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EXPLORING THERAPIST FACTORS ON PREMATURE TERMINATION AND THE THERAPEUTIC RELATIONSHIP
Title
EXPLORING THERAPIST FACTORS ON PREMATURE TERMINATION AND THE THERAPEUTIC RELATIONSHIP.
Creator
Beattie, Erin L., Peluso, Paul, Florida Atlantic University, Department of Counselor Education, College of Education
Abstract/Description
The present study investigates therapist factors (such as conversation analysis, affectual interactions, and therapist facilitative skills) on client premature termination and the therapeutic relationship. The interactions of clients and therapists in a total sample of 76 psychotherapy sessions were analyzed using Hills Skills System (2017), Gottman, Woodin, and Coan’s (1998) Specific Affect Coding System, and scales of the Working Alliance Inventory (WAI) and Real Relationship Inventory (RRI...
Show moreThe present study investigates therapist factors (such as conversation analysis, affectual interactions, and therapist facilitative skills) on client premature termination and the therapeutic relationship. The interactions of clients and therapists in a total sample of 76 psychotherapy sessions were analyzed using Hills Skills System (2017), Gottman, Woodin, and Coan’s (1998) Specific Affect Coding System, and scales of the Working Alliance Inventory (WAI) and Real Relationship Inventory (RRI). Coded data were analyzed using Kruskal-Wallis and Mann-Whitney U tests which found significant differences between clients who dropout and the types of questions being asked in session (HSS). There were also significant differences between clients who dropout and the therapist and client SPAFF scores, SPAFF and HSS scores on the WAI and RRI, as well as the quality of questions being asked (HSS) over time (from initial session to fourth session). Coded data for differences between clients who dropout and the therapist and client assessment of the quality of the working alliance and real relationship were assessed using Kruskal-Wallis and Mann-Whitney U tests and found no significant differences. Analysis of the results support the presence of therapist factors on the therapeutic relationship and client premature termination. These findings can also be added to the literature regarding the outcomes of the therapeutic relationship on client premature termination. The implications for psychotherapy practice, education, and research are discussed.
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Date Issued
2023
PURL
http://purl.flvc.org/fau/fd/FA00014322
Subject Headings
Therapist and patient, Psychotherapy and Counseling, Conversation analysis
Format
Document (PDF)
EMOTIONAL DYNAMICS IN THE THERAPEUTIC RELATIONSHIP ON CLIENT SYMPTOM OUTCOMES
Title
EMOTIONAL DYNAMICS IN THE THERAPEUTIC RELATIONSHIP ON CLIENT SYMPTOM OUTCOMES.
Creator
Sauer, Ashley Nicole Koerick, Peluso, Paul R., Florida Atlantic University, Department of Counselor Education, College of Education
Abstract/Description
The present study evaluated affective, relational, and emotional behaviors associated with symptom reduction and clinical outcomes in psychotherapy. It relied on 36 therapist-client dyads and assessed client symptoms using the Counseling Center Assessment of Psychological Symptoms (CCAPS-34) as the progress monitoring and outcome assessment tool used by university counseling centers before every psychotherapy session. The research examined the first administration scores and the last...
Show moreThe present study evaluated affective, relational, and emotional behaviors associated with symptom reduction and clinical outcomes in psychotherapy. It relied on 36 therapist-client dyads and assessed client symptoms using the Counseling Center Assessment of Psychological Symptoms (CCAPS-34) as the progress monitoring and outcome assessment tool used by university counseling centers before every psychotherapy session. The research examined the first administration scores and the last administration scores of the CCCAPS to determine the level of clinical improvement. The researcher used the revised Specific Affect Coding System (SPAFF) to code the therapist and client interactions throughout the entire first psychotherapy session. The results revealed significant effects between the affective exchanges in the therapeutic relationship of both the therapist and the client on clinical outcomes. The researcher employed multivariate statistics with appropriate univariate follow-up procedures to determine group differences between SPAFF codes on the symptom outcome groups and CCAPS subscales. The researcher also used path analysis following Actor Partner Independence Model assumptions (Kenny et al., 2020) to examine the interdependent emotional dynamics between therapist and client on client symptom outcomes, and these revealed significant effects between SPAFF scores observed in the first session on client outcomes at the termination of therapy. The results add to the current research literature, highlighting patterns of significant affective behaviors in the first psychotherapy session on client outcomes. The study reveals that the first session cannot be minimized, as it has a greater impact on client outcomes than previously believed. The conclusion also outlines the study’s implications for clinical practice, graduate training, and research.
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Date Issued
2022
PURL
http://purl.flvc.org/fau/fd/FA00014083
Subject Headings
Psychotherapy--Outcome assessment, Professional-Patient Relations, Therapist and patient, Therapeutic relationship
Format
Document (PDF)
Examining Affectual Interaction within the Therapeutic Relationship Across Three Psychotherapeutic Theoretical Approaches
Title
Examining Affectual Interaction within the Therapeutic Relationship Across Three Psychotherapeutic Theoretical Approaches.
Creator
Baker, Andrew Z., Peluso, Paul R., Florida Atlantic University, College of Education, Department of Counselor Education
Abstract/Description
The present study investigates the affectual interaction of three highly competent therapists using different theoretical approaches with a shared male client and female client in a professionally recorded video series. The interactions of clients and therapists in a total sample of six psychotherapy sessions were coded using the twenty code version of Gottman, Woodin, and Coan’s (1998) Specific Affect Coding System. Coded data were analyzed using Kruskal-Wallis tests which found no...
Show moreThe present study investigates the affectual interaction of three highly competent therapists using different theoretical approaches with a shared male client and female client in a professionally recorded video series. The interactions of clients and therapists in a total sample of six psychotherapy sessions were coded using the twenty code version of Gottman, Woodin, and Coan’s (1998) Specific Affect Coding System. Coded data were analyzed using Kruskal-Wallis tests which found no significant differences between the mean ranks of therapists’ codes between therapists. Significant effects among some affective behaviors were noted in therapists’ codes when compared by client. Coded data were also used to create mathematical models using ordinary differential equations for each of the six sessions. Kruskal-Wallis tests did not reveal significant effects in the mean ranks of the parameters of the mathematical models, and visual similarities and differences of these models were discussed. Additional analyses were conducted to examine clients’ affective behaviors as well and significant effects were revealed in the Kruskal-Wallis tests amongst many coded behaviors. The results support the presence of common factors and similarities in the therapeutic relationship among different theoretical approaches. The findings also add to the growing body of literature dedicated to the use of observational coding and dynamic nonlinear modeling in psychotherapy research. The implications for psychotherapy practice, education, and research are discussed.
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Date Issued
2017
PURL
http://purl.flvc.org/fau/fd/FA00004962, http://purl.flvc.org/fau/fd/FA00004952
Subject Headings
Dissertations, Academic -- Florida Atlantic University, Psychotherapy., Affect (Psychology)., Psychotherapy--Research., Therapist and patient.
Format
Document (PDF)
Mastery in the Therapeutic Relationship: Comparing the Emotional Behavior of a Master Therapist with Professional Therapists and Its Impact on Their Clients
Title
Mastery in the Therapeutic Relationship: Comparing the Emotional Behavior of a Master Therapist with Professional Therapists and Its Impact on Their Clients.
Creator
Diaz, Patricia M., Peluso, Paul R., Florida Atlantic University, College of Education, Department of Counselor Education
Abstract/Description
A quasi-experimental, between groups design was used to evaluate differences in emotional behavior, as measured by the Specific Affect Coding System (SPAFF), between professional therapists and their clients and a master therapist and his client. This coding system also was used to determine how emotional behavior shown by a master therapist changes over the course of six psychotherapy sessions. The research team recorded counseling sessions at a university counseling center in the...
Show moreA quasi-experimental, between groups design was used to evaluate differences in emotional behavior, as measured by the Specific Affect Coding System (SPAFF), between professional therapists and their clients and a master therapist and his client. This coding system also was used to determine how emotional behavior shown by a master therapist changes over the course of six psychotherapy sessions. The research team recorded counseling sessions at a university counseling center in the southeastern United States and coded this video data using SPAFF in real time. Data were analyzed quantitatively to determine whether significant differences in SPAFF codes exist between the master therapist, professional therapists at the university counseling center, and their respective clients. Results indicated that the master therapist showed significantly more neutral and less negative affect than his counterparts at the university in both sessions one and four. The master therapist’s client showed significantly more neutral affect and less negative in session one and significantly more positive affect and less negative affect in session four.
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Date Issued
2017
PURL
http://purl.flvc.org/fau/fd/FA00004964, http://purl.flvc.org/fau/fd/FA00004954
Subject Headings
Dissertations, Academic -- Florida Atlantic University, Behavior., Psychotherapists., Therapist and patient., Psychotherapy--Practice., Affect (Psychology).
Format
Document (PDF)