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https://hdl.handle.net/1822/56547
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Campo DC | Valor | Idioma |
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dc.contributor.author | Moeseneder, Laura | por |
dc.contributor.author | Ribeiro, Eugénia | por |
dc.contributor.author | Muran, John Christopher | por |
dc.contributor.author | Caspar, Franz | por |
dc.date.accessioned | 2018-10-24T10:06:09Z | - |
dc.date.issued | 2019 | - |
dc.identifier.citation | 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 | por |
dc.identifier.issn | 1050-3307 | por |
dc.identifier.uri | https://hdl.handle.net/1822/56547 | - |
dc.description.abstract | 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. | por |
dc.description.sponsorship | (undefined) | por |
dc.language.iso | eng | por |
dc.publisher | Routledge | por |
dc.rights | closedAccess | por |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | por |
dc.subject | Therapeutic alliance | por |
dc.subject | Therapist interventions | por |
dc.subject | alliance | por |
dc.subject | cognitive behaviour therapy | por |
dc.subject | integrative treatment models | por |
dc.subject | outcome research | por |
dc.subject | process research | por |
dc.title | Impact of confrontations by therapists on impairment and utilization of the therapeutic alliance | por |
dc.type | article | - |
dc.peerreviewed | yes | por |
dc.relation.publisherversion | https://doi.org/10.1080/10503307.2018.1502897 | por |
oaire.citationStartPage | 293 | por |
oaire.citationEndPage | 305 | por |
oaire.citationIssue | 3 | por |
oaire.citationVolume | 29 | por |
dc.identifier.doi | 10.1080/10503307.2018.1502897 | por |
rcaap.embargofct | O estudo não foi financiado pela FCT, o periodo de embargo respeita as regras do copyright | por |
dc.identifier.pmid | 30047304 | por |
dc.subject.fos | Ciências Sociais::Psicologia | por |
dc.description.publicationversion | info:eu-repo/semantics/publishedVersion | por |
dc.subject.wos | Social Sciences | por |
sdum.journal | Psychotherapy Research | por |
Aparece nas coleções: | CIPsi - Artigos (Papers) |
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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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