Participants’ Memories for Therapeutic Events and Ratings of Session Effectiveness

Cummings, Anne L.; Hallberg, Ernest T.; Slemon, Alan G.; Martin, Jack

doi:10.1891/0889-8391.6.2.113

Cited by 26 publications

(40 citation statements)

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“…Elliott, 1983; Llewelyn, 1988). Cummings, Martin, Hallberg, and Slemon (1992) also found that counsellors were more specific in their recalls. They suggested that likelihood of match between the counsellors' and clients' perspective increased if the counsellors rated the working alliance higher.…”

Section: Summary Of Findingsmentioning

confidence: 86%

“…The findings which show that the match between the clients' and the therapists' perspectives increases with a good outcome and with a good relationship (e.g., Cummings, Martin, et al , 1992; Kivlighan & Arthur, 2000) suggests that in successful therapy the therapists may be more attuned to the clients' ongoing experience of therapy. Whether it is down to the skilfulness of therapists or it is just a natural phenomenon of a good ‘flow’ between the therapist and the client (cf.…”

Section: Discussionmentioning

confidence: 99%

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Significant events in psychotherapy: An update of research findings

2010

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Some studies suggest that helpful significant events are therapeutically productive although this may need to be established further. Specific intensive studies show that the clients' perceptions in therapy may differ dramatically from that of the therapist. Furthermore, the relational and emotional aspects of significant moments may be more important for the clients than the cognitive aspects of therapy which are frequently stressed by therapists.

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Section: Summary Of Findingsmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Significant events in psychotherapy: An update of research findings

2010

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“…There is now a growing body of research suggesting that perspective congruence is a meaningful contributor to outcome. For example, more agreement between clients and therapists in their recall of important session events has been found to be relate to session effectiveness (Cummings et al, 1992) as well as to final outcome (Kivlighan & Arthur, 2000). More recently, in two studies using response surface analysis, Marmarosh and Kivlighan (2012) found that as the therapist and client had more positive agreement on the perceived alliance at the beginning of the treatment, clients experienced greater symptom change.…”

mentioning

confidence: 99%

Does it make a difference to be more “on the same page”? Investigating the role of alliance convergence for outcomes in two different samples

Nissen‐Lie

Solbakken

Falkenström

et al. 2020

Psychotherapy Research

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To better understand the complexity of dyadic processes, such as the mechanisms of the working alliance, researchers recommend taking advantage of innovations in data analytic procedures when studying the interactions between therapists and patients that are associated with favorable therapeutic outcomes. Inspired by a recent line of alliance research using dyadic multilevel modeling, the present study investigated the hypothesis that convergence in the patient-therapist working alliance (i.e., increased similarity in ratings of the alliance across treatment) would be associated with better outcomes. Method: Data were retrieved from two samples: 1. A randomized controlled trial for treatment resistant depression (N = 96 dyads), and 2. An archival dataset of naturalistic psychotherapies from public health care (N = 139 dyads). Multilevel growth curve analysis was employed to investigate the degree of change in session-to-session agreement of global WAI ratings between therapists and patients (i.e., alliance convergence) as a predictor of symptom reduction in the BDI-II and the SCL-90R. Results: Contrary to our expectations, alliance convergence did not predict outcome in either sample, but was negatively associated with symptom severity in Study 2. Implications for understanding the complexity of dyadic processes and alliance work in psychotherapy are discussed.

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“…There are some things we should decide, such as what are the goals of these meetings as far as you are concerned. Another guideline for initiating the discussion on termination is that the termination dialogue should be tailored to the individual patient–therapist dyad. Every dyad has its own way of interacting and uses its own “emotional language.” Metaphors (Cummings, Hallberg, Slemon, & Martin, 1992) that are taken from treatment narrative make the conversation on termination easier; the therapist should use terms from the patient’s familiar world. For example, if the patient is an architect, the therapist can use terms related to building and can talk about the foundations needed to create what they built together.…”

Section: How To Initiate or Engage In The Discussion Of Psychotherapy...mentioning

confidence: 99%

“…Although the therapeutic guidelines we proposed have not been directly examined, some of the interventions they include have received empirical support. With respect to initiating the discussion on termination, the use of metaphors (Cummings et al, 1992) has been found to lead to treatment success. With respect to the termination process, an empirical meta-analysis stresses the importance of rupture resolution processes to successful treatment (Eubanks et al, 2018).…”

Section: Research Supports the Suggested Interventionsmentioning

confidence: 99%

“We can work it out”: Working through termination ruptures.

David-Sela¹,

Nof²,

Zilcha‐Mano³

2020

Psychotherapy

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Supportive-expressive (SE) psychodynamic treatment is based on the identification of and working through the patient’s signature core conflictual relationship theme. According to the SE framework, when termination is anticipated, separation conflict arises, and the actualization of the patient’s interpersonal wish in the relationship with the therapist is no longer possible. The disactualization of the patient’s wish in the relationship with the therapist may cause patients to regress to their maladaptive prototype responses (Nof, Leibovich, & Zilcha-Mano, 2017), which may manifest as a rupture in the therapeutic alliance. The present work integrates constructs based on the SE framework, specifically the disactualization of the patient’s wish at the end of treatment, with the framework of alliance ruptures and their resolution (Safran & Muran, 2000). We propose a conceptual clinical model to guide therapists in the successful resolution of alliance ruptures, which are the result of the disactualization of the patient’s interpersonal wish. We propose a two-stage process to achieve successful resolution of termination ruptures: (a) identification of termination ruptures and (b) addressing and resolving termination ruptures. For each stage, we propose practice-based guidelines and steps to follow. We demonstrate the proposed guidelines based on the case study of a patient with major depressive disorder. We used three sources of information from the case study: verbal transcripts of the therapy sessions, questionnaires, and semistructured posttreatment interviews.

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Participants’ Memories for Therapeutic Events and Ratings of Session Effectiveness

Cited by 26 publications

References 0 publications

Significant events in psychotherapy: An update of research findings

Significant events in psychotherapy: An update of research findings

Does it make a difference to be more “on the same page”? Investigating the role of alliance convergence for outcomes in two different samples

“We can work it out”: Working through termination ruptures.

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