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J Couns Psychol ; 62(2): 314-20, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24660688


The relationship between treatment progress (as rated by both clients and therapists) and real relationship (also rated by both clients and therapists) was decomposed into between-therapist and within-therapist (between-client) effects and analyzed using the actor-partner interdependence model. We reanalyzed a subset of the data, 12 therapists and 32 clients, from Gelso et al.'s (2012) study of brief, theoretically diverse outpatient treatment. Consistent with and extending previous research, clients whose therapists provided higher average levels of client-perceived real relationship across the clients treated by a given therapist had better progress ratings from both themselves and their therapists. Within each therapist's caseload, differences between clients in client- or therapist-rated real relationship were unrelated to either client- or therapist-rated outcome. Clients whose therapists provided higher average levels of therapist-perceived real relationship, across the clients treated by the therapist, had worse progress ratings from the therapists. The results provide additional evidence for the importance of between-therapist differences in therapeutic relationship qualities, both client and therapist rated.

Pessoal de Saúde , Relações Profissional-Paciente , Feminino , Humanos , Masculino , Modelos Psicológicos , Percepção , Resultado do Tratamento
Psychotherapy (Chic) ; 51(3): 413-23, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-24773091


This study used the Actor Partner Interdependence Model (APIM; Kenny & Cook, 1999) to examine the associations of client- and therapist-rated real relationship (RR) and session quality over time. Eighty-seven clients and their therapists (n = 25) completed RR and session quality measures after every session of brief therapy. Therapists' current session quality ratings were significantly related to all of the following: session number (b = .04), their session quality rating of the previous session (b = .24), their RR in the previous session (b = 1.091), their client's RR in the previous session (b = .17), and interactions between their own and their clients' RR and session number (b = -.16 and ß = -.04, respectively). Clients' ratings of current session quality were significantly related to only their own RR in the previous session (b = .47). Implications for future research and practice are discussed.

Transtornos Mentais/psicologia , Transtornos Mentais/terapia , Relações Profissional-Paciente , Psicoterapia/métodos , Contratransferência (Psicologia) , Feminino , Humanos , Masculino , Satisfação do Paciente , Estudantes/psicologia , Transferência (Psicologia)
J Couns Psychol ; 59(4): 495-506, 2012 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22946982


This study sought to assess the association of client- and therapist-rated real relationship with each other and with the outcome of brief psychotherapy. It also aimed to determine whether changes over time in perceptions of the real relationship and increasing convergence between clients' and therapists' ratings of the real relationship were associated with outcome. Forty-two clients and their therapists (n = 19) at 2 university counseling centers completed measures assessing the strength of their real relationship after every session of brief psychotherapy. They also completed an outcome measure at the end of treatment. Clients' ratings of the real relationship after the first session, first quarter of treatment, and after all sessions combined related to outcomes. Therapists' ratings of the real relationship at these time points did not relate to outcome. However, increases over time in therapists' ratings of real relationship strength, as well as increasing convergence with clients' ratings of the real relationship, did relate to outcome. Implications for future research and practice are discussed.

Relações Profissional-Paciente , Processos Psicoterapêuticos , Psicoterapia Breve , Atitude do Pessoal de Saúde , Atitude Frente a Saúde , Feminino , Humanos , Masculino , Maryland , Modelos Psicológicos , Resultado do Tratamento , Virginia
Psychotherapy (Chic) ; 48(1): 88-97, 2011 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-21401279


In this article, we review the history and definition of countertransference as well as empirical research on countertransference, its management, and the relation of both to psychotherapy outcome. Three meta-analyses are presented, as well as studies that illustrate findings from the meta-analyses. The first meta-analysis indicated that countertransference reactions are related inversely and modestly to psychotherapy outcomes (overall weighted effect r = -.16, p = .002, 95% CI [-.26, -.06], k = 10 studies, N = 769 participants). The second meta-analysis suggested that countertransference management factors that have been studied to date play little to no role in actually attenuating countertransference reactions (r = -.14, p = .10, 95% CI [-.30, .03], k = 11 studies, N = 1065 participants). However, the final meta-analysis revealed that managing countertransference successfully is related to better therapy outcomes (r = .56, p = .000, 95% CI [.40, .73], k = 7 studies, N = 478 participants). We conclude by summarizing the limitations of the research base and highlighting the therapeutic practices predicated on research.

Contratransferência (Psicologia) , Transtornos Mentais/terapia , Psicoterapia/métodos , Ensaios Clínicos como Assunto , Humanos , Relações Profissional-Paciente , Resultado do Tratamento