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Full-Text Articles in Social and Behavioral Sciences
Individual Differences In Psychotherapy Change Among Ethnic Minority Patients, Joan Lenore Degeorge
Individual Differences In Psychotherapy Change Among Ethnic Minority Patients, Joan Lenore Degeorge
Doctoral Dissertations
There is limited research on ethnic minorities in psychotherapy, particularly with regard to the process of change. Most existing studies subscribe to a “uniformity myth” in which individual differences across and within minority groups are often masked or ignored because of an assumption of shared characteristics and experiences. The primary aim of this study was to address the gap in research on individual differences in psychotherapeutic change by analyzing a large sample of adult patients (N = 2,272) of varying ethnicity who received psychotherapy across various naturalistic settings. The treatment settings all participated in a national practice-research network, administering …
Patient Interpersonal And Cognitive Changes In Relation To Outcome In Interpersonal Psychotherapy For Depression, Samantha L. Bernecker
Patient Interpersonal And Cognitive Changes In Relation To Outcome In Interpersonal Psychotherapy For Depression, Samantha L. Bernecker
Masters Theses 1911 - February 2014
Despite evidence for the efficacy of interpersonal psychotherapy (IPT) for depression, there remains little understanding of its specific change-promoting ingredients. This study aimed to establish candidate change mechanisms by identifying whether patients’ interpersonal (theory-specific) and cognitive (theory-nonspecific) characteristics change in an adaptive direction during IPT, and whether such changes differentially relate to depression reduction and improvement in global functioning. The four interpersonal variables and one cognitive variable measured all changed significantly in an adaptive direction, with medium to large effect sizes. Reduced interpersonal problems were marginally associated with self-reported depression reduction (β = 2.846, p = .062), and greater …
Patient Outcome Expectations And Credibility Beliefs As Predictors Of The Alliance And Treatment Outcome, Rebecca M. Ametrano
Patient Outcome Expectations And Credibility Beliefs As Predictors Of The Alliance And Treatment Outcome, Rebecca M. Ametrano
Masters Theses 1911 - February 2014
The clinical relevance of patients’ psychotherapy outcome expectations has been substantiated by a fairly robust correlational literature. Furthermore, as a related yet distinct construct, patients’ treatment credibility beliefs have also been associated with positive treatment outcomes. Addressing several methodological limitations of past research, the current study examined the influence on early adaptive process (patient-psychotherapist alliance quality) and early treatment outcome (patient distress level) of patients’ outcome expectations and credibility beliefs, measured both statically and dynamically with a psychometrically sound self-report instrument. Patients were 110 adult outpatients receiving naturalistically delivered psychotherapy in a community mental health training clinic. The primary research …
Countertransference Behavior And Alliance Quality As A Function Of Therapist Self-Insight, Mamta B. Dadlani
Countertransference Behavior And Alliance Quality As A Function Of Therapist Self-Insight, Mamta B. Dadlani
Masters Theses 1911 - February 2014
The current study investigated preliminarily therapists’ countertransference (CT) behavior and alliance quality as a function of therapist self-insight, a central CT management factor. Eight therapist-trainees were rated by a clinical supervisor on their degree of self-insight and then assigned to a high or low self-insight group. The groups were compared on therapist CT behavior, from both therapist and supervisor perspectives, and on patient-perceived alliance quality. Effect size estimates suggested that high self-insight therapists displayed more CT behaviors than low self-insight therapists (with small to medium effects), and that patients of high self-insight therapists reported higher alliance scores (with a medium …
What Went Wrong? Therapists' Reflections On Their Role In Premature Termination, Alessandro T. Piselli
What Went Wrong? Therapists' Reflections On Their Role In Premature Termination, Alessandro T. Piselli
Masters Theses 1911 - February 2014
Consensual Qualitative Research methodology was used to explore how experienced therapists understood and learned from cases of premature termination. Eleven board certified therapists participated in semi-structured interviews concerning a case of a former client who had left treatment prematurely. They offered their reflections on the client’s presentation, the structure of the treatment, successful aspects of the therapy, problems in the treatment, the process of termination, and the impact on their own professional development. Core ideas were identified in each interview, and were cross-referenced to highlight the most common experiences described by the therapists. Premature terminations resulted from multiple, concurrent problems …
Motivational Interviewing: A Bellwether For Context-Responsive Psychotherapy, Michael J. Constantino, Joan Degeorge, Mamta B. Dadlani, Christopher E. Overtree
Motivational Interviewing: A Bellwether For Context-Responsive Psychotherapy, Michael J. Constantino, Joan Degeorge, Mamta B. Dadlani, Christopher E. Overtree
Christopher E. Overtree
We comment on 6 clinical cases involving the application of one or more elements of Motivational Interviewing (MI). First, we share our general reactions to MI and the case material. Second, we reflect briefly and specifically on each case illustration, highlighting the compelling flexibility and clinical utility of the MI spirit and its principles. Third, we offer several reflective themes across the cases, including convergences between MI and other psychotherapies, and unanswered clinical questions related to MI, its effectiveness, and its change mechanisms. FInally, we advance a context-responsive psychotherapy integration for which MI might effectively serve as the bellwether.
The Many Hats Of A Clinic Director, Christopher E. Overtree
The Many Hats Of A Clinic Director, Christopher E. Overtree
Christopher E. Overtree
This article discusses the many roles and challenges of being a Director of a Psychology Training Clinic in a University Setting
The Efforts Of Therapists In The First Session To Establish A Therapeutic Alliance, Gregory H. Macewan
The Efforts Of Therapists In The First Session To Establish A Therapeutic Alliance, Gregory H. Macewan
Masters Theses 1911 - February 2014
Although the therapeutic alliance is known to be a principal therapeutic factor, little attention has focused on therapists’ perspectives on the impact of the first session on the development of the therapeutic alliance. The present study is a qualitative exploration of interviews with ten therapists regarding the first session and their efforts to establish a therapeutic alliance with their new clients. The data were analyzed using Clara Hill’s Consensual Qualitative Research paradigm (CQR). In considering Bordin’s (1979) three components of the alliance (tasks, goals, bond), therapists viewed the bond as the most influential contributor to the development of the alliance …
Empathy And The Therapeutic Alliance: Their Relationship To Each Other And To Outcome In Cognitive-Behavioral Therapy For Generalized Anxiety Disorder, Joan Degeorge
Masters Theses 1911 - February 2014
Therapist empathy has long been recognized as an important therapeutic factor across different psychotherapies. However, despite its widely accepted clinical importance, empathy is conceptually complex, and its relation to other psychotherapy constructs and to therapy outcomes remains empirically unclear. The current study examined the association between empathy and the therapeutic alliance, as well as their respective and potentially interactive associations with treatment outcome. Using confirmatory factor analysis, structural equation modeling, and path analysis, these relations were examined in the context of cognitive-behavioral therapy (CBT) for generalized anxiety disorder (GAD), a condition for which little research exists on treatment process and …