesos y resultados de la psicoterapia (Berg, Raminani, Greer, Harwood & Safren, 2008;Connolly & Strupp, 1996 ;Fitzpatrick & Chamodraka, 2007;Henretty, Levitt & Mathews, 2008;Israel, Gorcheva, Burnes & Walther, 2008;Jim & Pistrang, 2007;Mörtl & Von Wietersheim, 2008;Nilsson, Sensson, Sandell & Clinton, 2007;Pattee & Farber, 2008;Ramnerö & Öst, 2007;Silverstein, Auerbach & Levant, 2006;Vanaerschot & Lietaer, 2007;Williams & Levitt, 2008). Estos estudios han intentado analizar en qué medida la representación del paciente del proceso de cambio y sus resultados es relevante para una mejor comprensión de los mismos.…”

Section: Introductionunclassified

A qualitative study of change in obsessive compulsive disorder: a qualitative study of the impact of cognitive treatmente on the subject experience of patients

Castañeiras¹,

Míguez²,

García³

et al. 2009

Revista Brasileira De Terapias Cognitivas

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This qualitative study explores the impact of a cognitive therapy program on the subjective experience of patients suffering from obsessive-compulsive disorder (OCD). The accounts given by patients were compared with the results obtained from quantitative measures of symptom improvement. A distinction is made between the impact of treatment on patients' behavior and on their lived experience. An individual's experience is seen as a synthesis of his or her mental states (internal representations) expressed through metacognitive processes. Most of the patients organized their subjective experience of change in terms of improvement, not recovery. This was consistent with reduced scores on the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) and Obsessive Intrusive Thoughts Inventory (INPIOs). We conclude that all the patients' stories showed a positive evaluation of their therapeutic process, irrespective of quantitative assessment results. Patients tended to describe changes more in terms of symptoms rather than in terms of experience. The advantages and limitations of using qualitative and quantitative methodologies in this context are also discussed.

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Client experiences of helpful factors in a day treatment program: A qualitative approach

Cited by 38 publications

References 23 publications

Helpful aspects of outdoor therapy experiences: An online preliminary investigation

Helpful aspects of outdoor therapy experiences: An online preliminary investigation

Change process in systemic therapy: A qualitative investigation

A qualitative study of change in obsessive compulsive disorder: a qualitative study of the impact of cognitive treatmente on the subject experience of patients

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