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Trainee Attitudes Toward Social Class As Predictors Of Clinical Decision Making: Exploring The Effects Of Classism In Psychotherapy, Jeremy J. Coleman
Trainee Attitudes Toward Social Class As Predictors Of Clinical Decision Making: Exploring The Effects Of Classism In Psychotherapy, Jeremy J. Coleman
Electronic Theses and Dissertations
The current study examined the effects of classist beliefs on trainee attitudes toward their client based on perceived social-class status. This study sought to determine whether classist attitudes contribute to meaningful differences in clinical decision making. A sample of mental health trainees (n = 147) attending graduate-level programs in the U.S. were recruited and randomly assigned to one of two clinical vignette conditions. Both vignette conditions included identical data regarding a hypothetical client’s presenting concerns (e.g., sleep disturbance, worry, rumination, loneliness), but differed on indicators of client socioeconomic status (SES). Results showed statistically significant between-group differences on ratings of clinical …
Psychological Factors That Impact White Counseling Trainees’ Responses To Cultural Ruptures, Emma Freetly Porter
Psychological Factors That Impact White Counseling Trainees’ Responses To Cultural Ruptures, Emma Freetly Porter
Electronic Theses and Dissertations
In the field of counseling and clinical psychology, the last several decades have been characterized by a strengthened recognition of the importance of cultural factors in psychotherapy. While this has been impactful, there is evidence that cultural ruptures, microaggressions, and racial/ethnic disparities in psychotherapy outcomes persist. Aversive racism theory, which provides explanations for the racist tendencies typically associated with progressive White individuals, postulates that a conflict between explicit egalitarian beliefs and implicit negative racial biases impedes White individuals from adequately addressing and acknowledging underlying biases. Therefore, it was hypothesized that psychological factors, such as defense mechanisms, professional selfdoubt and self-compassion, …
The Impact Of Sudden Gains And Deteriorations On The Psychotherapy Process, Joanna Mary Drinane
The Impact Of Sudden Gains And Deteriorations On The Psychotherapy Process, Joanna Mary Drinane
Electronic Theses and Dissertations
Within the field of psychotherapy research, there has been significant evidence to suggest that people change and improve because of treatment (Lambert & Ogles, 2004). One common phenomenon that has been observed when looking more closely at outcome trajectories has been termed sudden gains/deteriorations. These are defined as sudden changes in outcome (either positive or negative) of 25% or more from the pre-change level of symptoms that are in turn sustained over time (Tang & DeRubeis, 1999). Although there are data regarding how people who experience sudden gains end up after treatment, no studies have examined the impact that sudden …
Examining The Alliance-Outcome Relationship: Reverse Causation, Third Variables, And Treatment Phase Artifacts, John Paul M. Reyes
Examining The Alliance-Outcome Relationship: Reverse Causation, Third Variables, And Treatment Phase Artifacts, John Paul M. Reyes
Electronic Theses and Dissertations
Psychotherapy research reveals consistent associations between therapeutic alliance and treatment outcomes in the youth and adult literatures. Despite these consistent findings, prospective associations are not sufficient to support the claim that the alliance is a change mechanism in psychotherapy. The current study examined the direction of effect of the alliance-outcome relationship, the contribution of early symptom change in treatment to the development of therapeutic alliance, and the potential for pretreatment interpersonal functioning characteristics to be third variables that account for the association between alliance and outcome. Participants were adolescents with depression and a history of interpersonal trauma that presented to …