Patient and therapy process variables relating to dropout and change in psychotherapy.

Kolb, Daniel L.; Beutler, Larry E.; Davis, Carl S.; Crago, Marjorie; Shanfield, Stephen B.

doi:10.1037/h0085556

Cited by 81 publications

(59 citation statements)

References 26 publications

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“…Thus, patient confidence and commitment to therapy, as described in this study, may be similar to what has previously been termed 'patient involvement' or 'investment' and has been identified as a significant factor in the alliance as well as the process and outcome of psychotherapy (Saunders, 2000;Gomes-Swartz, 1978;Holtzworth-Munroe, Jacobson, DeKlyen, & Whisman, 1989;O'Malley, Suh, & Strupp, 1983;Kolb, Beutler, Davis, Crago, & Shanfield, 1985;Smith, Hilsenroth, Baity, & Knowles, 2003).…”

Section: Discussionmentioning

confidence: 64%

Facets of the therapeutic alliance and perceived progress in psychotherapy: relationship between patient and therapist perspectives

Clemence

Hilsenroth

Ackerman

et al. 2005

Clin. Psychol. Psychother.

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This study investigates the facets of the alliance and their relationship with estimated effectiveness of psychotherapy using a measure called the Combined Alliance Short Form (CASF; Hatcher, 1999; Hatcher & Barends, 1996; Hatcher, Barends, Hansell, & Gutfreund, 1995). Because the CASF has both patient and therapist versions, it was possible to compare ratings of various facets of the alliance from each perspective. Data were collected from 125 patient-therapist dyads, and all participants completed the CASF as well as measures of perceived progress during therapy. Convergence was examined for each alliance subscale for the patient-therapist dyads. Both the patient and therapist Confident Collaboration factors were found to be primary predictors of perceived improvement in psychotherapy. Number of psychotherapy sessions was related to patient estimates of improvement and therapist ratings of the amount of help received by their patients as well. Confident Collaboration, a factor that reflects the level of confidence and commitment a patient experiences regarding the therapy as well as the degree to which the therapy is experienced as worthwhile, is discussed in relation to previous research. Implications regarding the presence of this factor during psychotherapy are considered in detail.

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Section: Discussionmentioning

confidence: 64%

Facets of the therapeutic alliance and perceived progress in psychotherapy: relationship between patient and therapist perspectives

Clemence

Hilsenroth

Ackerman

et al. 2005

Clin. Psychol. Psychother.

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“…Furthermore, there are some indications that clients who are particularly mistrustful and suspicious may become more so when faced with a therapist who actively tries to structure a session (Kolb, Davis, Beutler, Crago, & Shanfield, 1985). At the same time, data from a range of sources suggest that directive practices may be particularly useful for clients who are experiencing anxiety disorders (Woody & Ollendick, 2006).…”

Section: Coopermentioning

confidence: 97%

“…This is after the dodo bird in Alice in Wonderland who, having judging a race around a lake, declares that 'everyone has won and so all must have prizes.' Drawing together findings from hundreds of studies, some researchers have estimated that therapist orientation accounts for just 1% of the variance in outcomes (Luborsky et al, 2002;Wampold, 2001). Furthermore, Wampold (2001) calculates that, if the therapies being compared are bona fide ones and researchers' allegiances are controlled for, this figure is reduced to zero.…”

Section: Belief 5: Orientation Mattersmentioning

confidence: 98%

The challenge of counselling and psychotherapy research

Cooper

2010

Couns and Psychother Res

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Aims: The purpose of this commentary is to argue that the value of counselling and psychotherapy research lies, not only in what it teaches us as therapists, but also in its ability to challenge us and our assumptions. Method: The paper identifies eight beliefs that may be prevalent in sections of the counselling and psychotherapy community, and presents evidence that challenges them. Findings: While many of our beliefs may hold true for some clients some of the time, the research evidence suggests that they are unlikely to be true for all clients all of the time. Discussion: By questioning and challenging therapists' a priori assumptions, research findings can help counsellors and psychotherapists to be less set in their beliefs; and more open to the unique experiences, characteristics and wants of each individual client.

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“…Dropout patients express disappointment about not receiving enough information, validation and support (Lambert, 2004;Reis & Brown, 1999). They describe their therapists as unsympathetic, passive and indifferent which gives rise to shame and embarrassment (Kolb, Beutler, Davis, Crago, & Shanfield, 1985;Mohl et al, 1991;Reis & Brown, 1999). The patients started psychotherapy with expectations that was not fulfilled and not shared with the therapists who, on their part, describe the clients as not understanding what being in psychotherapy involves (Cartwright, Lloyd & Wicklund, 1980;Pekarik 1985b;Reis & Brown, 1999;Tryon, 1999).…”

Section: Johanna Roosmentioning

confidence: 99%

Left behind: A review of therapist and process variables influencing dropout from individual psychotherapy

Roos¹

2011

PsycEXTRA Dataset

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Patient and therapy process variables relating to dropout and change in psychotherapy.

Cited by 81 publications

References 26 publications

Facets of the therapeutic alliance and perceived progress in psychotherapy: relationship between patient and therapist perspectives

Facets of the therapeutic alliance and perceived progress in psychotherapy: relationship between patient and therapist perspectives

The challenge of counselling and psychotherapy research

Left behind: A review of therapist and process variables influencing dropout from individual psychotherapy

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