Clinician attitudes toward time-limited and time-unlimited therapy.

Burlingame, Gary M.; Behrman, Jay A.

doi:10.1037/0735-7028.18.1.61

Cited by 10 publications

(11 citation statements)

References 6 publications

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“…More specifically, counselors may prefer open ended treatment because of its greater opportunities to work toward insight and personality reconstruction, while clients themselves may be content with TLP because it helps them feel better rapidly (Johnson & Gelso, 1980). In another survey, Burlingame & Behrman (1987) pointed out that TLP was perceived as more efficacious by therapists in cases of situational adjustment reactions, but the therapists favored unlimited treatment over TLP for several other diagnoses such as neurotic depression, psychosis and personality disorders. The researchers suggest that therapists often see TLP as a crisis intervention, therefore being more applicable to disorders such as a situational adjustment disorder.…”

Section: Resultsmentioning

confidence: 99%

“…Although TLP clients seemed to be satisfied with their counseling in general, multiple studies found them to be less satisfied with the length of treatment. Less well-adjusted, more chronic clients may do better in open-ended therapy than in TLP.Phelps, Eisman, & Kohout (1998)TQuantitative Questionnaires Variety of therapeutic orientationsMajority of psychologists indicated managed care (including time limited facet) had a negative impact on their practices.Burlingame & Behrman (1987)TMeta-analysis (36 studies) Clinician reports, Client reports, QuestionnairesTLP was perceived as more efficacious by therapists in cases of situational adjustment reactions, but they favored unlimited treatment over TLP for several other diagnoses.Murphy, Debernardo, & Shoemaker (1998)TQuantitative Questionnaires N = 180Majority of clinicians in a managed care setting indicated that putting limits on the number of sessions interfered with their treatment.Cohen, Marecek, & Gillham (2006)TQualitative Semi-structured interviews (N = 18) Variety of therapeutic orientations2/3 of the therapists in a managed care setting indicated that the lack of control over the length of treatment was an obstacle to its successfulness. Time constraints made them alter their therapeutic approach.Wright, Simpson-Young, & Lennings (2012)TQuantitative (n = 85) & Qualitative (n = 27) Questionnaires & Interviews Mostly CBT-therapistsTherapists in a managed care setting felt their therapeutic approach was impacted by time limits and they worked more superficial in a time limited treatment.Busch et al (2001)TQualitative (N = 6) Psychoanalytic therapistsThe time limit created pressure for therapists in a research setting, which had its up and downsides.Dekker et al (2005)P, AQuantitative Questionnaires (N = 103) Short Psychodynamic Supportive Therapy43% of patients thought there were not enough therapy sessions.…”

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confidence: 99%

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How Do Time Limits Affect Our Psychotherapies? A Literature Review

Geest¹,

Meganck

2019

Psychologica Belgica

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The application of time limits (i.e. restricting the amount of sessions before the beginning of psychotherapy) has become ingrained in psychotherapy research and in the context of managed care, mostly due to pragmatic and economic reasons. However, little is know on how this technique interferes with the psychotherapeutic process. Although several theorists have considered the possible advantages and drawbacks of the technique, research explaining these mechanisms is scattered. By conducting this review, we strived to answer two questions: (1) Does a time limit alter the psychotherapeutic process? And (2) In what way? In doing so, this study aspires to grant more insight into the mechanisms of time limited psychotherapy and aimes to contribute to a first understanding of the dynamics of a time restricted therapy process. We searched for articles in the databases of Web of Science and Pubmed. Our review identified 28 studies that provide empirical grounds to explain processes involved when applying a time limit to psychotherapy. Qualitative research suggests that a time limit exerts pressure on the therapy process and creates an expectancy effect, which can have both positive and negative consequences. Additionally, time limits can be associated to therapists taking on a more directive role in therapy. Results show that a time limit is anything but a neutral intervention; it is a technique that complexly interacts with therapy processes on multiple grounds. Further research is vital to determine which environment is appropriate for its application.

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Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

How Do Time Limits Affect Our Psychotherapies? A Literature Review

Geest¹,

Meganck

2019

Psychologica Belgica

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“…A number of clinical (Budman & Gurman, 1988;Hoyt, 1990;Steenbarger, 1992a) and survey (Burlingame & Behrman, 1987) reports have identified substantial practitioner skepticism over the therapeutic potential of BT. Nevertheless, both research and practice literatures suggest that meaningful and enduring change can occur within the context of brief-and sometimes very brief-interventions (Steenbarger, 1992b(Steenbarger, , 1993b.…”

Section: Duration and Outcome In Psychotherapymentioning

confidence: 99%

Duration and outcome in psychotherapy: An integrative review.

Steenbarger¹

1994

Professional Psychology: Research and Practice

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Research and practice trends are fueling a vigorous interest in brief therapy, highlighting the question of the relationship between treatment duration and outcome. A number of investigations have reported a weak or nonexistent relationship between duration and outcome, yielding the possible conclusion that there are few differences between brief and longer term treatments. A finer-grained analysis, however, based on such methodological factors as the nature, source, and timing of outcome measures, reveals intriguing dose-effect linkages within particular helping modalities. Summarizing process and outcome research, this article identifies potential client, therapist, and contextual mediators of the brevity of treatment. Recent research concerning stages of change within psychotherapy is advanced as an integrative framework that yields researchable hypotheses concerning the factors that facilitate outcomes at various points in the helping process.

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“…The content analysis gives further support to these findings. Burlingame and Behrman (1987), based on the Therapist Attitude and Experience Inventory, also report that therapists believed that ST was more efficacious than LT in treating adjustment disorders and less efficacious in treating all other diagnostic groups. Respondents seem to disagree with those; for example, Clarkin and Frances (1982) who recommend ST for more disturbed patients.…”

Section: Discussion and Applications To Social Work Practicementioning

confidence: 93%

Clinical Decision Making of Short- Versus Long-Term Treatment

Rabinowitz

Lukoff

1995

Research on Social Work Practice

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Practitioners'decisions of when to use ST (planned short-term) versus LT (long-term) therapy were studied via their responses to vignettes and an open-ended question about their cnteria for choosing. Using a factorial design, the effects of clients' symptoms (adjustment disorder, Dysthymic Disorder, and borderline personality disorder), gender, race (White and Black), and education (high school and college) were tested. The presence of adjustment disorder symptoms alone was able to correctly predict therapist's decision of when to use ST and LT 92% of the time. ST was recommended for adjustment disorder 95% of the time, but only 13% for Dysthymic Disorder and 9% for borderline personality. In the remainder of these cases LT was recommended. Responses to open-ended questions further support these results. Clients'race, gender, and education did not have a general effect on the choice between ST and LT, except in the dysthymia and borderline groups. There were no significant interactions between client variables. Therapist characteristics had only slight relationships to decisions made. Despite preferences to treat adjustment disorder with ST, and that 25 percent of actual respondent's chents were so diagnosed, therapists treated less than 1.5 ST cases annually.

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Clinician attitudes toward time-limited and time-unlimited therapy.

Cited by 10 publications

References 6 publications

How Do Time Limits Affect Our Psychotherapies? A Literature Review

How Do Time Limits Affect Our Psychotherapies? A Literature Review

Duration and outcome in psychotherapy: An integrative review.

Clinical Decision Making of Short- Versus Long-Term Treatment

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