Conjoint Psychotherapeutic Experience: Some Dimensions and Determinants

Orlinsky, David E.; Howard, Kenneth I.; Hill, James W.

doi:10.1207/s15327906mbr1004_5

Cited by 44 publications

(75 citation statements)

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“…In terms of congruence with the client experiencing literature, the changes Ms. K described as a result of treatment reflect those cited in many previous studies: improved interpersonal functioning and self-esteem, reduced anxiety, greater mastery (Strupp et al, 1969), self-understanding and awareness, relief (Elliott & James, 1989), empowerment and personal contact with the therapist (Timulak, 2007). Likewise, the change mechanisms that Ms. K described in her posttermination interview reflected the “helpful experiences” or “impacts” reported by previous researchers: involvement with an emotionally present therapist, insight/introspection, greater understanding of the self in relation to others, catharsis, confidence, relief, feeling understood, and so on (Elliott et al, 1985; Elliott & James, 1989; Orlinsky & Howard, 1975; Timulak, 2007).…”

Section: Discussionmentioning

confidence: 65%

“…In the literature on transtheoretical change mechanisms, there has been a fair amount of research on what clients see as therapeutic. Pioneering studies were published by Snyder (1961); Strupp, Fox, and Lesser (1969); Orlinsky and Howard (1975); and Elliott, James, Reimshuessel, Cislo, and Sack (1985). Elliott and James's (1989) review of studies on client experiencing concluded that whether the unit of analysis was the session, an event within a session, or the whole treatment, clients' reports of therapeutic impact reflect the experience of help or relief within the therapeutic relationship as well as the accomplishment of tasks.…”

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confidence: 99%

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Exploring corrective experiences in a successful case of short-term dynamic psychotherapy.

Friedlander¹,

Sutherland²,

Sandler³

et al. 2012

Psychotherapy

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The concept of corrective emotional experience, originally formulated by psychoanalysts Alexander and French (1946), has been redefined by contemporary researchers to be theoretically nonspecific, that is, as "coming to understand or experience an event or relationship in a different or unexpected way" (Castonguay & Hill, 2011). Using postsession questionnaires, videotapes, and posttermination interviews, we explored whether (and how) a corrective experience occurred in a successful case of short-term dynamic psychotherapy (STDP; Davanloo, 1980). A 35-year-old woman suffering severe panic attacks was seen for 31 sessions by an experienced STDP therapist. The questionnaires and interviews focused on (a) perceived intrapsychic and interpersonal changes, and (b) how these changes came about. At termination, the client reported complete symptom relief, greater self-acceptance, improved relationships, and more emotional flexibility. Her corrective experience was evident in the qualitative themes, which showed that she came to understand and affectively experience her relationships with both parents differently. Moreover, the themes reflected both STDP-specific (e.g., confrontation of defenses) and nonspecific (e.g., rapport, acceptance) mechanisms of change. Conversation analysis (Sacks, 1995) of what the client described as "the 'gentle shove' of questions that make me see what I have been trying to ignore since childhood" showed, on a microlinguistic level, how she overcame resistance to strong emotional experience and expression.

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Section: Discussionmentioning

confidence: 65%

mentioning

confidence: 99%

Exploring corrective experiences in a successful case of short-term dynamic psychotherapy.

Friedlander¹,

Sutherland²,

Sandler³

et al. 2012

Psychotherapy

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“…Whereas in the 60s, therapy process measures were on Strupp's “wish list,” at the end of the first decade of the 21st century, there is likely an overabundance of these types of instruments. In my own field of interest, therapy relationship, the first measures came online in the mid 70s, starting with the pioneering work of Orlinsky and Howard (1975), Barrett-Lennard (1978), and Alexander and Luborsky (1987). By a recent count, there were more than 60 measures of the alliance alone (Elvins & Green, 2008; Horvath, 2011b).…”

Section: Methodsmentioning

confidence: 99%

You can't step into the same river twice, but you can stub your toes on the same rock: Psychotherapy outcome from a 50-year perspective.

Horvath¹

2013

Psychotherapy

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H.H. Strupp's 1963 article, The Outcome Problem in Psychotherapy Revisited, and the exchange between Eysenck and Strupp that followed the article were reexamined to answer the question: What, if anything, has changed in the world of psychotherapy research over half a century since the article was originally published? Many of the issues that provided the impetus for the article and the focal point of the passionate debate between Strupp and Eysenck have been long put to rest. Much has been accomplished: Debates in the literature have became more civil, generic factors such as the therapy relationship have received strong empirical support, and researchers' attention has shifted from the broad question whether psychotherapy offers real benefits to patients to providing empirical support for closely prescribed treatments for specific disorders. However, some of the core issues raised in the article concerning how to measure and meaningfully appraise the benefits of psychotherapy are still a challenge today. Some possible avenues for future developments are explored.

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“…To facilitate the adaptation and participation of the group members, each session started with one of eight video films of 20-30 min duration. Eight themes were selected in accordance with Orlinsky & Howard (1975). The videos were shown in the following order: personal relations, work, religion, alcoholism, family relations, sexuality, violence and honesty.…”

Section: Methodsmentioning

confidence: 99%