The Effect of Therapeutic Alliance on Client Dropout

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Publisher :
ISBN 13 :
Total Pages : 340 pages
Book Rating : 4.:/5 (232 download)

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Book Synopsis The Effect of Therapeutic Alliance on Client Dropout by : Shobha Teresa George

Download or read book The Effect of Therapeutic Alliance on Client Dropout written by Shobha Teresa George and published by . This book was released on 2008 with total page 340 pages. Available in PDF, EPUB and Kindle. Book excerpt: Client dropout remains a challenging issue in psychotherapy despite acceptance of mental health issues among the general public and several strategic measures designed to reduce it. Client dropout has been of particular concern in university training facilities where intern therapists experience disappointment when clients do not return for scheduled appointments and tend to associate it with inexperience and failure. This study was based on the current trend toward client-centered progress research to explore the patterns of client dropout by looking at client feedback of therapeutic alliance. The Session Rating Scale (SRS) was used in this study to measure the quality of therapeutic alliance. The SRS is a clinical tool designed to address client expectations on a session-to-session basis, thus helping to prevent client dissatisfaction with treatment. An ex post facto research design, this study used archival data from a university training center in Texas that has an accredited program for Marriage and Family Therapy (MFT). The participants were from the surrounding community who attended therapy at the center. The dependent variable was therapeutic alliance, and independent variables were client dropout and demographic variables of the client and therapist. Due to its capacity to handle multilevel data and nested data with missing data, Hierarchical Modeling procedures were used to analyze the longitudinal data of therapeutic alliance and its relationship to dropout and client/therapist variables. The results showed variability in the therapeutic alliance scores based on whether clients dropped out or continued in treatment; decreasing alliance scores predicted risk for dropout. Other covariates were found to influence therapeutic alliance were client modality and interaction of client and therapist ethnicity. Individual clients were found to form better alliances with the therapists than families or couples. Therapists' ability in relating with ethnic and culturally different groups of clients was also found to influence therapeutic alliance. Other demographic variables of the clients, such as age, gender, marital status, referral source, fees, and education, were not found to influence variability in the therapeutic alliance scores. Hierarchical Modeling was practical and useful in analyzing the multilevel and nested data in the study as it allowed for the heteroscedastic and autocorrelated nature of the data. Future research in the area of dropout is recommended using a larger sample size and data from general practices.

Premature Termination in Psychotherapy

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Publisher : American Psychological Association (APA)
ISBN 13 : 9781433818011
Total Pages : 0 pages
Book Rating : 4.8/5 (18 download)

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Book Synopsis Premature Termination in Psychotherapy by : Joshua K. Swift

Download or read book Premature Termination in Psychotherapy written by Joshua K. Swift and published by American Psychological Association (APA). This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Premature termination is a significant yet often neglected problem in psychotherapy with significant consequences for clients and therapists alike. According to some estimates, as many as 20% of adult clients terminate psychotherapy prematurely. Even experienced practitioners using the best evidence-based techniques cannot successfully promote positive, long-term change in clients who do not complete the full course of treatment. This book helps therapists and clinical researchers identify the common factors that lead to premature termination, and it presents eight strategies to address these factors and reduce client dropout rates. Such evidence-based techniques will help therapists establish proper roles and behaviors, work with client preferences, educate clients on patterns of change, and plan for appropriate termination within the first few sessions. Additional strategies can be used throughout therapy to help strengthen and reinforce clients' feelings of hope, enhance their motivation to create change, develop and maintain the therapeutic alliance, and continually evaluate overall treatment progress. Case examples demonstrate how these strategies can be employed in real-life scenarios.

The Effects of the Therapeutic Alliance and Social Support on Therapy Outcome and Mental Health of Women

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Publisher :
ISBN 13 :
Total Pages : 370 pages
Book Rating : 4.:/5 (89 download)

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Book Synopsis The Effects of the Therapeutic Alliance and Social Support on Therapy Outcome and Mental Health of Women by : Victoria L. Hays

Download or read book The Effects of the Therapeutic Alliance and Social Support on Therapy Outcome and Mental Health of Women written by Victoria L. Hays and published by . This book was released on 1994 with total page 370 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Mindfulness-Based Cancer Recovery

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Publisher : New Harbinger Publications
ISBN 13 : 1608822354
Total Pages : 210 pages
Book Rating : 4.6/5 (88 download)

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Book Synopsis Mindfulness-Based Cancer Recovery by : Linda Carlson

Download or read book Mindfulness-Based Cancer Recovery written by Linda Carlson and published by New Harbinger Publications. This book was released on 2011-02-03 with total page 210 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Mind-Body Approach to Healing If you have received a cancer diagnosis, you know that the hundreds of questions and concerns you have about what's to come can be as stressful as the cancer treatment itself. But research shows that if you mentally prepare yourself to handle cancer treatment by getting stress and anxiety under control, you can improve your quality of life and become an active participant in your own recovery. Created by leading psychologists specializing in oncology, the Mindfulness-Based Cancer Recovery program is based on mindfulness-based stress reduction (MBSR), a therapeutic combination of mindfulness meditation and gentle yoga now offered to cancer survivors and their loved ones in hundreds of medical centers, hospitals, and clinics worldwide. Let this book be your guide as you let go of fear and focus on getting well. With this eight-week program, you'll learn to: • Use proven MBSR skills during your treatment and recovery • Boost your immune function through meditation and healing yoga • Calm feelings of fear, uncertainty, and lack of control • Mindfully manage difficult symptoms and side effects • Discover your own capacity for healing and thriving after adversity

Psychotherapy Dropout

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Publisher :
ISBN 13 : 9780549236702
Total Pages : 190 pages
Book Rating : 4.2/5 (367 download)

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Book Synopsis Psychotherapy Dropout by : Jennie Sharf

Download or read book Psychotherapy Dropout written by Jennie Sharf and published by . This book was released on 2007 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: The primary goal of this study was to provide an updated meta-analytic review of the psychotherapy dropout literature in a methodologically rigorous fashion. In addition to analyzing research that had not yet been included in a meta-analytical review of premature termination, this study analyzed variables that were not examined in the most recent meta-analysis of premature termination (Wierzbicki & Pekarik, 1993). The meta-analysis was conducted using 73 studies published from 1990 to 2006. Study descriptor variables and empirical findings were coded, and effect size was calculated using Cohen's d (Cohen, 1988). Data were analyzed according to Shadish and Haddock (1994) and Hedges and Olkin (1985). Moderator analyses were conducted to examine the potential impact of study descriptor variables according to Hedges (1994). Therapeutic alliance, treatment expectations, patient motivation, patient self-efficacy, patient hostility, and patient impulsivity were found to be moderately strong predictors of premature termination. Patient psychological variables (symptom severity and diagnosis), therapy and therapist variables (treatment length, treatment type, and therapist training), were less strongly related to premature termination, consistent with previous reviews of psychotherapy dropout literature. Simple patient demographic variables (age, gender, marital status, and level of education) were found to be weak predictors of premature termination. An additional analysis calculated a 35.26% average dropout rate across 110 studies; average dropout rate varied significantly according to country of study, study design, and primary diagnosis. The current study did not find that dropout rate varied as a function of dropout definition. Limitations of the present meta-analysis as well as directions for future research were discussed.

The Therapeutic Alliance

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Publisher : Guilford Press
ISBN 13 : 1606238876
Total Pages : 385 pages
Book Rating : 4.6/5 (62 download)

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Book Synopsis The Therapeutic Alliance by : J. Christopher Muran

Download or read book The Therapeutic Alliance written by J. Christopher Muran and published by Guilford Press. This book was released on 2011-02-25 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: This state-of-the-art book presents research-based practice guidelines that clinicians of any orientation can use to optimize the therapeutic alliance. Leading proponents of the major psychotherapeutic approaches explain just what a good alliance is, how to create it, and how to recognize and repair alliance ruptures. Applications in individual, group, couple, and family therapy are explored; case examples vividly illustrate the concepts and techniques. Links between the quality of the alliance and client outcomes are elucidated. A section on training fills a major gap in the field, reviewing proven strategies for helping therapists to develop key relationship-building skills.

Therapist-relevant Constructs Predicting Treatment Dropout

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Publisher :
ISBN 13 :
Total Pages : 77 pages
Book Rating : 4.:/5 (13 download)

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Book Synopsis Therapist-relevant Constructs Predicting Treatment Dropout by : Kristen Paige Howard

Download or read book Therapist-relevant Constructs Predicting Treatment Dropout written by Kristen Paige Howard and published by . This book was released on 2017 with total page 77 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dropout from psychotherapy is an important issue in treatment provision and research. Therapist-related factors that serve to reduce this risk are essential to elucidate given the consequences of premature dropout. The therapeutic alliance is a commonly studied component of psychotherapy (Martin, Garske, & Davis, 2000) and may reduce the risk of dropout from treatment (Cooper et al., 2016; Principe, Marci, Glick, & Ablon, 2006; Tryon & Kane, 1995; Wnuk et al., 2013). Although less well-studied, validation and invalidation are also theorized to be important constructs in therapy outcomes (Linehan, 1997; Lynch, Chapman, Rosenthal, Kuo, & Linehan, 2006). However, these variables have received limited attention in regard to dropout research. I examined the relation between these therapist-relevant constructs (i.e., therapeutic alliance, validation, and invalidation) and dropout from treatment. Participants included clients in psychotherapy (n = 52; 79% female; 83% Caucasian) and therapists (n = 22; 68% female; 86% Caucasian) in three graduate training clinics. Clients, therapists, and outside observers rated therapist validation, invalidation, and the therapeutic alliance (alliance was only rated by clients and therapists) across four early sessions of therapy (i.e., sessions 3-7). Scores for each construct were averaged across the four sessions and examined as predictors of client dropout from treatment. Client ratings of therapist validation, invalidation, and the alliance all independently predicted dropout. Clients who reported a strong alliance and more therapist validation were less likely to dropout, while higher ratings of invalidation predicted a greater risk of dropout. Therapist and observer ratings of these constructs were unrelated to dropout. With regard to these therapist-relevant constructs, only the client’s view significantly predicted treatment dropout. Assessing and attending to client perceptions of alliance and validation/invalidation by the therapist early in treatment, through brief self-reports, can alert therapists to clients at greater risk and, thus, possibly prevent further dropout.

The Working Alliance

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Publisher : John Wiley & Sons
ISBN 13 : 9780471546405
Total Pages : 320 pages
Book Rating : 4.5/5 (464 download)

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Book Synopsis The Working Alliance by : Adam O. Horvath

Download or read book The Working Alliance written by Adam O. Horvath and published by John Wiley & Sons. This book was released on 1994-04-14 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the past decade, the working alliance has emerged as possibly the most important conceptualization of the common elements in diverse therapy modalities. Created to define the relationship between a client in therapy or counseling and the client's therapist, it is a way of looking at and examining the vagaries and expectations and commitments previously implicit in the therapeutic relationship, explaining the cooperative aspects of the alliance between the two parties.

The Therapeutic Community

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Publisher : Springer Publishing Company
ISBN 13 : 0826116671
Total Pages : 471 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis The Therapeutic Community by : George De Leon, PhD

Download or read book The Therapeutic Community written by George De Leon, PhD and published by Springer Publishing Company. This book was released on 2000-04-15 with total page 471 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume provides a comprehensive review of the essentials of the Therapeutic Community (TC) theory and its practical "whole person" approach to the treatment of substance abuse disorders and related problems. Part I outlines the perspective of the traditional views of the substance abuse disorder, the substance abuser, and the basic components of this approach. Part II explains the organizational structure of the TC, its work components, and the role of residents and staff. The chapters in Part III describe the essential activities of TC life that relate most directly to the recovery process and the goals of rehabilitation. The final part outlines how individuals change in the TC behaviorally, cognitively, and emotionally. This is an invaluable resource for all addictions professionals and students.

Working Alliance Skills for Mental Health Professionals

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Publisher : Oxford University Press, USA
ISBN 13 : 019086852X
Total Pages : 249 pages
Book Rating : 4.1/5 (98 download)

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Book Synopsis Working Alliance Skills for Mental Health Professionals by : Jairo N. Fuertes

Download or read book Working Alliance Skills for Mental Health Professionals written by Jairo N. Fuertes and published by Oxford University Press, USA. This book was released on 2019-10-28 with total page 249 pages. Available in PDF, EPUB and Kindle. Book excerpt: Working Alliance Skills for Mental Health Professionals provides expert guidance to mental health providers who wish to develop and augment their skills and competence in this area of practice. Each chapter deconstructs a dimension of the working alliance in psychotherapy, defining and describing specific mechanisms and interventions that can help professionals establish an alliance with their clients. The book includes skills in nonverbal communication, ways to foster the working bond with diverse clients, goal and task setting strategies, and verbal and interpersonal therapeutic skills, as well as mechanisms for repairing ruptures and for fostering the working alliance through supervision. The authors provide "in session" examples of how each skill may be implemented, and highlight the use of interventions through clinical vignettes and masked clinical cases. Working Alliance Skills for Mental Health Professionals is ideal for use in training programs in counseling, clinical psychology, and social work. It may also be valuable to professional-level practitioners interested in honing their skills in optimizing the working alliance.

The Oxford Handbook of Mood Disorders

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Publisher : Oxford University Press
ISBN 13 : 0199973962
Total Pages : 537 pages
Book Rating : 4.1/5 (999 download)

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Book Synopsis The Oxford Handbook of Mood Disorders by : Robert J. DeRubeis

Download or read book The Oxford Handbook of Mood Disorders written by Robert J. DeRubeis and published by Oxford University Press. This book was released on 2017 with total page 537 pages. Available in PDF, EPUB and Kindle. Book excerpt: The most comprehensive volume of its kind, The Oxford Handbook of Mood Disorders provides detailed coverage of the characterization, understanding, and treatment of mood disorders. Chapters are written by the world's leading experts in their respective areas. The Handbook provides coverage of unipolar depression, bipolar disorder, and variants of these disorders. Current approaches to classifying the mood disorders are reviewed and contemporary controversies are placed in historical context. Chapter authors offer a variety of approaches to understanding the heterogeneity of the experiences of those who meet criteria for mood disorders, both within and across cultures. The role of genetic and environmental risk factors as well as premorbid personality and cognitive processes in the development of mood pathology are detailed. Interpersonal, neurobiological, and psychological factors also receive detailed consideration. The volume reviews mood disorders in special populations (e.g., postpartum and seasonal mood disorders) as well as common comorbidities (e.g., anxiety, substance use disorders). Somatic and psychosocial treatment approaches receive in-depth coverage with chapters that describe and review empirical evidence regarding each of the most influential treatment approaches. The depth and breadth offered by this Handbook make it an invaluable resource for clinicians and researchers, as well as scholars and students.

Client Dropout from Psychotherapy

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Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (277 download)

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Book Synopsis Client Dropout from Psychotherapy by : Sarah Flowers

Download or read book Client Dropout from Psychotherapy written by Sarah Flowers and published by . This book was released on 1994 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Encyclopedia of Couple and Family Therapy

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Publisher : Springer
ISBN 13 : 9783319494234
Total Pages : 0 pages
Book Rating : 4.4/5 (942 download)

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Book Synopsis Encyclopedia of Couple and Family Therapy by : Jay Lebow

Download or read book Encyclopedia of Couple and Family Therapy written by Jay Lebow and published by Springer. This book was released on 2019-10-08 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This authoritative reference assembles prominent international experts from psychology, social work, and counseling to summarize the current state of couple and family therapy knowledge in a clear A-Z format. Its sweeping range of entries covers major concepts, theories, models, approaches, intervention strategies, and prominent contributors associated with couple and family therapy. The Encyclopedia provides family and couple context for treating varied problems and disorders, understanding special client populations, and approaching emerging issues in the field, consolidating this wide array of knowledge into a useful resource for clinicians and therapists across clinical settings, theoretical orientations, and specialties. A sampling of topics included in the Encyclopedia: Acceptance versus behavior change in couple and family therapy Collaborative and dialogic therapy with couples and families Integrative treatment for infidelity Live supervision in couple and family therapy Postmodern approaches in the use of genograms Split alliance in couple and family therapy Transgender couples and families The first comprehensive reference work of its kind, the Encyclopedia of Couple and Family Therapy incorporates seven decades of innovative developments in the fields of couple and family therapy into one convenient resource. It is a definitive reference for therapists, psychologists, psychiatrists, social workers, and counselors, whether couple and family therapy is their main field or one of many modalities used in practice.

Negotiating the Therapeutic Alliance

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Publisher : Guilford Press
ISBN 13 : 9781572308695
Total Pages : 276 pages
Book Rating : 4.3/5 (86 download)

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Book Synopsis Negotiating the Therapeutic Alliance by : Christina E. Newhill

Download or read book Negotiating the Therapeutic Alliance written by Christina E. Newhill and published by Guilford Press. This book was released on 2003-05-22 with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt: A half-century of psychotherapy research has shown that the quality of the therapeutic alliance is the most robust predictor of treatment success. This unique book provides a systematic framework for negotiating ruptures and strains in the therapeutic alliance and transforming them into therapeutic breakthroughs. Cutting-edge developments in psychoanalysis and other modalities are synthesized with original research and clinical wisdom gleaned from years of work in the field. The result is a practical and highly sophisticated guide that spells out clear principles of intervention while at the same time inspiring therapists toward greater creativity.

Prolonged Exposure Therapy for Adolescents with PTSD Emotional Processing of Traumatic Experiences, Therapist Guide

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Publisher : Oxford University Press
ISBN 13 : 019804416X
Total Pages : 219 pages
Book Rating : 4.1/5 (98 download)

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Book Synopsis Prolonged Exposure Therapy for Adolescents with PTSD Emotional Processing of Traumatic Experiences, Therapist Guide by : Edna B. Foa

Download or read book Prolonged Exposure Therapy for Adolescents with PTSD Emotional Processing of Traumatic Experiences, Therapist Guide written by Edna B. Foa and published by Oxford University Press. This book was released on 2008-09-22 with total page 219 pages. Available in PDF, EPUB and Kindle. Book excerpt: This program is specifically intended for adolescents suffering from posttraumatic stress disorder. Clients are exposed to safe but anxiety-provoking situations as a way of overcoming their trauma-related fears. Recounting the memory of the trauma also helps clients emotionally process their traumatic experiences in order to diminish PTSD symptoms. The workbook is designed for adolescent use and includes teen-friendly forms to reinforce the skills learned in therapy.

Therapeutic Alliances with Families

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Publisher : Springer
ISBN 13 : 3319593692
Total Pages : 240 pages
Book Rating : 4.3/5 (195 download)

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Book Synopsis Therapeutic Alliances with Families by : Valentín Escudero

Download or read book Therapeutic Alliances with Families written by Valentín Escudero and published by Springer. This book was released on 2017-09-04 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical breakthrough introduces a robust framework for family and couples therapy specifically designed for working with difficult, entrenched, and court-mandated situations. Using an original model (the System for Observing Family Therapy Alliances, or SOFTA) suitable to therapists across theoretical lines, the authors detail special challenges, empirically-supported strategies, and alliance-building interventions organized around common types of ongoing couple and family conflicts. Copious case examples illustrate how therapists can empower family members to discover their agency, find resources to address tough challenges, and especially repair their damaged relationships. These guidelines also show how to work effectively within multiple relationships in a family without compromising therapist focus, client individuality, or client safety. Included in the coverage: Using the therapeutic alliance to empower couples and families Couples’ cross-complaints Engaging reluctant adolescents...and their parents Parenting in isolation, with or without a partner Child maltreatment: creating therapeutic alliances with survivors of relational trauma Disadvantaged, multi-stressed families: adrift in a sea of professional helpers Empowering through the alliance: a practical formulation Therapeutic Alliances with Families offers powerful new tools for social workers, mental health professionals, and practitioners working in couple and family therapy cases with reluctant clients and seeking specific, practical case examples and resources for alliance-related interventions.

Observable Client Resistance and Early Psychotherapy Dropout

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Publisher :
ISBN 13 :
Total Pages : 228 pages
Book Rating : 4.3/5 (129 download)

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Book Synopsis Observable Client Resistance and Early Psychotherapy Dropout by : Jonathan N. Weller

Download or read book Observable Client Resistance and Early Psychotherapy Dropout written by Jonathan N. Weller and published by . This book was released on 2003 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: