De invloed van voorkeuren op de beginfase van psychotherapie

Vervaeke, Geert; Bleyen, Kristel; Vertommen, Hans

doi:10.1007/bf03061846

Cited by 7 publications

(9 citation statements)

References 16 publications

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“…The mutual compatibility between the client's and the therapist's perspective and between the client's preferences and the reality of the psychotherapeutic situation form the principal focus in the negotiation process. Research findings indicate that disconfirmation of expectancies and preferences is related with dropout in the early phase of treatment (Duckro, Beal, & George, 1979; Goldstein 1962; Higginbotham, West, & Forsyth, 1988; Vervaeke, Vertommen, & Storms, 1997; Vervaeke, Bleyen, & Vertommen, 1997).…”

Section: A Negotiation Approach To Treatment Selectionmentioning

confidence: 99%

“…Disconfirmation of client preferences and expectations is generally believed to have negative consequences on the initial phase of psychotherapy. Since little support can be found for the disconfirmation hypothesis (Goldstein, 1962; Duckro, Beal, & George, 1979; Van Mechelen, 1989), a modification of this hypothesis suggests that only remarkable and multiple preference and expectation differences between client and therapist negatively affects the initial stage of psychotherapy (Kelly & Strupp, 1992; Vervaeke, Bleyen, & Vertommen, 1997).…”

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confidence: 99%

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A Negotiation Approach to Systematic Treatment Selection: An Evaluation of its Impact on the Initial Phase of Psychotherapy

Bleyen

Vertommen

Audenhove

1998

European Journal of Psychological Assessment

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Since psychotherapy failures and early dropouts represent a sizable percentage of the clients who start psychotherapy, it is clearly important to devise a methodologically sound and effective process of treatment selection. In this study, a negotiation approach to treatment selection is proposed and situated in the context of an integrative viewpoint on psychotherapy. The preferences of the client, the client's control of the situation of choice, and the compatibility of differing views of client and therapist constitute the typical characteristics of this negotiation approach. The first part of this study gives a careful description of the negotiation approach. The second part examines the influence of the negotiation approach on the dropout rate and on initial therapeutical contacts. Results indicate a significant effect of negotiation on dropout, suggesting that clients who perceive treatment selection as a negotiation process are more successful in their initial therapeutical contacts.

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Section: A Negotiation Approach To Treatment Selectionmentioning

confidence: 99%

mentioning

confidence: 99%

A Negotiation Approach to Systematic Treatment Selection: An Evaluation of its Impact on the Initial Phase of Psychotherapy

Bleyen

Vertommen

Audenhove

1998

European Journal of Psychological Assessment

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“…Voorts is er nogal wat literatuur waarin een verband beschreven wordt tussen bepaalde persoonlijkheidskenmerken en de neiging om de behandeling voortijdig te bee¨indigen (Chiesa, Drahorad & Longo, 2000), al twijfelen anderen aan dit verband (Emmelkamp & Foa, 1983). Verder wordt algemeen aangenomen dat de kwaliteit van de therapeutische relatie, ook wel als 'werkalliantie' omschreven, uitermate bepalend is voor het al dan niet doorgaan met de behandeling en voor die aanname is ook wel empirische ondersteuning (onder meer Vervaeke, Bleyen & Vertommen, 1997). Toch hebben onderzoekers bij hun eigen empirische bevindingen ook weer kanttekeningen geplaatst (Vervaeke & Vertommen, 1996;Vervaeke en anderen, 1997).…”

Section: Inleidingunclassified

Verwachtingen van patiënten bij aanvang van de psychotherapie: voorspellers van drop-out?

Veeninga¹,

Hafkenscheid²

2004

PSIE

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Patie¨nten die zich voor psychotherapie aanmelden, hebben verwachtingen over de behandeling. Het is denkbaar dat deze verwachtingen de kans op continuering of bee¨indiging van de behandeling vergroten. In ons onderzoek vergeleken we patie¨nten die de behandeling afbreken (drop-outs) met patie¨nten die doorzetten ('doorzetters') in de mate waarin zij bij aanvang van de behandeling belang toekennen aan een scala van wensen en behoeften, gemeten met behulp van een zelfbeoordelingsvragenlijst.Patie¨nten die hun behandeling afbreken, blijken duidelijk in hun verwachtingen te verschillen van patie¨nten die hun behandeling doorzetten. De gehanteerde vragenlijst lijkt een hulpmiddel om bij het begin van de behandeling patie¨nten op te sporen die een verhoogd risico lopen de behandeling voortijdig af te breken.

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“…Research on this hypothesis (Ducro et al, 1979;Van Mechelen, 1989;Vervaeke et al, 1997) reveals the need to differentiate the following concepts:…”

Section: The Question Of Treatment Choice and Psychotherapy Integrationmentioning

confidence: 99%

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Audenhove¹,

Vertommen²

2000

Journal of Psychotherapy Integration

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Treatment choice" is the decision process whereby the psychotherapeutic methods and the psychotherapist are determined when psychotherapy is recommended for a specific client. In this article the problem of treatment choice is situated within an integrative view of psychotherapy. A review of the literature confirms the usefulness of the following concepts for treatment choice: client preferences, client control of the situation of choice, and the mutual acceptability of differing views of therapists and clients. These research findings reveal the importance of four elements in the psychotherapeutic intake strategy: exploration of the client's perspective, informing the client, negotiation as a process of confrontation between the client's and the clinician's perspective, and the client's ultimate choice between alternative treatment proposals.

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De invloed van voorkeuren op de beginfase van psychotherapie

Cited by 7 publications

References 16 publications

A Negotiation Approach to Systematic Treatment Selection: An Evaluation of its Impact on the Initial Phase of Psychotherapy

A Negotiation Approach to Systematic Treatment Selection: An Evaluation of its Impact on the Initial Phase of Psychotherapy

Verwachtingen van patiënten bij aanvang van de psychotherapie: voorspellers van drop-out?

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