Managing Anxiety: A Therapist Common Factor

Shamoon, Zain; Lappan, Sara; Blow, Adrian J.

doi:10.1007/s10591-016-9399-1

Cited by 27 publications

(15 citation statements)

References 41 publications

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“…Alternatively, the lack of awareness on the part of the therapist to resolve CT during and after therapy may result in degenerative effects on the client (Gelso et al., 2002; Porchaska & Norcross, 2018). Further, the effects of CT on the therapist may result in distress before and/or after the session, increased anxiety and withdrawn interactions with the client (Shamoon et al., 2017). Therefore, obtaining information about the participants’ coping strategies in and after sessions provided insight into the management strategies of the participants and areas for needed support.…”

Section: Resultsmentioning

confidence: 99%

Beginning counsellors’ experiences working with children who exhibit externalised behaviours

Guest

Wymer

Deaton

et al. 2020

Couns and Psychother Res

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Counsellors who work with children exhibiting externalised behaviours may struggle to maintain therapeutic presence. Challenging client behaviours may trigger countertransference, thus influencing counsellors' presence in session. In this study, we examined the experiences of beginning counsellors working with children who exhibit externalised behaviours in counselling sessions. We used thematic analysis and identified six emergent themes related to countertransference. K E Y W O R D S countertransference, externalised behaviours, children Carolina. She is a clinically licensed, trauma-focused therapist and supervisor with specializations in child sexual trauma treatment and parenting support interventions. Her research interests include trauma-focused clinical supervision, child trauma treatment, counselor wellness, and child abuse prevention.

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Section: Resultsmentioning

confidence: 99%

Beginning counsellors’ experiences working with children who exhibit externalised behaviours

Guest

Wymer

Deaton

et al. 2020

Couns and Psychother Res

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“…Therapists are central to the therapeutic process in couple and family therapy and contribute substantially to the amount of variance in client outcomes (Baldwin et al ., ; Blow and Karam, ; Crits‐Christoph and Mintz, ; Shamoon, Lappan and Blow, ). Clients may not recall specific interventions, but rely on new insights gained, as well as the quality of the therapeutic alliance (Levitt, ).…”

Section: How Systemic Client Feedback Addresses Problemsmentioning

confidence: 99%

“…Some therapists fear feedback will show they are not being helpful to their clients (Mellor‐Clark et al ., ). Feedback may provide an opportunity to follow the framework offered by Shamoon, Lappan and Blow (), where conversations in therapy become an opportunity to digest client feedback directly, even if it stirs up the client and does not fit with what they had previously thought about the client or progress. Alliance theory posits that therapeutics alliances can be torn and repaired; however, if these tears are not repaired, or if the therapist is unaware of tears, therapy is more likely to be terminated prematurely (Safran and Muran, ).…”

Section: How Systemic Client Feedback Addresses Problemsmentioning

confidence: 99%

The importance of adoption of formal client feedback in therapy: a narrative review

Lappan

Shamoon

Blow

2017

Journal of Family Therapy

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Couple and family therapy has well-established benefits. Although the majority of clients benefit, some worsen, some show no positive change, and some drop out early. This suggests that existing treatment modalities require further advancement. One promising avenue to achieve advancement involves instituting, as the standard of care, formalized client feedback, which has been shown to improve outcomes. This paper is a non-systematic review that outlines several formalized feedback systems currently available and highlights each system's utility with application to couple and family therapy. While couple and family therapists have unique obstacles in therapy due to multiple therapeutic alliances, the use of formalized feedback has potential to strengthen alliances and improve outcomes for all clients who participate. We advocate for the use of formalized feedback in the training of new therapists and to augment the supervision process.Practitioner points • Encourage the couple and family therapy field to implement the use of formalized client feedback systems both clinically and in research • Demonstrate the importance of implementing formalized client feedback systems to decrease premature termination and improve client outcomes • Provide information about existing client feedback systems to give practitioners the opportunity to choose a method that most benefits their clients

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“…Additionally, the family is an emotional system (Bowen 1976) and the complexity of providing family therapy may take an extra toll on the vitality of a family clinician if not attuned to; thus, the system in which the clinician works within can impact perceived vitality (i.e., burnout contagion; Bakker et al 2001). The counselor can be impacted emotionally by the multiple family members in the room and the counselor's energy can impact their clients in session as well (Shamoon et al 2017). Considering clinician vitality within a systems lens requires further exploration.…”

Section: Discussionmentioning

confidence: 99%

“…This critical form of resiliency, when maintained, enhances their capacity to empower families (Rappaport 1981) through strength-based, enabling, family focused and systems-oriented practices (Dunst et al 1988). Frequent sessions with more than one person may increase the susceptibility of compassion fatigue and impact the therapeutic process (see Dunst et al 1988;Shamoon et al 2017 for employing strategies that may decrease fatigue susceptibility as well as decrease decay of therapeutic efficacy).…”

Section: Implications For Practicementioning

confidence: 99%

Vitality as a Moderator of Clinician History of Trauma and Compassion Fatigue

et al. 2019

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Vitality is an understudied protective mechanism within the psychotherapy literature. This study explored the impact of vitality on the relationship between a counselor's past traumatic experiences on their compassion fatigue. The sample consisted of 113 licensed counselors from a variety of disciplines (e.g., social workers, professional counselors, and marriage and family therapists) and represented an international sample. Findings showed that vitality is significant as a protective mechanism for the development of compassion fatigue for counselors with a history of trauma. The ego depletion hypothesis is provided as a context to describe this relationship and the role vitality plays. Implications for the practicing clinician are provided within this context.

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Managing Anxiety: A Therapist Common Factor

Cited by 27 publications

References 41 publications

Beginning counsellors’ experiences working with children who exhibit externalised behaviours

Beginning counsellors’ experiences working with children who exhibit externalised behaviours

The importance of adoption of formal client feedback in therapy: a narrative review

Vitality as a Moderator of Clinician History of Trauma and Compassion Fatigue

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