Clients' internal representations of their therapists.

Knox, Sarah; Goldberg, Julie; Woodhouse, Susan S.; Hill, Clara E.

doi:10.1037/0022-0167.46.2.244

Cited by 43 publications

(57 citation statements)

References 40 publications

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“…In my view, however, the most important development in client experience research over the past twenty years is the emergence of research documenting the client as an active change agent. Beginning with RennieÕs ground-breaking studies of clientsÕ experiences of deference (Rennie, 1994a) and narrative (Rennie, 1994b), and developed further by Hill and colleagues (e.g., Knox, Goldberg, Woodhouse & Hill, 1999;Rhodes, Hill, Thompson & Elliott, 1994), researchers have begun to unpack clientsÕ use of therapy to change themselves in the face of internal and external obstacles, many of which are beyond most therapistsÕ awareness or understanding. For example, Rennie (1994a) documented the extent and complexity of client deference in the face of unwanted therapist actions or stances, showing how clients assess their immediate situation in order to best meet their needs.…”

Section: How Do Clients See Themselves As Changing Over the Course Ofmentioning

confidence: 99%

Research on client experiences of therapy: Introduction to the special section

Elliott

2008

Psychotherapy Research

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I introduce this special section of research on client experiences of therapy by looking at the six studies reported here from three different angles. First, I summarize each study and characterize them in terms of the current research genres they represent. Next, I analyze the studies in terms of the Five Dimensional Model of therapy process (Elliott, 1991). Finally, I briefly summarize what we have learned about the three main questions addressed by these studies: What clients find helpful or hindering in therapy? How do clients see themselves as having changed over the course of therapy?, and, How do clients deal with difficulties in the therapeutic process?Running head: Client Experiences

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Section: How Do Clients See Themselves As Changing Over the Course Ofmentioning

confidence: 99%

Research on client experiences of therapy: Introduction to the special section

Elliott

2008

Psychotherapy Research

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“…An important issue, from this perspective, concerns the strategies that are available to the client to retain what has been learned and experienced in the therapy room, within the context of a busy everyday life that is characterized by multiple other sources of influence. There is evidence that many clients retain an internal representation of their therapist, and may place great value on this resource as a means of support and guidance during times of stress (Geller & Farber, 1993;Knox, Goldberg, Woodhouse, & Hill, 1999;Mosher & Stiles, 2009). Little attention has been devoted to the question of what the client might do to retain a memory of a significant relational connection.…”

Section: Symbolic Confirmation Of Changementioning

confidence: 99%

Conceptualizing the Complexity of Change in Psychotherapy: The Case of "Cora"

Halvorsen¹,

McLeod²,

Benum³

et al. 2016

PCSP

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In this article we respond to the commentaries by Altman and Miller (2016), Bohart (2016), and Timulak and Keogh (2016) on our case of "Cora," which involved over 121 psychotherapy sessions with a client with a history of severe relational trauma that had led to difficulty in forming close relationships, as well as a series of suicide attempts (Halvorsen, Benum, Haavind, & McLeod, 2016). The commentaries differ in their view of the value of Cora's case, interpretations of the material, and methodological preferences. Together the commentaries illustrate the complexity of change in psychotherapy, how we need multifaceted approaches to understand change, and the challenges in writing up a case in this context. We call for further dialogue within the psychotherapy research community around the nature and implications of methodological choices arising from the conduct of case study research in this field.

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“…One of the ways in which therapy helps to accomplish these goals is by a process through which the client gradually comes to replace harshly critical and self-undermining internalized images and voices, with the more benign internalized voice or presence of their therapist. This process has long been recognized by clinicians, and has been confirmed and further articulated in a series of research studies using both qualitative and quantitative methodologies, in clients with different types of presenting issues who have received different approaches to therapy (Bender et al, 2003;Geller & Farber, 1993;Knox, Goldberg, Woodhouse, & Hill, 1999;Mosher & Stiles, 2009;Rosenzweig, Farber, & Geller, 1996;Wachholz & Stuhr, 1999).…”

Section: The Client's Internalized Image Of the Therapistmentioning

confidence: 99%

Narrative Case Studies and Practice-Based Learning: Reflections on the Case of "Mr. R"

McLeod¹

2016

PCSP

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Narrative case studies tell the story of therapy from the point of view of the client or therapist. Murase's (2015) case of "Mr. R" provides a powerful example of the potential of this form of case inquiry, as a means of enabling reflection and deeper understanding around the practice and process of therapy. The distinctive contribution of the case of Mr. R is discussed in relation to the personal learning of the author in respect of a series of domains: working with the contextual and cultural meaning of the client's issues, creating corrective everyday life interventions, repairing therapist-induced ruptures in the therapeutic alliance, and developing new understandings of the process of client internalisation of the image of the therapist. Theoretical implications of the case are explored, and some suggestions are offered around the further development of narrative case study methods and the concept of therapist wisdom.Key words: culture; everyday life; exemplar study; internalization; narrative; personal meaning; theoretical fluidity; therapy process; wisdom ______________________________________________________________________________ The case of Mr. R offers one of the relatively few English-language examples of the work of Dr Kayoko Murase (2015), for many years one of the most influential figures in psychotherapy in Japan. In addition, this case acts as an example of the rich tradition of case study inquiry that forms a key part of the evidence base for therapy theory and practice in that country. This case therefore possesses cultural and professional significance beyond its account of how therapy unfolded with a troubled young man. Constructing a commentary on this case has been a demanding task, because of the rich, multi-layered nature of the material that has been provided. In the following sections, I offer reflections on three key dimensions of the case: the therapy case study as a form of narrative inquiry, practice-based learning arising from reflection on the case of Mr. R and implications for theory.

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Clients' internal representations of their therapists.

Cited by 43 publications

References 40 publications

Research on client experiences of therapy: Introduction to the special section

Research on client experiences of therapy: Introduction to the special section

Conceptualizing the Complexity of Change in Psychotherapy: The Case of "Cora"

Narrative Case Studies and Practice-Based Learning: Reflections on the Case of "Mr. R"

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