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Helpful and hindering events in psychotherapy: A Practice Research Network study


Castonguay, L G; Boswell, J F; Zack, S E; Baker, S; Boutselis, M A; Brink, N; Chiswick, N R; Damer, D D; Hemmelstein, N A; Jackson, J S; Morford, M; Ragusea, S A; Roper, J G; Spayd, C; Weiszer, T; Borkovec, T D; Grosse Holtforth, M (2010). Helpful and hindering events in psychotherapy: A Practice Research Network study. Psychotherapy: Theory, Research, Practice, Training, 47(3):327-344.

Abstract

This paper presents the findings of a psychotherapy process study conducted within the Pennsylvania Psychological Association Practice Research Network (PPA-PRN). The investigation was the product of a long-term collaborative effort, both in terms of the study design and implementation, between experienced clinicians of various theoretical orientations and full-time psychotherapy researchers. Based on a relatively large sample of clients seen in independent practice settings, close to 1,500 therapeutic events (described by clients and therapists as being particularly helpful or hindering) were collected. These events were coded by three independent observers using a therapy content analysis system. Among the findings, both clients and therapists perceived the fostering of self-awareness as being particularly helpful. The results also point to the importance of paying careful attention to the therapeutic alliance and other significant interpersonal relationships. The merits and difficulties of conducting scientifically rigorous and clinically relevant studies in naturalistic contexts are also discussed.

Abstract

This paper presents the findings of a psychotherapy process study conducted within the Pennsylvania Psychological Association Practice Research Network (PPA-PRN). The investigation was the product of a long-term collaborative effort, both in terms of the study design and implementation, between experienced clinicians of various theoretical orientations and full-time psychotherapy researchers. Based on a relatively large sample of clients seen in independent practice settings, close to 1,500 therapeutic events (described by clients and therapists as being particularly helpful or hindering) were collected. These events were coded by three independent observers using a therapy content analysis system. Among the findings, both clients and therapists perceived the fostering of self-awareness as being particularly helpful. The results also point to the importance of paying careful attention to the therapeutic alliance and other significant interpersonal relationships. The merits and difficulties of conducting scientifically rigorous and clinically relevant studies in naturalistic contexts are also discussed.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:06 Faculty of Arts > Institute of Psychology
Dewey Decimal Classification:150 Psychology
Language:English
Date:2010
Deposited On:19 Feb 2011 15:19
Last Modified:07 Dec 2017 07:00
Publisher:American Psychological Association
ISSN:0033-3204
Publisher DOI:https://doi.org/10.1037/a0021164

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