Clients' perspectives on therapy termination

Knox, Sarah; Adrians, Noah; Everson, Eric; Hess, Shirley A.; Hill, Clara E.; Crook-Lyon, Rachel E.

doi:10.1080/10503307.2010.534509

Cited by 67 publications

(63 citation statements)

References 17 publications

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“…() examined clients’ perspectives on gift giving in therapy, finding that clients either want to give the therapist something that the therapist may like or something that would be a reminder of the therapy experience. In a final example, Knox, Adrians, Everson, Hess, Hill, and Crook‐Lyon () studied clients’ experiences in the context of positive versus problematic termination of therapy. They found that in contrast to problematic terminations, in positive terminations the ending of therapy was planned for a long‐time; plans for life after therapy were well covered; and clients felt ready to move on.…”

Section: Qualitative Studies Of Various Aspects Of Therapymentioning

confidence: 99%

The client's perspective on (experiences of) psychotherapy: A practice friendly review

Timulák

Keogh

2017

J Clin Psychol

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Recent decades have seen a significant increase in the number of studies exploring client perspectives on, and experiences of, psychotherapy. The present article provides a practice friendly overview of this research, identifying common domains of inquiry, and providing examples of findings relevant to practitioners. Research in this area can be categorized in terms of the client's perspective pertaining to theoretical constructs, studies of client satisfaction, and qualitative studies that are either open-ended or explore specific aspects of client experiences. Examples of this latter category include studies looking at distinct processes (e.g., self-disclosure), particular theoretical constructs (e.g., therapeutic alliance), helpful versus unhelpful aspects of therapy, and significant events. Research suggests that therapist willingness to seek client perspectives, openness to hear what clients have to say, nondefensiveness in the face of negative feedback, and ability to modulate actions accordingly are all likely to contribute to stronger relationships with clients and stronger collaboration, correspondingly contributing to stronger therapeutic outcomes.

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Section: Qualitative Studies Of Various Aspects Of Therapymentioning

confidence: 99%

The client's perspective on (experiences of) psychotherapy: A practice friendly review

Timulák

Keogh

2017

J Clin Psychol

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“…This is different from the samples of clients in other studies, for example, by Knox et al (2011) and Olivera et al (2013), where external constraints were the predominant reason.…”

Section: Discussionmentioning

confidence: 68%

“…The finding that clients with a positive termination experience reported a strong therapeutic relationship and positive outcome (Knox et al, 2011) may also be the case the other way around -a strong relationship and a satisfying result of therapy may lead to a positive termination experience. Experiencing is a process, as Rennie (2010), for instance, has pointed out when he used the Interpersonal process recall (IPR) research method where he played sound recordings of therapy sessions together with clients in the aftermath to discuss their experiences.…”

Section: Discussionmentioning

confidence: 89%

“…This calls for a need to study clients' perception of therapy, and to learn from their experiences. Knox et al (2011) found that clients with experience of a positive termination reported a strong therapeutic relationship and positive outcomes of therapy. In a qualitative study of clients' experiences of ending therapy, Etherington and Bridges (2011) recognized the therapeutic importance of mutuality and negotiation in decision making about endings.…”

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confidence: 99%

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Coming to terms: Client subjective experience of ending psychotherapy

Råbu

Haavind

2017

Counselling Psychology Quarterly

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How do clients consider their own contribution and that of their therapist in the last phase of therapy when they are moving towards the end? Thirty-seven clients who had received therapy from highly experienced clinicians were interviewed. Since the time for ending had not been decided at the onset, clients in both short and long term therapies were included.Thematic case-by-case analyses were carried out. Clients actively engaged in looking back and looking ahead, as means of reflecting on their capability to handle issues on their own.The majority of clients were satisfied with what they perceived as a reciprocal engagement that enabled them to come to terms with emotionally charged issues in life and in therapy. For some clients unresolved issues remained: wondering whether a therapist with another approach could have helped more; feeling pushed away by the therapist; having to take the lead in ending therapy; the fear of being an "unworthy" client; or wanting to end without the therapist's approval. Coming to terms with the ending of therapy was highly personally meaningful and loaded with affective tensions, in ways that were not always shared with their therapist.

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“…Estes achados corroboram as perspectivas teóricas de que qualquer psicoterapia só pode ser considerada acabada após o rebaixamento das ansiedades levantadas por esta última etapa do processo, uma vez que este pode ser considerado um momento de crise, transformadora, para a condição do paciente (Enéas e Rocha, 2011;Quintana, 1993;Knox et al, 2011).…”

Section: Discussionunclassified

Relações entre intervenções terapêuticas, motivação para mudança e eficácia adaptativa em psicoterapia breve

Peixoto

Enéas

Yoshida

2015

ctc

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Resumo. Este estudo exploratório teve como objetivo analisar a evolução de dois processos de psicoterapias breves psicodinâmicas (PBP) focalizando a associação entre as variáveis das pacientes e as intervenções dos terapeutas. As variáveis das pacientes foram: estágios de mudança, avaliados clinicamente por meio da Escala de Mudança, e a qualidade de efi ciência adaptativa, medida com a Escala Diagnóstica Adaptativa Operacionalizada. As intervenções dos terapeutas foram classifi cadas como expressivas, neutras ou suportivas. Dois juízes independentes avaliaram os estágios de mudança de todas as sessões. Eles também avaliaram a efi cácia da adaptação no iní-cio e fi m dos processos. Dois outros juízes categorizaram todas as intervenções das terapeutas. Observou-se que as estratégias de intervenção estavam relacionadas com a evolução dos estágios de mudança, a confi guração de adaptação das pacientes, bem como os diferentes estágios dos processos psicoterapêuticos. Novos estudos sistemáticos envolvendo essas variáveis são necessários para confi rmar a relevância das associações observadas.Palavras-chave: mudança terapêutica, estudo de caso, psicoterapia breve. Abstract.This exploratory study aimed to analyze the evolution of two processes of brief psychodynamic psychotherapies (PBP) focusing on the association between the variables of patients and the interventions of therapists. The variables of the patients were: stages of change, clinically evaluated by the Scale of Change, and the quality of adaptive effi ciency, measured with the Scale of Adaptation. The interventions of the therapists were classifi ed as expressive, neutral or supportive. Two independent judges assessed the stages of change of all sessions. They also evaluated the adaptive effi cacy at the beginning and at the end of the processes. Two other judges catego- Relações entre intervenções terapêuticas, motivação para mudança e eficácia adaptativa em psicoterapia breveRelationships between therapeutic interventions, motivation for change, and adaptive efficacy in brief psychotherapy

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Clients' perspectives on therapy termination

Cited by 67 publications

References 17 publications

The client's perspective on (experiences of) psychotherapy: A practice friendly review

The client's perspective on (experiences of) psychotherapy: A practice friendly review

Coming to terms: Client subjective experience of ending psychotherapy

Relações entre intervenções terapêuticas, motivação para mudança e eficácia adaptativa em psicoterapia breve

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