What clients find helpful in psychotherapy: Developing principles for facilitating moment-to-moment change.

Levitt, Heidi M.; Butler, Michael; Hill, Travis C.

doi:10.1037/0022-0167.53.3.314

Cited by 134 publications

(142 citation statements)

References 39 publications

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“…Connolly and Strupp (1996) concluded that according to current research patient perspective outcome should be captured by the dimensions of symptom relief and changes in self-concept. In contrast, more recent studies advocated for a much broader view (Rennie 2000;Orlinsky et al 2004;Hill and Lambert 2004;Levitt et al 2006;Binder et al 2010). In particular Levitt, Butler and Hill (2006), as well as Binder, Holgerson and Nielsen (2010) argued for a patient perspective that downplays symptom relief but instead includes further aspects of life satisfaction.…”

Section: Introductionmentioning

confidence: 90%

Patients’ Perceptions of Risky Developments During Psychotherapy

Leitner

Märtens

Koschier

et al. 2012

J Contemp Psychother

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Research on risks and unwanted effects is largely missing in psychotherapy. Using exploratory factor analysis six dimensions of personal therapy situation were identified in a preliminary study, three of them were associated with risky developments during the psychotherapeutic process: (1) (poor) quality of therapeutic relationship, (2) burden caused by psychotherapy, and (3) dependency/isolation. Based on the finding of this study an online survey was performed to examine these three dimensions. Aside from these three factors another variable was associated with risky therapy developments: the online questionnaire also asked for premature terminations of psychotherapy as a consequence of risky conditions for the therapeutic development. Risky conditions were found to be associated with the following variables: (1) the combination of female patient-male therapist, (2) the therapeutic orientation (particularly with the psychodynamic approaches) and (3) the duration of therapy. Fewer humanistic and systemic psychotherapies were found among the high risk-prone group of patients who were at risk in at least three of the four variables which were associated with risky developments. Differences in the findings of the study regarding the four therapeutic orientations stress the importance of an extensive differential indication and a cooperative partnership between patient and therapist, in order to facilitate a positive patient participation towards the choice of therapy method and subsequent successful participation throughout the course of treatment. Further studies should also focus on female patient and male therapist psychotherapies. Taking findings of patient's perceptions that psychotherapy treatment has negative side effects seriously.Findings of patient's perceptions that psychotherapy treatment has negative side effects should not be ignored. Short title:Unwanted effects of psychotherapeutic treatment Research on risks and unwanted effects is largely missing in psychotherapy. Using exploratory factor analysis (EFA) six dimensions of personal therapy situation were identified in a preliminary study, three of them were associated with risky developments during the psychotherapeutic process: (1) (poor) quality of therapeutic relationship, (2) burden caused by psychotherapy, and (3) dependency/isolation. Based on the finding of this study an online survey was performed to examine these three dimensions. Aside from these three factors another variable was associated with risky therapy developments: the online questionnaire also asked for premature terminations of psychotherapy as a consequence of risky conditions for the therapeutic development.Risky conditions were found to be associated with the following variables: (1) the combination of female patient -male therapist, (2) the therapeutic orientation (particularly with the psychodynamic approaches) and (3) the duration of therapy. Fewer humanistic and systemic psychotherapies were found among the high risk-prone group of patients who were at risk in ...

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Section: Introductionmentioning

confidence: 90%

Patients’ Perceptions of Risky Developments During Psychotherapy

Leitner

Märtens

Koschier

et al. 2012

J Contemp Psychother

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“…A aplicação do software admitiu a identificação de momentos-chave nos processos psicoterapêuticos, estando associado, por exemplo, a situações de insight (Mergenthaler & Bucci, 1999) ou silêncio durante as sessões psicoterapêuticas (Levitt, Butler, & Hill, 2005). Esse instrumento também pode ser usado em estudos sobre análise das ferramentas de linguagem do terapeuta e do paciente (Gelo & Mergenthaler, 2003) e na identificação de momentos-chave em grupo de adolescentes com linguagens específicas (Khater & Yoshida, 2011).…”

Section: Dicionários De Palavras Que Conotam Abstraçãounclassified

Therapeutic Cycles Model (TCM): instrumento de avaliação do processo psicoterapêutico

et al. 2015

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ResumoO objetivo deste trabalho foi apresentar a versão brasileira do Therapeutic Cycles Model (TCM) a partir da análise de uma sessão de um processo de psicoterapia psicanalítica. O TCM é um método de análise de textos por computador que identifica os momentos-chave no discurso de paciente, psicoterapeuta, ou de ambos, em interação. As análises são feitas com o auxílio de um software (Cycles Model), que dispõe de listas de palavras de tom emocional e de abstrações, permitindo a classificação do texto em duas categorias: conteúdo emocional e cognitivo das verbalizações na sessão. Buscou-se ilustrar uma possibilidade de utilização do TCM a partir de uma sessão de psicoterapia. A análise exploratória dos conteúdos verbalizados pela dupla, paciente e psicoterapeuta, a partir dos ciclos terapêuticos demonstrou que esse instrumento contribui na identificação de momentos clinicamente significativos do discurso do paciente em sessões individuais. Sendo assim, o TCM pode ser mais uma ferramenta para compreender o processo terapêutico e, com isso, auxiliar o psicoterapeuta em sua prática. Palavras-chave: psicoterapia; avaliação de processo; pesquisa empírica. Therapeutic Cycles Model (TCM): instrument of evalution of psychotherapeutic process AbstractThe objective of this study was to present the Brazilian version of Therapeutic Cycles Model (TCM) from the analysis of a psychoanalytic psychotherapeutical process. TCM is a method of computer analysis of texts by identifying key-moments in the speech of the patient, therapist, or both in interaction. The analysis is performed with the software (Cycles Model), which provides word lists of emotional tone and abstractions, allowing classification of text into two categories: emotional and cognitive content of utterances in the session. We have tried to illustrate a possibility of TCM's use from a psychotherapy session. Exploratory analysis of the contents verbalized by the double patient and psychotherapist demonstrated that this instrument helps in identifying clinically significant moments in speech of the patient in individual sessions. Thus, the TCM can be a tool in comprehending psychotherapeutic processes, helping psychotherapist in practice. Keyworks: psychotherapy; review process; empirical research. Therapeutic Cycles Model (TCM): instrumento de evaluación del proceso psicoterapéutico ResumenEl objetivo de este trabajo fue presentar la versión brasileña del Therapeutic Cycles Model (TCM) partiendo del análisis de una sesión de un proceso de psicoterapia psicoanalítica. El TCM es un método computarizado de análisis de textos que identifica los momentos clave en el discurso del paciente, del psicoterapeuta o de la interacción entre ambos. El proceso de análisis se realiza con el auxilio de un software (Cycles Model), que dispone de listas de palabras de tono emocional y de abstracciones, permitiendo la clasificación del texto en dos categorías: contenido emocional y contenido cognitivo de las verbalizaciones durante la sesión. Se buscó la posibilidad de utilización del...

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“…But therapists need to draw on their experience to judge how proactive to be in order to make it work by ensuring that the goals selected are such that a focus on them is likely to benefit the client. These examples show how Levitt et al (2006) were able to identify several areas where clients were aware of therapist's responsiveness or lack of it and perceived it as a significant factor in the progress of the therapy.…”

Section: Other Approaches To the Studymentioning

confidence: 99%

“…This led to the writing of a treatment manual that was evaluated in further cases. Levitt, Butler and Hill (2006) also argue that research on therapist responsiveness must examine the "moment-to-moment process within the psychotherapy session" (p. 314) and the personal meanings for clients of changes that occur as a result of psychotherapy. They reviewed the literature on significant moments in therapy, which does address personal meanings, but found that little could be learned about therapist responsiveness because these moments tend not to be contextualized within the therapist-client interaction and not to convey when an element might best be used or privileged over another element (p. 315).…”

Section: Other Approaches To the Studymentioning

confidence: 99%

Using Systematic Case Studies to Investigate Therapist Responsiveness: Examples from a Case Series of PTSD Treatments

Edwards

2010

PCSP

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This article highlights the emerging literature on therapist responsiveness in psychotherapy and examines several concepts used to identify dimensions of responsiveness. Some methodological obstacles are identified to studying responsiveness in a systematic manner, and several examples of existing responsiveness research are reviewed. It is argued that meaningful theory on responsiveness has emerged from research methods that are qualitative and interpretive and that the writing of systematic case studies can be of particular importance since only the presentation of a case unfolding over time can disclose some of the more complex aspects of therapist responsiveness. Examination of a series of systematic case studies of the treatment of posttraumatic case disorder in South Africa was used to derive a model for guiding therapist responsiveness with respect with what to focus on at a particular phase of the therapy within a particular session. Material from the cases is used to illustrate aspects of the model related to building social support for the client and promoting emotional processing of trauma memories.

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What clients find helpful in psychotherapy: Developing principles for facilitating moment-to-moment change.

Cited by 134 publications

References 39 publications

Patients’ Perceptions of Risky Developments During Psychotherapy

Patients’ Perceptions of Risky Developments During Psychotherapy

Therapeutic Cycles Model (TCM): instrumento de avaliação do processo psicoterapêutico

Using Systematic Case Studies to Investigate Therapist Responsiveness: Examples from a Case Series of PTSD Treatments

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