Contemporary Views of Negative Effects in Psychotherapy

Hadley, Suzanne W.

doi:10.1001/archpsyc.1976.01770110019001

Cited by 83 publications

(41 citation statements)

References 3 publications

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“…From their survey of 70 eminent clinicians and researchers, Hadley and Strupp (1976), and Strupp, Hadley, and Gomes-Schwartz (1977) derived 15 separate factors that lead to deterioration. Those that were therapist-induced included overly intense therapy, technical rigidity, misplaced focus, and dependency fostering techniques.…”

Section: Background and Purposementioning

confidence: 99%

Differences between more and less effective psychotherapists: A study of select therapist variables.

Lafferty¹,

Beutler²,

Crago³

1989

Journal of Consulting and Clinical Psychology

152

109

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This study examined differences between more and less effective trainee psychotherapists. Therapists were assigned to one of two groups depending on whether the preponderance of their patients' changes in symptomatology indicated more or less improvement over the course of therapy. Therapist variables included emotional adjustment, relationship skills, eliciting patient involvement, credibility, directiveness, and theoretical orientation. Less effective therapists were revealed to have lower levels of empathic understanding, to rate their patients as more involved in treatment, and to rate themselves as more supportive than the more effective therapists. Less effective therapists also valued comfort and stimulation significantly more and valued intellectual goals significantly less than did more effective therapists.

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Section: Background and Purposementioning

confidence: 99%

Differences between more and less effective psychotherapists: A study of select therapist variables.

Lafferty¹,

Beutler²,

Crago³

1989

Journal of Consulting and Clinical Psychology

152

109

View full text Add to dashboard Cite

show abstract

“…Hadley and Strupp (1976) discussed the term negative effects, which includes any type of change that is experienced as negative by the patient, for example, novel symptoms, stigma, or interpersonal difficulties. Hadley and Strupp (1976) discussed the term negative effects, which includes any type of change that is experienced as negative by the patient, for example, novel symptoms, stigma, or interpersonal difficulties.…”

Section: Negative Effects Of Psychosocial Interventionsmentioning

confidence: 99%

Harmful care. To what extent is terminology from medicine and clinical psychology applicable to out‐of‐home care?

Shanks

Jönsson

Wiklund

2019

Child & Family Social Work

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Research concerning outcomes for children who have been placed in out-of-home care has indicated that the care may have unwanted consequences. However, there has been no coherent terminology for differentiating between different types of such unwanted consequences. In this article therefore, we attempt to disentangle different aspects of potentially harmful care for looked after children, as well as to discuss potential pathways to more systematically approach and report adverse events for this group. In this endeavour, we turn to two adjacent disciplines, medicine and psychology, where these issues have received more interest. The applicability of the concepts used in these fields is discussed, and it is concluded that although they provide some help in categorizing different aspects of harmful care, the complexity of out-ofhome care makes existing models difficult to adopt without adjustments. This has consequences for the possibility of evaluating care in research, as well as for monitoring adverse events in practice. Importantly, the causality will often be unknown. We therefore suggest that it is essential to shed more light on how decisions should be made about when to intervene or not in out-of-home care, despite limited information.

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“…Some therapists are more effective than others (Lambert & Ogles, 2004); the influential study of Luborsky and his colleagues (1985) has clearly demonstrated this fact. There are, of course, factors that are harmful; some deteriorate the process (Bergin & Lambert, 1978;Hadley & Strupp, 1976;Lambert, 2004;Strupp, Hadley, & Gomes-Schwartz, 1977) and some that are suicidogenic (Leenaars, 2004;Leenaars, Cantor, Connolly et al, 2002).…”

Section: Therapist Variablesmentioning

confidence: 99%

Psychotherapy with Suicidal People: The Commonalities

Leenaars¹

2006

Archives of Suicide Research

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This review article outlines the research basis for an effective approach to psychotherapy with suicidal people. It answers the question, "Is psychotherapy effective with suicidal people?" Based on the notable historical publications and the most recent (Lambert, 2004), it is shown that psychotherapy works, largely because there are commonalities (i.e., common factors) that may be the overriding important factor in all forms of psychotherapy. The therapeutic relationship is primary; this and other common factors are illustrated with suicidal people. Patient qualities, therapist qualities, and a multi-modal or multi-component approach are reviewed. On an empirical basis, it is concluded that one has to be person-centered (or patient centered): You have to know whom you are treating.

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Contemporary Views of Negative Effects in Psychotherapy

Cited by 83 publications

References 3 publications

Differences between more and less effective psychotherapists: A study of select therapist variables.

Differences between more and less effective psychotherapists: A study of select therapist variables.

Harmful care. To what extent is terminology from medicine and clinical psychology applicable to out‐of‐home care?

Psychotherapy with Suicidal People: The Commonalities

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