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Assessing Processes of Connection and Development in Observations of the Therapeutic Relationship
Title
Assessing Processes of Connection and Development in Observations of the Therapeutic Relationship.
Creator
Freund, Robert R., Peluso, Paul R., Florida Atlantic University, College of Education, Department of Counselor Education
Abstract/Description
The present study applies Driver and Gottman’s (2004a) Turning System to observations of the therapeutic relationship in a quasi-experimental between and within groups design. A sample of 63 full counseling sessions (21 first sessions with clients who return for four sessions, 21 first sessions for clients who terminate therapy prior to four sessions, and 21 fourth sessions) were collected from a university counseling center in South Florida. Clients and clinicians also completed self report...
Show moreThe present study applies Driver and Gottman’s (2004a) Turning System to observations of the therapeutic relationship in a quasi-experimental between and within groups design. A sample of 63 full counseling sessions (21 first sessions with clients who return for four sessions, 21 first sessions for clients who terminate therapy prior to four sessions, and 21 fourth sessions) were collected from a university counseling center in South Florida. Clients and clinicians also completed self report evaluations of the therapeutic relationship that were also included in this study (Working Alliance Inventory – Short Form, and the Real Relationship Inventory). A series of multivariate analysis of the variance (MANOVA) tests were performed to assess for significant differences in Turning System behavior between return and dropout groups in the first sessions of therapy, as well as for significant differences between return groups’ first and fourth sessions. Correlation analyses were run for client and therapist self report data and Turning System codes. Overall, the Turning System codes did not predict attrition from therapy; however, significant effects were found for specific behaviors in the return versus dropout comparisons, including client’s uses of negative bids, high level questions, and preoccupied away responses. The Turning System also did not predict clear differences between behaviors in ongoing therapy, though significant effects were again found for individual behaviors enacted by both clients and therapists. Significant negative correlations were also found for return group clients between specific behaviors and ratings of the therapeutic alliance, such as high level questions and preoccupied away responses. Individual behaviors in the therapist return group, such as high level questions, negative bids, and interruptions, correlated negatively with ratings of the therapeutic alliance. The results of this study are presented in an effort to synthesize the data into a narrative for developing effective therapeutic relationships and guidance for future research.
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Date Issued
2016
PURL
http://purl.flvc.org/fau/fd/FA00004788, http://purl.flvc.org/fau/fd/FA00004788
Subject Headings
Psychotherapy., Psychotherapist and patient., Patient participation., Mind and body therapies., Mindfulness-based cognitive therapy., Client-centered psychotherapy., Affect (Psychology)
Format
Document (PDF)
The Effects of Case Conceptualization Training Over Time and Its Relationship to Practitioner Attitudes Towards Evidence-Based Practice
Title
The Effects of Case Conceptualization Training Over Time and Its Relationship to Practitioner Attitudes Towards Evidence-Based Practice.
Creator
Stoupas, George, Sperry, Len, Florida Atlantic University, College of Education, Department of Counselor Education
Abstract/Description
The purpose of this quantitative, quasi-experimental study was to examine the effects of a standardized case conceptualization training workshop on 104 psychotherapy practitioners recruited from the community. A secondary purpose was to examine the relationship between participants’ attitudes about evidence-based practice and the effects of the training. Participants attended two 3-hour training workshops, which taught the integrative case conceptualization model developed by Sperry (2010b)....
Show moreThe purpose of this quantitative, quasi-experimental study was to examine the effects of a standardized case conceptualization training workshop on 104 psychotherapy practitioners recruited from the community. A secondary purpose was to examine the relationship between participants’ attitudes about evidence-based practice and the effects of the training. Participants attended two 3-hour training workshops, which taught the integrative case conceptualization model developed by Sperry (2010b). Pre- and postintervention case conceptualization skills were assessed using the Case Conceptualization Evaluation Form (CCEF) 2.0, an updated version of the instrument used in previous studies. Additionally, participants’ views about case conceptualization were assessed before and after training using the Views about Case Conceptualization (VACC) instrument. Participants’ attitudes about evidence-based practice were also examined as a possible mediating variable between training and effect. These attitudes were assessed using the Evidence-Based Practice Attitudes Scale (EBPAS). Workshops were separated by four weeks in order to assess whether initial training effects persisted over time. Change in case conceptualization skill was analyzed using repeated measures ANOVA. Participants’ mean CCEF 2.0 scores significantly increased (p < .001) from pre-test (M = 11.9; SD = 7.74) to post-test (M = 36.7; SD = 7.80) following the first workshop. The second workshop took place four weeks later with 74 of the original 104 participants. It built on the content of the first workshop and introduced advanced concepts such as client culture, strengths and protective factors, and predictive ability. Participants’ mean CCEF 2.0 scores also significantly increased (p < .001) from pre-test (M = 35.1; SD = 8.11) to post-test (M = 66.3; SD = 10.95) following the second workshop. There was a small but statistically significant (p < .005) decrease of 1.5 points in mean scores from the end of Workshop I to Workshop II, indicating that the effects of the training deteriorate slowly over time. Participants’ attitudes about evidence based practice and some demographic variables were significantly related to training effects. Stepwise hierarchical regression analysis determined that these individual variables account for various portions of the variance in CCEF 2.0 scores. This study’s theoretical, practice, and research implications are discussed in detail.
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Date Issued
2016
PURL
http://purl.flvc.org/fau/fd/FA00004746, http://purl.flvc.org/fau/fd/FA00004746
Subject Headings
Clinical psychology--Methodology., Client-centered psychotherapy., Psychiatry--Case formulation., Evidence-based medicine., Cognitive therapy., Behavioral assessment., Counseling--Evaluation., Social sciences--Methodology.
Format
Document (PDF)