Client Attachment As A Predictor Of Therapy Outcome And Premature Termination

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Client Attachment as a Predictor of Therapy Outcome and Premature Termination

Author : Gahee Choi
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (134 download)

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Book Synopsis Client Attachment as a Predictor of Therapy Outcome and Premature Termination by : Gahee Choi

Download or read book Client Attachment as a Predictor of Therapy Outcome and Premature Termination written by Gahee Choi and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The primary purpose of this study was to examine how clients' self-reported adult attachment pattern and their attachment to the counselor are associated with working alliance and premature termination. A total of 65 clients at a large southeastern university counseling center were included in data analysis. Clients in this study completed survey packets including the Experiences in Close Relationships Scale (Brennan, Clark, & Shaver, 1998), the Working Alliance Inventory (Horvath & Greenberg, 1989), the Client Attachment to Therapist Scale (Mallinckrodt, Gantt, & Coble, 1995), the Outcome Questionnaire 45 and 30 items (Lambert et al. 1996), and the Therapeutic Distance Inventory (Mallinckrodt, 2011) at four different time points: (a) pretest, (b) after the 3rd session, (c) after the 5th session, and (d) at termination. The Therapeutic Distance scale is composed of four dimensions, Too Close, Too Distant, Growing Engagement, and Growing Autonomy. Results suggested that interactions between adult attachment (anxiety or avoidance) and therapeutic distance were not significantly associated with working alliance or premature termination. However, therapeutic distance subscales were correlated as direct effects with working alliance and premature termination. Other findings suggested adult attachment did not change over the course of therapy. The Client Attachment to Therapist (CATS) subscales at session 5 and at termination were significantly correlated with premature termination. In addition, working alliance at termination was significantly negatively associated with premature termination. Finally, the CATS-Avoidant-Fearful subscale at session 3 was associated with an increase in symptoms, and working alliance at session 3 was associated with a decrease in symptoms. Implications for theory, psychotherapy, and future research are discussed.

Adult Attachment Style and the Therapeutic Alliance as Predictors of Premature Therapy Termination: A Retrospective Chart Review

Author : Joshua Green
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (119 download)

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Book Synopsis Adult Attachment Style and the Therapeutic Alliance as Predictors of Premature Therapy Termination: A Retrospective Chart Review by : Joshua Green

Download or read book Adult Attachment Style and the Therapeutic Alliance as Predictors of Premature Therapy Termination: A Retrospective Chart Review written by Joshua Green and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Premature termination in psychotherapy is associated with negative consequences for clients, therapists, and the institutions that employ them, in the form of poorer mental health, diminished confidence, and lost revenue, respectively. Missed appointments in the form of late cancellations and no-shows exert similarly negative effects on client outcomes and treatment providers (Berrigan & Garfield 1981; Edlund et al., 2002; LaGanga & Lawrence, 2007; Oldham, Kellett, Miles, & Sheeran, 2012). Approximately one out of every five patient/clients in treatment will drop out of therapy before goals are met, regardless of treatment settings or intervention (Swift & Greenberg, 2012). The current study sought to explore relational variables - the therapeutic alliance and adult attachment style - as they relate to premature termination and missed appointments. A total of 110 case files, collected at a university training clinic over a period of 38 months, were consulted to determine rates of premature termination and missed appointments, as well as the relationships of these dispositions with alliance and attachment. The effects of attachment and alliance on premature termination could not be adequately tested due to missing data; missed appointment rate was analyzed instead. The results of regression analyses indicated that individuals who missed more sessions were more likely to prematurely terminate. Client-reported adult attachment style did not predict missed appointment rate; effects of client-reported alliance were confounded with a low sample size and positively skewed distribution and as such results were not conclusive. Implications and recommendations are suggested for future research.

The Real Relationship in Psychotherapy

Author : Charles J. Gelso
Publisher : American Psychological Association (APA)
ISBN 13 :
Total Pages : 208 pages
Book Rating : 4.:/5 (1 download)

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Book Synopsis The Real Relationship in Psychotherapy by : Charles J. Gelso

Download or read book The Real Relationship in Psychotherapy written by Charles J. Gelso and published by American Psychological Association (APA). This book was released on 2011 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: The concept of the real or personal relationship between client and therapist has existed since the earliest days of psychotherapy. In this engaging book, Charles J. Gelso argues the case for the relevance of the real relationship to successful therapeutic outcomes.

Trauma and the Avoidant Client: Attachment-Based Strategies for Healing

Author : Robert T. Muller
Publisher : W. W. Norton & Company
ISBN 13 : 0393706966
Total Pages : 217 pages
Book Rating : 4.3/5 (937 download)

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Book Synopsis Trauma and the Avoidant Client: Attachment-Based Strategies for Healing by : Robert T. Muller

Download or read book Trauma and the Avoidant Client: Attachment-Based Strategies for Healing written by Robert T. Muller and published by W. W. Norton & Company. This book was released on 2010-07-19 with total page 217 pages. Available in PDF, EPUB and Kindle. Book excerpt: Winner, 2011 Written Media Award, International Society for Study of Trauma & Dissociation. How to effectively engage traumatized clients, who avoid attachment, closeness, and painful feelings. A large segment of the therapy population consist of those who are in denial or retreat from their traumatic experiences. Here, drawing on attachment-based research, the author provides clinical techniques, specific intervention strategies, and practical advice for successfully addressing the often intractable issues of trauma. Trauma and the Avoidant Client will enhance the skills of all mental health practitioners and trauma workers, and will serve as a valuable, useful resource to facilitate change and progress in psychotherapy.

Client Pretreatment Characteristics as Predictors of Outcome in Psychotherapy as Mediated by the Working Alliance

Author : Kevin C. David
Publisher :
ISBN 13 :
Total Pages : 60 pages
Book Rating : 4.:/5 (123 download)

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Book Synopsis Client Pretreatment Characteristics as Predictors of Outcome in Psychotherapy as Mediated by the Working Alliance by : Kevin C. David

Download or read book Client Pretreatment Characteristics as Predictors of Outcome in Psychotherapy as Mediated by the Working Alliance written by Kevin C. David and published by . This book was released on 2020 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: The current study examined whether attachment style, interpersonal problems, and treatment expectations predict outcome in psychotherapy and whether the working alliance may act as mediator for this prediction. Participants were 226 clients at an outpatient psychotherapy training clinic housed within a medium-sized Midwestern university. Clients completed measures of attachment, interpersonal problems, and treatment expectations prior to beginning therapy. Clients were administered the Outcome Questionnaire-45 at intake and session 3 and Working Alliance Inventory (Short, Revised) at session 2. Using structural equation modeling, it was found that both more secure adult attachment and higher treatment expectations were predictive of a stronger working alliance, though neither were predictive of outcome. Results were consistent across models whether measuring outcome at session 3 or termination (median treatment length = 8 sessions). However, interpersonal problems were not found to be predictive of either working alliance or outcome in therapy. These findings indicate that both the client's attachment security and attitudes regarding treatment both play a role in predicting the working alliance. Implications and ways of utilizing these findings to better affect the course of psychotherapy are discussed.

Therapist and Client Adult Attachment

Author : Eric Martin Sauer
Publisher :
ISBN 13 :
Total Pages : 308 pages
Book Rating : 4.3/5 (129 download)

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Book Synopsis Therapist and Client Adult Attachment by : Eric Martin Sauer

Download or read book Therapist and Client Adult Attachment written by Eric Martin Sauer and published by . This book was released on 1999 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Handbook of Psychological Change

Author : C. R. Snyder
Publisher : John Wiley & Sons
ISBN 13 :
Total Pages : 792 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Handbook of Psychological Change by : C. R. Snyder

Download or read book Handbook of Psychological Change written by C. R. Snyder and published by John Wiley & Sons. This book was released on 2000-02 with total page 792 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychotherapeutic change in perspective : A Changing History of Efforts to Understand and Control Change: The Case of Psychotherapy (M. Mahoney) / - Effectiveness of psychotherapeutic change : Randomized Clinical Trials in Psychotherapy Research: Methodology, Design, and Evaluation / D. Haaga & W. Stiles / - Empirically Supported Treatments: A Critical Analysis / R. Ingram, et al. / - Components of psychotherapeutic change : Therapist Variables / E. Teyber & F. McClure / - Stalking the Elusive Client Variable in Psychotherapy Research / N. Petry, et al. / - Change at Differing Stages / J. Prochaska / - Hope Theory: Updating a Common Process for Psychological Change / C. Snyder, et al. / - The Long and Short of Psychological Change: Toward a Goal-Centered Understanding of Treatment Durability and Adaptive Success / P. Karoly & C. Anderson / - Enhancing Perceived Control in Psychotherapy / S. Thompson & M. Wierson / - Psychotherapeutic approaches : Psychodynamic Approaches to Psycho ...

Adult Attachment and Psychotherapy

Author : Julia Rietzschel
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (835 download)

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Book Synopsis Adult Attachment and Psychotherapy by : Julia Rietzschel

Download or read book Adult Attachment and Psychotherapy written by Julia Rietzschel and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This thesis explores the association between adult attachment and psychological therapy by examining attachment as an outcome variable of therapy, as well as a predictor of therapy outcome. The literature review systematically explores research that has examined changes in attachment representations during psychological therapy. The purpose of the review is to enhance understanding of change processes in adult attachment and to provide empirical support to the premises of attachment theory. In spite of inconsistencies with regards to measurement and conceptualisation of attachment, the evidence suggests that attachment security increases during therapy, whereas insecurity decreases. The aim of the empirical paper was to examine the association between global adult attachment representations, specific attachment to the therapist, working alliance and response to individual Cognitive-Behaviour Therapy (CBT). The study also investigated changes in global attachment representations and their relationship with outcome. The results indicated that clients with greater secure attachment to the therapist showed greater improvements in symptoms, whereas clients with higher avoidant-fearful attachment to the therapist demonstrated less improvement. Significant improvements in attachment avoidance and anxiety were also associated with improvements in psychological symptoms, as was working alliance. No associations between adult global attachment and outcome were found. In paper 3, the approaches used within the current thesis are evaluated in terms of their strengths and weaknesses. Clinical implications of the findings are discussed and ideas for future research are outlined.

Termination in Psychotherapy

Author : Anthony S. Joyce
Publisher : American Psychological Association (APA)
ISBN 13 :
Total Pages : 230 pages
Book Rating : 4.:/5 (321 download)

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Book Synopsis Termination in Psychotherapy by : Anthony S. Joyce

Download or read book Termination in Psychotherapy written by Anthony S. Joyce and published by American Psychological Association (APA). This book was released on 2007 with total page 230 pages. Available in PDF, EPUB and Kindle. Book excerpt: A successful termination phase is a critically important component of psychotherapy of any orientation. The authors synthesize and evaluate the clinical, theoretical, and empirical literature on termination. They then offer their own Termination Phase Model designed to help psychotherapists understand and address the full range of both patient and therapist responses that must be considered as therapy winds down and the patient prepares for life without treatment.

Attachment Theory and Research in Clinical Work with Adults

Author : Joseph H. Obegi
Publisher : Guilford Press
ISBN 13 : 1606239287
Total Pages : 544 pages
Book Rating : 4.6/5 (62 download)

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Book Synopsis Attachment Theory and Research in Clinical Work with Adults by : Joseph H. Obegi

Download or read book Attachment Theory and Research in Clinical Work with Adults written by Joseph H. Obegi and published by Guilford Press. This book was released on 2010-06-09 with total page 544 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written with the practicing psychotherapist in mind, this invaluable book presents cutting-edge knowledge on adult attachment and explores the implications for day-to-day clinical practice. Leading experts illustrate how theory and research in this dynamic area can inform assessment, case formulation, and clinical decision making. The book puts such concepts as the secure base, mentalization, and attachment styles in a new light by focusing on their utility for understanding the therapeutic relationship and processes of change. It offers recommendations for incorporating attachment ideas and tools into specific treatment approaches, with separate chapters on psychoanalytic, interpersonal, cognitive-behavioral, and emotionally focused therapies.

An Examination of the Relationship Between Clients' Attachment Experiences, Their Internal Working Models of Self and Others, and Therapists' Empathy in the Outcome of Process-experiential and Cognitive-behavioural Therapies

Download An Examination of the Relationship Between Clients' Attachment Experiences, Their Internal Working Models of Self and Others, and Therapists' Empathy in the Outcome of Process-experiential and Cognitive-behavioural Therapies PDF Online Free

Author : Patricia Lynn Steckley
Publisher :
ISBN 13 :
Total Pages : 294 pages
Book Rating : 4.:/5 (7 download)

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Book Synopsis An Examination of the Relationship Between Clients' Attachment Experiences, Their Internal Working Models of Self and Others, and Therapists' Empathy in the Outcome of Process-experiential and Cognitive-behavioural Therapies by : Patricia Lynn Steckley

Download or read book An Examination of the Relationship Between Clients' Attachment Experiences, Their Internal Working Models of Self and Others, and Therapists' Empathy in the Outcome of Process-experiential and Cognitive-behavioural Therapies written by Patricia Lynn Steckley and published by . This book was released on 2006 with total page 294 pages. Available in PDF, EPUB and Kindle. Book excerpt: The literature has linked adult depression with maladaptive internal working models that have been influenced by negative childhood attachment experiences. Therapeutic empathy has been posited as one factor that helps change clients' personality structures and self-treatment. Although the relationship between therapeutic empathy and outcome is well established, no empirical studies have looked at the role that therapeutic empathy plays in changing clients' internal working models. The present study investigated the role that a therapeutic relationship characterized by empathy plays in changing models of self and other over the course of treatment and whether these changes are predictive of positive outcome. The data for this study was drawn from a larger research project that used Cognitive Behavioural Therapy (CBT) and Process Experiential Therapy (PET) in a 16 week treatment for depression (Watson, Gordon, Stermac, Kalogerakos & Steckley, 2003). The sample was comprised of 52 DSM-IV diagnosed depressed clients. The present study tested a path model that combined clients across treatment groups and included the following variables: self-reported early attachment relations with mother, self-reported current attachment styles (pre & post therapy), observer-rated self-treatment in therapy (early & late in therapy), perceived therapists' empathy (mid therapy) and therapy outcome as it related to depressive symptoms, interpersonal problems, dysfunctional attitudes, and self-esteem. The path model accounted for moderate to large amounts of variance in the outcome measures. The data revealed that clients' perceived empathy positively impacts clients' self-treatment and their attachment styles over the course of therapy and these changes are associated with positive outcome. The results did not support the hypothesis that client-reported early attachment experiences are significantly related to clients' self-treatment or attachment styles at the beginning of therapy. The findings of the study underscore that perceived therapist empathy is an active ingredient of change in psychotherapy, which impacts various aspects of intrapsychic and interpersonal functioning. Implications for clinical work and future research are discussed.

Bergin and Garfield's Handbook of Psychotherapy and Behavior Change

Author : Michael Barkham
Publisher : John Wiley & Sons
ISBN 13 : 1119536588
Total Pages : 852 pages
Book Rating : 4.1/5 (195 download)

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Book Synopsis Bergin and Garfield's Handbook of Psychotherapy and Behavior Change by : Michael Barkham

Download or read book Bergin and Garfield's Handbook of Psychotherapy and Behavior Change written by Michael Barkham and published by John Wiley & Sons. This book was released on 2021-10-05 with total page 852 pages. Available in PDF, EPUB and Kindle. Book excerpt: Celebrating the 50th anniversary of a best-selling and renowned reference in psychotherapy research and practice. Now celebrating its 50th anniversary and in its seventh edition, Bergin and Garfield's Handbook of Psychotherapy and Behavior Change, maintains its position as the essential reference volume for psychotherapy research. This bestselling reference remains the most important overview of research findings in psychotherapy. It is a rigorous and evidence-based text for academics, researchers, practitioners, and students. In recognition of the 50th anniversary, this edition contains a Foreword by Allen Bergin while the Handbook covers the following main themes: historical and methodological issues, measuring and evidencing change in efficacy and practice-based research, therapeutic ingredients, therapeutic approaches and formats, increasing precision and scale of delivery, and future directions in the field of psychotherapy research. Chapters have either been completely rewritten and updated or comprise new topics by contributors including: Characteristics of effective therapists Mindfulness and acceptance-based therapies Personalized treatment approaches The internet as a medium for treatment delivery Models of therapy and how to scale up treatment delivery to address unmet needs The newest edition of this renowned Handbook offers state-of-the-art updates to the key areas in psychotherapy research and practice today. Over 60 authors, experts in their fields, from over 10 countries have contributed to this anniversary edition, providing in-depth, measured and insightful summaries of the current field.

Therapist and Client Attachment and the Therapeutic Alliance

Author : Nicholas J. Sibrava
Publisher :
ISBN 13 :
Total Pages : 69 pages
Book Rating : 4.:/5 (768 download)

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Book Synopsis Therapist and Client Attachment and the Therapeutic Alliance by : Nicholas J. Sibrava

Download or read book Therapist and Client Attachment and the Therapeutic Alliance written by Nicholas J. Sibrava and published by . This book was released on 2009 with total page 69 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Client Engagement in Psychotherapy

Author : Nicole Aelise Yoskowitz
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (12 download)

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Book Synopsis Client Engagement in Psychotherapy by : Nicole Aelise Yoskowitz

Download or read book Client Engagement in Psychotherapy written by Nicole Aelise Yoskowitz and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Results also showed that clients with higher attachment anxiety showed greater self-disclosure discrepancy, in that they disclosed less to their therapists than was expected based on the salience of topics to clients. There was also a trending interaction between therapist attachment avoidance and client attachment anxiety on self-disclosure discrepancy. Study findings are compared to findings in the literature, and results are discussed in terms of attachment theory. Specific limitations and strengths of the study are then discussed. Implications of the study findings in terms of the development and training of beginning therapists are outlined. Findings in the current study indicating that client and therapist attachment style play a role in client attendance at therapy sessions and client self-disclosure in sessions, point to the need for more research in this area and additional consideration of the relationship between these variables and how they impact the therapeutic process, and ultimately therapy outcome.

Attachment Theory and Research

Author : Jeffry A. Simpson
Publisher : Guilford Publications
ISBN 13 : 1462518737
Total Pages : 465 pages
Book Rating : 4.4/5 (625 download)

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Book Synopsis Attachment Theory and Research by : Jeffry A. Simpson

Download or read book Attachment Theory and Research written by Jeffry A. Simpson and published by Guilford Publications. This book was released on 2015-02-20 with total page 465 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume showcases the latest theoretical and empirical work from some of the top scholars in attachment. Extending classic themes and describing important new applications, the book examines several ways in which attachment processes help explain how people think, feel, and behave in different situations and at different stages in the life cycle. Topics include the effects of early experiences on adult relationships; new developments in neuroscience and genetics; attachment orientations and parenting; connections between attachment and psychopathology, as well as health outcomes; and the relationship of attachment theory and processes to clinical interventions.

The Relationship Between Adult Attachment, Attachment of Client to Therapist, and Therapy Outcome

Author : Barbara E. Bisio
Publisher :
ISBN 13 : 9780549016779
Total Pages : 158 pages
Book Rating : 4.0/5 (167 download)

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Book Synopsis The Relationship Between Adult Attachment, Attachment of Client to Therapist, and Therapy Outcome by : Barbara E. Bisio

Download or read book The Relationship Between Adult Attachment, Attachment of Client to Therapist, and Therapy Outcome written by Barbara E. Bisio and published by . This book was released on 2007 with total page 158 pages. Available in PDF, EPUB and Kindle. Book excerpt: According to attachment theory, infant attachment results in an internal working model of attachment, which is eventually played out in close adult relationships. When adult individuals enter into psychotherapy, these attachment patterns are thought to affect the therapeutic relationship and therefore affect treatment outcome. It is thought that if individuals with avoidant or anxiety attachment styles are able to form a secure relationship with the therapist, their psychological symptoms are decreased. The present study was conducted with clients in a university counseling center (N = 31) over a treatment course of 10 weekly psychotherapy sessions. Results showed that although there does not appear to be a significant association between client attachment style and secure relationship with the therapist, there was a trend toward better treatment outcome in individuals with avoidance attachment style independent of their therapeutic bond. Limitations of the study are explored, including the small sample size and limits to generalizability.

Summary of Robert T. Muller's Trauma and the Avoidant Client

Author : Everest Media,
Publisher : Everest Media LLC
ISBN 13 :
Total Pages : 38 pages
Book Rating : 4.8/5 (225 download)

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Book Synopsis Summary of Robert T. Muller's Trauma and the Avoidant Client by : Everest Media,

Download or read book Summary of Robert T. Muller's Trauma and the Avoidant Client written by Everest Media, and published by Everest Media LLC. This book was released on 2022-06-11T22:59:00Z with total page 38 pages. Available in PDF, EPUB and Kindle. Book excerpt: Please note: This is a companion version & not the original book. Sample Book Insights: #1 Sandra came to see me because she was finding it increasingly difficult to function at work. She was irritable and unhappy for reasons she couldn’t understand. She rarely called her friends anymore and was not interested in going anywhere other than work. #2 The attachment system is a biologically based system that is oriented toward seeking protection and maintaining proximity to the attachment figure in response to real or perceived threat or danger. The child gradually develops stable patterns of defense and affect regulation that adapt to the caregiving environment. #3 The developmental research literature has identified four patterns of adult attachment: autonomous, avoidant, preoccupied, and unresolved. Adults who are autonomous, secure in their relationships, present a balanced, consistent, and objective view of early relationships. In contrast, adults who are avoidant or preoccupied with their past relationships demonstrate discomfort with the discussion of such experiences. #4 The typical course of life involves excluding information that is defensively excluded. This occurs when the child’s attachment behavior is strongly aroused, but is responded to inadequately by the parent. The child will feel prolonged distress rather than feeling soothed.