Utilize este identificador para referenciar este registo:
https://hdl.handle.net/1822/56547
Título: | Impact of confrontations by therapists on impairment and utilization of the therapeutic alliance |
Autor(es): | Moeseneder, Laura Ribeiro, Eugénia Muran, John Christopher Caspar, Franz |
Palavras-chave: | Therapeutic alliance Therapist interventions alliance cognitive behaviour therapy integrative treatment models outcome research process research |
Data: | 2019 |
Editora: | Routledge |
Revista: | Psychotherapy Research |
Citação: | Laura Moeseneder, Eugénia Ribeiro, John Christopher Muran & Franz Caspar (2018): Impact of confrontations by therapists on impairment and utilization of the therapeutic alliance, Psychotherapy Research, DOI: 10.1080/10503307.2018.1502897 |
Resumo(s): | Objective: Striking the balance between creating challenge through confrontation (drawing attention to discrepancies) to encourage change and offering support through the therapeutic relationship to ensure safety for patients represents a central issue for psychotherapists. The aim of the present study was to assess immediate effects of confrontations by therapists on the therapeutic alliance. Method: We rated video recordings of 77 therapies to measure incidences of alliance ruptures/resolution attempts as well as confrontations by therapists. Change in the therapeutic alliance and therapy outcome were measured through questionnaires filled out by patients. Results: Confrontations were significantly associated with ruptures/resolution attempts on the micro level. Changes in the therapeutic alliance moderated the association between confrontations and alliance ruptures on the macro level: The bigger the fraction of a session containing confrontations, the larger the fraction containing ruptures, given a prior positive change in the therapeutic alliance. Therapists’ use of confrontation during a resolution attempt was associated with significantly better therapy outcomes than no use of confrontation during or no resolution attempt. Conclusions: Confrontations by therapists may temporarily impair the therapeutic alliance, but might also lead to better therapy outcomes when used to make an alliance rupture explicit as part of a resolution attempt. |
Tipo: | Artigo |
URI: | https://hdl.handle.net/1822/56547 |
DOI: | 10.1080/10503307.2018.1502897 |
ISSN: | 1050-3307 |
Versão da editora: | https://doi.org/10.1080/10503307.2018.1502897 |
Arbitragem científica: | yes |
Acesso: | Acesso restrito autor |
Aparece nas coleções: | CIPsi - Artigos (Papers) |
Ficheiros deste registo:
Ficheiro | Descrição | Tamanho | Formato | |
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Impact of confrontations by therapists on impairment and utilization of the therapeutic alliance.pdf Acesso restrito! | 482,74 kB | Adobe PDF | Ver/Abrir |
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