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Handbook of Psychotherapy and Behavior Change
01 Jan 1986-
TL;DR: The NIMH Treatment of Depression Collaborative Research Program: Where We Began and Where We Are (I. Elkin, et al. as discussed by the authors ) presents a methodology, design, and evaluation in psychotherapy research.
Abstract: Methodology, Design, and Evaluation in Psychotherapy Research (A. Kazdin). Assessing Psychotherapy Outcomes and Processes (M. Lambert & C. Hill). The NIMH Treatment of Depression Collaborative Research Program: Where We Began and Where We Are (I. Elkin). The Effectiveness of Psychotherapy (M. Lambert & A. Bergin). Research on Client Variables in Psychotherapy (S. Garfield). Therapist Variables (L. Beutler, et al.). Process and Outcome in PsychotherapyNoch Einmal (D. Orlinsky, et al.). Behavior Therapy with Adults (P. Emmelkamp). Cognitive and Cognitive-Behavioral Therapies (S. Hollon & A. Beck). Psychodynamic Approaches (W. Henry, et al.). Research on Experiential Psychotherapies (L. Greenberg, et al.). Psychotherapy for Children and Adolescents (A. Kazdin). The Process and Outcome of Marital and Family Therapy: Reseach Review and Evaluation (J. Alexander, et al.). Experiential Group Research (R. Bednar & T. Kaul). Research on Brief Psychotherapy (M. Koss & J. Shiang). Behavioral Medicine and Health Psychology (E. Blanchard). Medication and Psychotherapy (G. Klerman, et al.). Research on Psychotherapy with Culturally Diverse Populations (S. Sue, et al.). Overview, Trends, and Future Issues (A. Bergin & S. Garfield). Indexes.
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TL;DR: Motivational attunement is presented as a set of guiding principles that can be used to foster the therapeutic alliance in cognitive behavioral therapy (CBT) as mentioned in this paper, where the therapist must attune his or her interventions to the client's motivational goals.
Abstract: Motivational attunement is presentedhere as a set of guiding principles thatcan be used to foster the therapeuticalliance in cognitivebehavioral ther-apy (CBT). The overarching goal ofmotivational attunement is to providethe client with need-satisfying experi-ences. In order to do so, the therapistmust attune his or her interventions tothe clients motivational goals. The au-thors attempt to demonstrate how ther-apists can assess motivational goalsand use this information to foster thecentral components of the alliance. Theauthors also outline how motivationalattunement can be used to prevent andresolve alliance ruptures. Finally, em-pirical support for the effects of motiva-tional attunement is brie y described.Keywords: psychotherapy, relationship,techniques, motivation, CBT
67 citations
Cites background from "Handbook of Psychotherapy and Behav..."
...In the context of psychotherapy, it is hypothesized that activation of the approach system will lead to a greater openness on the part of the client, which, as demonstrated by Orlinsky, Grawe, and Parks (1994), is one of the most important predictors of change in psychotherapy....
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TL;DR: This paper conducted interviews with 9 European American psychologists, asking them to recall their first 12 counseling sessions with a current or recent successful case with an African American client and found that they generally attended to differences in race between themselves and clients directly and openly within the first two sessions.
Abstract: Interviews were conducted with 9 European American psychologists, asking them to recall their first 12 counseling sessions with a current or recent successful case with an African American client. Using consensual qualitative research (CQR) methodology, the psychologists revealed that they generally attended to differences in race between themselves and clients directly and openly within the first two sessions. This was done to acknowledge this difference and convey to the client comfort and trust; psychologists also intended to engender client trust and participation in therapy. The psychologists saw race as a central component to be discussed and continually attended to in establishing and maintaining a trusting and solid working relationship. They typically saw race-related issues as relevant to clients’ concerns. Despite wide variability in theoretical orientations and variety of client presenting problems, they typically reported using Rogerian core skills to engage the client and establish the relat...
67 citations
TL;DR: The association between clients' affective experience during the session and treatment effectiveness was fairly strong for relatively brief therapy but insignificant for relatively lengthy treatment.
Abstract: This study investigated clients' affective experience during therapy. Clients (N = 268) completed Therapy Session Reports (TSR) in an early session of treatment. The two sections of the TSR that assess how the client felt and how the client perceived the therapist to be feeling were combined and factor analyzed. Six stable and meaningful factors were derived (Client Distressed, Client Remoralized, Reciprocal Intimacy, Therapist Confident Involvement, Client Inhibited, and Therapist Distracted). Affect scale scores were created and compared to session quality and treatment effectiveness. Clients' affective experience was highly correlated with patient-rated session quality. The association between clients' affective experience during the session and treatment effectiveness was fairly strong for relatively brief therapy but insignificant for relatively lengthy treatment. The implications for practitioners, who—in contrast to most measures of therapeutic process—have easy access to clients' in-session emotional experiences, are discussed. © 1999 John Wiley & Sons, Inc. J Clin Psychol 55: 597–605, 1999.
67 citations
TL;DR: In this paper, the authors used a randomized cluster design to evaluate the effect of client feedback in individual and couple therapy in a group setting, and found that client feedback improved both outcome and retention.
Abstract: University of KentuckyMonitoring progress in psychotherapy routinely (i.e., client feedback) has yieldedpositive results for improving both outcome and retention in individual and coupletherapy; however, evidence of client feedback efficacy in a group format is limited.Using a randomized cluster design, group therapy participants (
67 citations
TL;DR: Results of the present study offer initial support for the validity and reliability of the RRI-C and discuss the importance of measuring clients' perceptions of the real relationship.
Abstract: The development and validation of a client version of the Real Relationship Inventory (RRI-C) is reported. Using a sample of clients (n = 94) who were currently in psychotherapy, a 24-item measure was developed consisting of two subscales (Realism and Genuineness) and a total score. This 24-item version and other measures used for validation were completed by 93 additional clients. Results of the present study offer initial support for the validity and reliability of the RRI-C. The RRI-C correlated significantly in theoretically expected ways with measures of the client-rated working alliance and therapists' congruence, clients' observing ego, and client ratings of client and therapist real relationship on an earlier measure of the real relationship (Eugster & Wampold, 1996). A nonsignificant relation was found between the RRI-C and a measure of social desirability, providing support for discriminant validity. A confirmatory factor analysis supported the two theorized factors of the RRI-C. The authors discuss the importance of measuring clients' perceptions of the real relationship.
67 citations
Cites background from "Handbook of Psychotherapy and Behav..."
...Psychotherapy is an intricate and complex process, and the relationship between therapist and client plays a vital role in that process (Beutler & Sandowicz, 1994; Gelso & Carter, 1985, 1994; Gelso & Hayes, 1998; Lambert & Bergin, 1994; Norcross, 2002)....
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