The psychotherapeutic value of a “Chat”: A verbal response modes study of a placebo attention control with breast cancer patients

Burton, Mary; Parker, Ronald W.; Wollner, Jennifer M.

doi:10.1080/10503309112331334061

Cited by 16 publications

(3 citation statements)

References 29 publications

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“…Finally, Burton, Parker, and Wollner (1991) found that breast cancer patients about to undergo surgery, who met in a single 45-minute preoperative interview with their surgeons, had less distress about body image, less anxiety, and less depression. They also were better at a 1-year follow up than control participants who did not have the interview.…”

Section: Self-expressionmentioning

confidence: 96%

The client as a common factor: Clients as self-healers.

Tallman¹,

Bohart²

1999

The Heart and Soul of Change: What Works in Therapy.

130

102

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The Client as a lommon factor: Clients as Self-tiealers Until lions have their historians, all tales of hunting will glorify the hunter.-African proverb. ur thesis in this chapter is that the client's capacity for selfhealing is the most potent common factor in psychotherapy. It is the "engine" that makes therapy work (Bohart 6 Tallman, 1999; Bohart 6 Tallman, 1996). Therapy facilitates naturally occurring healing aspects of clients' lives. Therapists function as support systems and resource providers. This view contrasts with most of the literature on psychotherapy. There, the therapist is the "hero" who, with potent techniques and procedures, intervenes in clients' lives and fixes their malfunctioning machinery, be they faulty cognitions, weak and ineffectual egos, primitive defensive structures, conditioned maladaptive behaviors, defective social skills, or poorly working internal selforganizations.In this chapter we argue that the most parsimonious explanation for the dodo bird verdict is that it is the client, not the therapist or technique, that makes therapy work. After making the empirical case for client centrality in therapeutic change, we then present our model of client generativity and self-healing and discuss its implications for therapy.

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Section: Self-expressionmentioning

confidence: 96%

The client as a common factor: Clients as self-healers.

Tallman¹,

Bohart²

1999

The Heart and Soul of Change: What Works in Therapy.

130

102

View full text Add to dashboard Cite

show abstract

“…However, designing appropriate attention-placebo conditions for behavioral interventions may be challenging. A study that used a 30-minute “chat” about issues unrelated to patients’ illness to control for the attention of a brief psychotherapeutic intervention found that it appeared to have some therapeutic value 33, 34. Similarly, meeting repeatedly with an empathetic research assistant over the course of data collection unintentionally led some participants to report that they felt as if they had received an intervention 8.…”

Section: Participant Disappointment Regarding Treatment Group Assignmentmentioning

confidence: 99%

Lessons to Be Learned From 25 Years of Research Investigating Psychosocial Interventions for Cancer Patients

Moyer¹,

Knapp-Oliver²,

Sohl³

et al. 2009

The Cancer Journal

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Conducting rigorous psychosocial intervention research with cancer patients has many challenges including encouraging them to join studies, asking them to engage in interventions or be part of control conditions, and to provide data over follow-up assessments. Here, we highlight valuable insights regarding such challenges provided by investigators studying psychosocial interventions for cancer patients. Handling these skillfully has important implications for the internal and external validity of this research and the ethical treatment of participants. Challenges noted in research reports included in a systematic review of 25 years of research (comprising 488 unique projects) investigating interventions designed to enhance cancer patients' quality of life were compiled. Among the difficulties mentioned was the fact that patients may not feel the need for psychosocial interventions and thus may not be interested in joining an intervention study. Patients who do feel the need for such interventions may be deterred from joining trials by the prospect of being randomized to a non-preferred group; if they do join a trial, participants may be disappointed, drop out, or seek compensatory additional assistance if they are assigned to a control group. Apart from randomization, other aspects of research may be off-putting to participants or potential participants, such as the language of consent forms or the intrusiveness of questions being asked. Potential remedies, such as research awareness interventions, monetary incentives, partnering with cancer support organizations, and using designs that take preferences into account merit consideration and further research inquiry.

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“…Assessing actual session contents might shed light not only on the course favorites and close finishes, but also on another important result of horserace research, the surprising (to some) effectiveness of intended "placebos" involving client-therapist contact. For example, a process analysis by Burton, Parker, and Wollner (1991) showed how participants in a "chat" control for a client-centered intervention with mastectomy patients systematically addressed psychologically important issues in ways that could account for their equivalently beneficial outcomes.…”

Section: Stiles Shapiro and Barkhammentioning

confidence: 99%

Research directions for psychotherapy integration: A roundtable.

Shoham¹,

Stiles²,

Shapiro³

et al. 1993

Journal of Psychotherapy Integration

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Repeated pleas for research on psychotherapy integration have been made almost from its earliest stirrings (cf. Arkowitz, 1992;Goldfried & Newman, 1992). However, consensual recognition of this lacuna has not produced to date any appreciable volume of research nor many specific strategies and directions for investigating psychotherapy integration. Intellectual awareness has not translated into corrective action.

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The psychotherapeutic value of a “Chat”: A verbal response modes study of a placebo attention control with breast cancer patients

Cited by 16 publications

References 29 publications

The client as a common factor: Clients as self-healers.

The client as a common factor: Clients as self-healers.

Lessons to Be Learned From 25 Years of Research Investigating Psychosocial Interventions for Cancer Patients

Research directions for psychotherapy integration: A roundtable.

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