Dissertations / Theses: 'Psychotherapy'

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Law, Roslyn. "Interpersonal psychotherapy : initial casework in a novel standardized psychotherapy." Thesis, University of Edinburgh, 2002. http://hdl.handle.net/1842/26683.

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This study examines the supervised casework of seventeen therapists, using Interpersonal Psychotherapy as a treatment for Major Depression for the first time. Adherence and competence were measured using procedures developed with reference to the treatment manual (Klerman & Weissman et al 1984). The capacity of the more diverse population of therapists now undertaking IPT training to meet adherence and competence standards was explored, as was the capacity of current supervisors to employ rating forms reliably. This study demonstrated that practising therapists, with a range of experience and theoretical influences, were reliably found to practice the procedures outlined in the Interpersonal Psychotherapy manual, with a high level of competence. Adherence levels were good in the focus area sessions, but less satisfactory during the initial and final phases of treatment. Less experienced therapists were found to be as capable of meeting training requirements as more experienced therapists, and a significant level of symptomatic relief was reported by the participating patients. Initial symptom severity did not have a detrimental effect on treatment outcome, with patients rated as severely depressed on the BDI-ii at baseline achieving recovery or clinically significant reduction in symptoms as often as patients with a moderate depression. Therapists with a psychology based training achieved a higher standard of competence than therapists trained in a psychiatry model or medicine or nursing, but the two groups could not be distinguished in terms of clinical outcome for patients. Problems in conducting therapy, reflecting potential ruptures in the therapeutic alliance were significantly related to clinical outcome and early competence.

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Mhambi, Realeboha. "An Exploration into the subjective emotional experiences the msc1-clinical psychology trainees at the University of Limpopo (Medunsa Campus) during their first block of training." Thesis, University of Limpopo (Medunsa Campus), 2012. http://hdl.handle.net/10386/1077.

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Thesis (MSc (Clinical Psychology) ) -- University of Limpopo, 2012.
The Clinical Psychology training programme at the University of Limpopo (Medunsa Campus) is contextualized within the theoretical paradigm of the General Systems Theory. The main focus during the first block of training is on equipping trainees with a person-centered stance and the necessary skills that go with it such as empathy, unconditional positive regard and congruence and also to develop a frame of reference in the trainees which is suitable to form a basis as a therapist. Thus training within this context is experiential. The aim of this study was to explore the subjective emotional experiences of the Msc1-Clinical Psychology trainees at the University of Limpopo (Medunsa Campus) during their first block of training. The research was conducted through qualitative interviews with the trainees shortly after being exposed to the first block of training. The sample size consisted of five trainees of the 2011 Masters in Clinical Psychology training programme at Medunsa Campus. Interviews were analysed in accordance with qualitative methodology through thematic analysis. Finally, an attempt was made to discuss and integrate the research findings into which the strengths and limitations of the study and future recommendations were made. Results from this study indicated that trainees during their first block of training experienced different challenges which are not only emotional but mental as well as academic in nature. Moreover, it became evident that trainees further experienced challenges in their social contexts such as families and relationships outside the training context.

3

Tonrey, Donna Ann. "Creativity and psychotherapy." View full text, 2001.

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Dormaar, Jacobus Marius Maarten. "Consensus in psychotherapy." Maastricht : Maastricht : Datawyse ; University Library, Maastricht University [Host], 1990. http://arno.unimaas.nl/show.cgi?fid=5561.

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McKay, Josephine Mary. "Atrtachment and psychotherapy." Thesis, City University London, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.531422.

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Hawkins, Peter John. "Catharsis in psychotherapy." Thesis, Durham University, 1986. http://etheses.dur.ac.uk/6884/.

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The historical context of catharsis in psychotherapy is discussed, with particular reference to drama and ritual. The 'cathartic technique' of Freud and Breuer is then presented as part of the continuing development of approaches that advocate feeling-expression as a way of promoting personal change. The contemporary approaches considered include Reichian therapy, bioenergetics, primal therapy, and reevaluation counselling. Heron's theory of catharsis in human development is emphasized, and is central to the two experiential research inquiries presented later. The evidence for the efficacy of catharsis is reviewed from the perspective of the various 'schools' of emotionally-expressive therapy, and reference to the psychosomatic and bereavement literature is also made. Two research inquiries are presented which investigate the effects of catharsis on human functioning. A new paradigm experiential approach was adopted in which co-researchers engaged in a collaborative inquiry. 'Inside’ measures of subjective experiencing, contingent upon emotional catharsis, were gathered through self-report, as well as 'outside' measures of blood pressure, pulse rate, and personality functioning. Results suggest that physiologic tension decreases following somatic emotional catharsis, but that longer term changes in psycho-somatic functioning require the development of insight into the genesis of the 'symptom', as well as complementary therapeutic strategems. It is further suggested that the development of insight is contingent upon historical somatic catharsis. The results also show that where cognitive catharsis occurs without affective release, an increase in psycho-physiologic tension is effected, as shown in both the physiological measures and subjective experiencing. Finally, the implications of catharsis for therapeutic practice are discussed.

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McKay, J. M. "Attachment and psychotherapy." Thesis, City University London, 2010. http://openaccess.city.ac.uk/8727/.

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The aim of this study was to explore the relationship between therapy outcome, the therapeutic alliance and both patient and therapist attachment styles. 14 therapists and 27 patients participated. 78.57% (n = 11) therapists and 29.63% (n = 8) patients were classified as securely attached by self-report measures. It was predicted that more patients of secure therapists would show clinically significant improvement as determined by CORE-OM scores. However, 21.05% of patients with a secure attachment style therapist compared to 40% of patients with a dismissing attachment style therapist showed clinically significant improvement. Short-term therapies of once-weekly intensity enabled dismissing style patients to restore their defences, reduce distress and show clinically significant change in terms of reduction of symptomatology. There did not appear to be an association between attachment style of either therapist or patient and overall ratings of the alliance in this study. However, changes in both therapist and client ratings of the ARM subscales for Confidence and Openness between Time 1 and Time 2 suggested that therapist and client were beginning to perceive the alliance more similarly as therapy progressed. Mediation of the relationship between attachment style and therapeutic outcome by the therapeutic alliance was not found to be significant. A significant finding in this study was that patient participants were more likely to have only brothers and no sisters (51.9%, n = 14), X2 = 13.15, df = 3, p = 0.004.

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Long, Philippa Shadrach. "Metaphor in Psychotherapy : A Study of Four Cases of Psychanalytic Psychotherapy." Thesis, University of Kent, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.499686.

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De, Ridder Denise. "De klinische rationaliteit diagnostische redeneringen en therapiekeuzes in het Amsterdamse Instituut voor Medische psychotherapie, 1968-1977 /." Utrecht : Nederlands centrum Geestelijke volksgezondheid, 1991. http://books.google.com/books?id=gg9sAAAAMAAJ.

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Philips, Björn. "Ideas of cure related to psychotherapy outcome : young adults in psychoanalytic psychotherapy /." Stockholm, 2005. http://diss.kib.ki.se/2005/91-7140-533-X/.

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Tzarfaty, Keren. "Integrative psychotherapy| Somatic, transpersonal, and Western psychology in the practice of psychotherapy." Thesis, California Institute of Integral Studies, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3726291.

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This study examines the manifestations of the integration of somatic, transpersonal, and Western psychology in the context of actual psychotherapeutic process. Two main research questions were explored: “What are the characteristics of the integration of somatic, transpersonal, and Western psychotherapeutic processes?” and “Do the lived experiences of the participating therapists reveal an overarching theory that may describe the integration of somatic, transpersonal and Western psychology in the context of the process of psychotherapy?”. Data was collected from interviews with 8 licensed psychotherapists trained in somatic and transpersonal work who integrate these areas of expertise in their clinical work. The data was analyzed using a grounded theory (Charmaz, 2006) method, guided by principles of integral inquiry (Braud, 1998). The integration of these frameworks allowed the data to include applications of different research designs as well as participants’ alternative ways of knowing. This study resulted in a model that describes a possible integration of somatic, transpersonal, and Western psychotherapeutic processes as well as the characteristics of that integration. The model is based on four coexisting components. The first component describes two ways in which integration was identified: a mindful awareness of the multidimensional nature of inner experience, and therapeutic exploration of content relating to somatic, transpersonal, and Western psychologies. The second describes the therapist's personal and professional psycho–spiritual–somatic journey, as well as the attitude she holds toward the client. The third describes the process that allows integration to occur, and the fourth describes the outcomes of this work. These four components expand and deepen the existing literature on somatic, transpersonal, and Western psychotherapies, and are the foundation for a suggested working model concerning the actual practice of integrative psychotherapy.

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Ryde, Judith. "Exploring white racial identity and its impact on psychotherapy and psychotherapy organisations." Thesis, University of Bath, 2005. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.423488.

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This thesis explores and examines my identity as a white psychotherapist within a racialised environment. In doing so I recognise the cultural power held by white people and that white people tend to regard themselves as culturally neutral. I explore the effect of these factors on myself, my practice, the psychotherapy profession and, to some extent, the wider society. The thesis is in three parts, the first of which sets out the philosophical approach to my inquiry. The first chapter explores ontological and epistemological questions and the second sets out my methodology and shows how my inquiry and my thesis are valid. The second part is a nuanced and detailed exploration of the experience of being white. I give an account of a co-operative inquiry with white psychotherapists and counsellors and show how this changed my own and other participants' perception of themselves within a racial context. I further explore guilt and shame in white people as this emerged as a particularly important theme. The third part shows how my inquiry informs my practice as a psychotherapist. This includes, in chapter one, my work with individual clients where I explore the application of intersubjective psychotherapy to working across difference in culture as a white person. In chapter two I reflect on and act within the profession to improve sensitivity to cultural difference and diversity among practitioners, students and clients. In conclusion this thesis contributes to the field by: • demonstrating the ways in which intersubjective psychotherapy can be applied to working as a 'white' person in a diverse environment or across cultural boundaries. • furthering an understanding of racism by showing how organising principles form and shape the way that we think. • showing how an awareness of 'whiteness' is important within a racialised environment as well as the implications of this for the way I practice. Over all this inquiry is a many layered and nuanced account of a journey that has led me into to a deeper and deeper understanding of 'white' as a privileged racial identity. This has had a significant affect on my practice and has led me to conclusions which are important for the good practice of 'white' psychotherapists, 'white' psychotherapy institutions and for awareness of 'whiteness' more generally within a racialised environment.

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Hart, Christina. "Negative change in psychotherapy." Thesis, Canterbury Christ Church University, 2016. http://create.canterbury.ac.uk/14810/.

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Negative change occurring during psychological therapy is under-researched. There is currently no theory which unifies correlates identified by previous research. This study aimed to generate a theory of negative change by interviewing clients and therapists about their experience of therapy when reliable score deterioration on outcome measures had been observed. In-depth interviews were conducted with eight clients and four therapists about the process of therapy. Analysis was based on a positivist Grounded Theory methodology. The emerging model identified three major themes postulated to explain negative change as experienced by this sample. A context of adversity, the therapeutic process and help withdrawn, within the context of positive outcomes. Process issues incorporated categories around; feeling there was not enough helpful advice, talking about distressing issues, difference, the challenge of no change, relationship difficulties, ambivalence, losing hope and goals around getting support instead of change. The importance of paying attention to context and life events was highlighted. Many clients wanted further input and some did not think there had been a negative outcome, or noted that change was not instant. Varied process issues highlight the need to adjust interventions for clients and review outcome measures used.

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Webster, Michelle Anne, University of Western Sydney, of Arts Education and Social Sciences College, and School of Psychology. "Physical holding in psychotherapy." THESIS_CAESS_PSY_Webster_M.xml, 2002. http://handle.uws.edu.au:8081/1959.7/334.

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Physical holding is an intense form of physical contact that can be initiated by a therapist during the course of therapy. The purpose of this research is to investigate clients' accounts of what happened in an endeavour to develop a coherent explanation for what occurred in the holding experience. Former clients who experienced sustained physical holding during their therapy describe these experiences and discuss the effects and meanings.The main effects of physical holding were the identifying and experiencing of feelings, and the remembering and re-experiencing of past events.The emerging plot in a therapy incorporating sustained physical holding is emotional healing through emotional contact, regression and a mothering experience.Guided by these elements, an account of Emotionally Focussed Psychotherapy is elaborated to provide an explanation of how clients heal from past infant and childhood traumas through the process of being loved, cared for and nurtured in a mothering experience that is both real and symbolic in a verbal psychotherapy.
Doctor of Philosophy (PhD) (Psychology)

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Daya, Roshni. "Buddhist moments in psychotherapy." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp05/NQ64806.pdf.

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楊玉燕 and Yuk-yin Arras Yeung. "Children village [for psychotherapy]." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2000. http://hub.hku.hk/bib/B31985592.

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Pilgrim, D. "NHS psychotherapy : Personal accounts." Thesis, University of Nottingham, 1986. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.377373.

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Murgatroyd, S. J. "Reversal theory and psychotherapy." Thesis, Open University, 1987. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.377941.

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Amorós, Víctor. "Psychology and humanistic psychotherapy." Pontificia Universidad Católica del Perú, 1996. http://repositorio.pucp.edu.pe/index/handle/123456789/101795.

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The article is about the origins of rhe humanistic and psychological orientation, its principal characteristics like our capacity to choose and modify our vital situation, to be orienred to the action of the values that give us identity and permit us unroll an active ego that in spite of rhe conditionant influence elaborare a self evolution. Ir analyses the concept of self realization and the way that psychorerapy process takes place.
El artículo trata sobre los orígenes del enfoque humanístico psicológico, sus características principales por ejemplo nuestra capacidad de elegir y modificar nuestra situación vital, el estar orientados hacia la realización de valores que nos otorgan identidad y nos permiten desarrollar un yo activo que pese a los influjos condicionantes, elabora su propia evolución. Se analiza el concepto de autorrealización y la manera cómo se lleva a cabo el proceso psicoterapéutico.

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Ferreira, Tiago Bento da Silva. "Narrative change in psychotherapy." Doctoral thesis, Universidade de Aveiro, 2014. http://hdl.handle.net/10773/13144.

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Doutoramento em Psicologia
This thesis focuses on the processes of narrative change in psychotherapy. Previous reviews of the processes of narrative change in psychotherapy concluded that a general theory that details narrative concepts appropriate to understand psychotherapy processes, explains the dynamic processes between narratives, and how they relate to positive outcomes is needed. This thesis addresses this issue by suggesting a multi-layered model that accounts for transformations in different layers of narrative organization. Accordingly, a model was specified that considers three layers of narrative organization: a micro-layer of narrative innovations that disrupt the clients’ usual way of construct meaning from life situations (innovative moments), a meso-layer of narrative scripts that integrate these narrative innovations in narrative scripts that consolidate its transformative potential (protonarratives), and, finally, a macro-layer of clients’ life story (self-narrative). Globally, the empirical studies provided support for the conceptual plausibility of this model and to the specific hypothesis that were formulated on its basis. Our observations complement previous research that had underlined the integrative processes either by emphasizing thematic coherence or integration, by emphasizing the role of dynamicity and differentiation of narrative contents and processes. Additionally, they also contribute to expand previous accounts of narrative innovation through insights on the processes that characterize narrative innovation development across psychotherapy. These studies also emphasize the role of quantitative procedures in the study of narrative processes of change as they allow us to accommodate the complexity and dynamic properties of narrative processes.
Esta tese centra-se nos processos de mudança narrativa em psicoterapia. As anteriores revisões da literatura sobre os processos de mudança narrativa em psicoterapia concluíram que é necessária uma teoria geral que detalhe os conceitos apropriados para compreender os processos de mudança narrativa em psicoterapia, explique os processos dinâmicos que se estabelecem entre narrativas, e como eles se relacionam com resultados terapêuticos positivos. Esta tese aborda esta questão sugerindo um modelo de organização da narrativa que especifica três níveis: um nível micro de inovações narrativas que alteram a maneira habitual de os clientes construírem significado (momentos de inovação), um nível meso que integra essas inovações narrativas em scripts narrativos que consolidam o seu potencial transformador (proto-narrativas) e, por fim, uma camada de macro-história de vida dos clientes (narrativa identitária). Globalmente, as observações resultantes dos estudos empíricos apoiam a plausibilidade conceptual deste modelo e as hipóteses específicas que estão na sua base. Estas observações complementam a investigação anterior, que sublinha os processos de integração e coerência temática, ao enfatizar o papel da dinâmica de diferenciação de conteúdos e processos narrativos ao longo da psicoterapia. Além disso, elas também contribuem para expandir as abordagens anteriores à inovação narrativa na psicoterapia ao revelar os processos que caracterizam o desenvolvimento de diferentes níveis de inovação narrativa ao longo do processo de mudança. Estes estudos também enfatizam o papel das metodologias quantitativas no estudo dos processos narrativos de mudança em psicoterapia e a forma como eles nos permitem acomodar a complexidade e as propriedades dinâmicas destes processos narrativos.

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Rietzschel, Julia. "Adult attachment and psychotherapy." Thesis, University of Manchester, 2012. https://www.research.manchester.ac.uk/portal/en/theses/adult-attachment-and-psychotherapy(32815340-3ed8-4870-9d00-84807fe01f20).html.

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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.

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Yeung, Yuk-yin Arras. "Children village [for psychotherapy]." Hong Kong : University of Hong Kong, 2000. http://sunzi.lib.hku.hk/hkuto/record.jsp?B2594793x.

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Thesis (M. Arch.)--University of Hong Kong, 2000.
Includes special study report entitled: Psycho neuro immunology : the role of the built environment in healing. Includes bibliographical references.

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Webster, Michelle Anne. "Physical holding in psychotherapy." Thesis, View thesis View thesis, 2002. http://handle.uws.edu.au:8081/1959.7/334.

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Physical holding is an intense form of physical contact that can be initiated by a therapist during the course of therapy. The purpose of this research is to investigate clients' accounts of what happened in an endeavour to develop a coherent explanation for what occurred in the holding experience. Former clients who experienced sustained physical holding during their therapy describe these experiences and discuss the effects and meanings.The main effects of physical holding were the identifying and experiencing of feelings, and the remembering and re-experiencing of past events.The emerging plot in a therapy incorporating sustained physical holding is emotional healing through emotional contact, regression and a mothering experience.Guided by these elements, an account of Emotionally Focussed Psychotherapy is elaborated to provide an explanation of how clients heal from past infant and childhood traumas through the process of being loved, cared for and nurtured in a mothering experience that is both real and symbolic in a verbal psychotherapy.

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Webster, Michelle Anne. "Physical holding in psychotherapy /." View thesis View thesis, 2002. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20030401.130537/index.html.

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Thesis (Ph.D.) -- University of Western Sydney, [2002].
"A thesis submitted to the University of Western Sydney in partial fulfilment of the requirements for the degree of Doctor of Philosophy (Psychology) " Bibliography: leaves 199-226.

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Gilmore, Martha Louise 1957. "Training in group psychotherapy." Diss., The University of Arizona, 1986. http://hdl.handle.net/10150/565529.

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Mason, Geraldine. "Psychotherapy in an institutional setting : individual psychotherapy and groupwork in the Cassel Hospital." Thesis, University of Essex, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.272514.

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Green, Dror. "Ground rules in online psychotherapy." Thesis, City University London, 2006. http://openaccess.city.ac.uk/8508/.

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Online psychotherapy dates from 1995 and is still in its infancy. This research focuses on the therapeutic qualities of online psychotherapy and the role of ground rules in creating a secure frame for the therapeutic relationship in this new medium. Chapter 1 presents the history of online psychotherapy and a description of the main modalities for therapeutic interaction, namely, e-mail therapy and chat room therapy. Chapter 2 reviews the literature dealing with the psychotherapeutic relationship, with regard to the definition of ground rules. In this chapter I identify seven categories of ground rules that are common to all approaches to psychotherapy. These categories will serve as a prism in evaluating the options for creating ground rules in online psychotherapy. Chapter 3 explores the therapeutic qualities of e-mail and chat room therapy according to the seven categories of ground rules. It also presents a survey of 236 therapeutic web sites. According to the findings of this survey, online psychotherapy is not a substitute for face-to-face psychotherapy, although there is. a potential for creating a secure frame in a virtual clinic, which does not yet exist. In Chapter 4I present my limited experience with online psychotherapy and the virtual clinic which I have developed according to the guidelines of the seven categories of ground rules. It is too early to draw conclusions based on this limited experience, but it opens several options for further research.

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Peschardt, Karina Simone. "Response choice, emotion and psychotherapy." Thesis, University College London (University of London), 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.412445.

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Rizopoulos, Lydia. "Older adults' experiences of psychotherapy." Thesis, City University London, 2015. http://openaccess.city.ac.uk/14562/.

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There is a plethora of literature on older adults and psychological counselling. The literature reveals many assumptions and opinions of healthcare professionals and academics regarding older adults’ decision to enter into counselling or not and advice on how counselling should be conducted with older adults. Yet, there is an absence of the voices of older people in narrating their counselling encounters. This qualitative study explored how six older women constructed their decisions to enter into counselling and their experiences of counselling. Although the study was open to both older men and women, only women expressed an interest in participating. Narrative interviews were therefore conducted with former female clients of a mental health charity aged between 66 and 74. Interviews elicited individuals’ stories of counselling and a critical narrative analysis approach was used to examine each narrator’s story. From this analysis, three overarching themes and corresponding subthemes emerged across the six narratives. Accounts highlighted the significance of generational and cultural factors in narrators’ expectations of counselling and subsequent decision to enter into therapy. Narrators revealed long-standing patterns of projecting an outward image of wellbeing whilst struggling to manage difficult circumstances and emotions. This was often linked to generational attitudes of selfsufficiency, independent problem solving and emotional reticence. Narrators also worried about burdening loved ones with their problems. Decisions to enter into counselling were constructed within this context of emotional isolation. Furthermore, findings highlighted the significance of people or services influencing narrators’ access to counselling. Counselling was constructed as an opportunity to focus on hearing one’s own thoughts, without outside voices impeding. Narrators also constructed identities from passive patients at the start of counselling to emerging active agents of change both in the therapeutic context and in their wider lives. Dominant cultural narratives of mental health problems and counselling were also discussed with reference to narrators’ stories. The implications of the study’s findings for referrers and counselling psychology practice were explored.

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Beal, Karen Ann. "Transpersonal psychotherapy : a phenomenological inquiry /." The Ohio State University, 1993. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487847309052589.

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Chapman, Christopher L. "Clinical Prediction in Group Psychotherapy." BYU ScholarsArchive, 2010. https://scholarsarchive.byu.edu/etd/2144.

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Prior research in individual therapy has provided evidence that therapists are poor predictors of client outcome without the aid of objective measures and often misjudge clients' perceptions of the therapeutic relationship. The focus of the current research was to conduct a similar study in a group setting. Therapists from a university counseling center and a state psychiatric hospital were recruited to test their accuracy in predicting client outcome, quality of therapeutic relationship and their own use of empirically supported group interventions. Results indicated that therapists are poor predictors of all three, providing support for the implementation of measure-based feedback systems to inform therapists about key information that may affect the effectiveness of group psychotherapy.

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Harper, Heather. "The resolution of client confrontation challenges in exploratory psychotherapy : developing the new paradigm in psychotherapy research." Thesis, University of Sheffield, 1994. http://etheses.whiterose.ac.uk/10249/.

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'How are Client Confrontation Challenges to the therapeutic relationship in Exploratory therapy best addressed? 'was the question explored here. Given the significance of the therapeutic relationship in Exploratory therapy (a Psychodynamic Interpersonal therapy), Confrontation Challenges are significant, 'make or breaw, moments. Depending on the effectiveness with which they are addressed, Confrontation Challenges may significantly threaten or significantly promote therapeutic change. The question was explored within the new Change Process Paradigm in psychotherapy research. Therapeutic change is conceptualised as a fluid, continuous, heterogeneous process; outcomes are achieved cumulatively, during and between sessions and after therapy. With this reconceptualisation of relations between process and outcome, the new paradigm aims to inform micro-level, momentto moment, psych othe rape utic decision-making and theory-development. The new paradigm's Significant Change Events strategy and its Task Analysis method were used to explore the question. Thus Client Confrontation Challenges were recast as affective tasks'calling for' resolution; Challenge Resolution Events are Significant Change Events in Exploratory therapy. The researcher's 'best guess' at how resolution may proceed (expressed in a Rational Model) was revised by iterative and cumulative comparison with detailed, descriptions of more and less effective resolution performances observed (in the Empirical Analysis) in therapy practice. The Rational Empirical Comparison resulted in a Revised Model of effective Confrontation Challenge Resolution; this represented the task analytic answer. Effective Challenge Resolution was interpreted as process of 'Going with but containing the Challenge' and thereafter managing two interdependent subprocesses, Negotiation and Exploration. This substantive contribution was discussed in relation to clinical thinking and to previous empirical work. The task analytic approach and the Change Process Paradigm were developed by enhancing the triangulation of psychotherapeutic theory and practice with the research approach.

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Mthembu, Thembekile Thobeka. "Psychotherapy in post-colonial SA: exploring attitudes, views and beliefs of rural ‘black’ communities on psychotherapy." Thesis, Rhodes University, 2019. http://hdl.handle.net/10962/71419.

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The appropriateness and effectiveness of the field of psychology and its branch psychotherapy has been met with fierce criticisms especially in contexts outside of Western or Euro American or urban Southern Africa. This thesis explores attitudes, views and beliefs of rural ‘black’ communities on psychotherapy (the healing process of the mind and soul). It is important to understand how the healing process of the mind and soulis constructed and practised in South African black rural communities, and this remains an imperative of psychology. The study takes an exploratory qualitative research approach. Nine participants from two rural communities in Kwa-Zulu Natal were interviewed through face-to-face semi-structured interviews. Thematic analysis was utilised as a method of data analysis. The study employed social constructionism and Afrocentricity as theoretical points of departure. The findings were understood through employing Afrocentricity theory underpinned by post-colonial theory. Four main themes were derived with supporting subthemes. The themes indicate that rural black communities’ attitudes, views, and beliefs on psychotherapy are at variance with the Western perspective of psychotherapy. This is further associated with the practise of psychotherapy in rural black communities. The findings of this study can possibly assist in new understandings of psychotherapy as constructed in different contexts and instigate future research to be conducted in often-neglected areas such as rural communities.

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Wheeler, Louise Fidalgo. "Stress and Psychotherapy Outcome: Implementation of a Heart Rate Variability Biofeedback Intervention to Improve Psychotherapy Outcome." BYU ScholarsArchive, 2017. https://scholarsarchive.byu.edu/etd/6474.

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Research has shown that psychotherapy patients experience increased physiological responsivity to stress which might negatively impact their experience in psychotherapy and their overall progress and outcome. The purpose of the present study was to investigate the effect of a heart rate variability biofeedback intervention on the physiological stress responsiveness and the psychotherapy outcomes of participants in psychotherapy. Forty college students attending psychotherapy at their university counseling center were divided into an experimental group and a control group. The experimental group participated in a 6-week biofeedback intervention and we assessed their physiological stress reactivity before and after implementation of the intervention, compared to a matched control group. The Trier Social Stress Test (TSST) was administered pre- and post-intervention to induce a stress reaction. It was hypothesized that psychotherapy patients involved in the biofeedback intervention would show decreased physiological stress reactivity to and faster physiological recovery from a laboratory induced stressor post-intervention compared to psychotherapy patients in the matched control group. It was also hypothesized that these participants would demonstrate larger distress reduction after implementation of the intervention. Results of the study found no significant main effect of the TSST on systolic blood pressure, heart rate, and HRV. There however was a main effect on diastolic blood pressure. The only variable that significantly differed between groups was the LF/HF ration. The results also revealed no significant change from pre-intervention baseline to post-intervention heart rate, blood pressure, and HRV, suggesting that the HRV biofeedback intervention was not effective in changing the stress response over time. Regarding levels of distress, results also revealed no statistical between group differences post-intervention, although the biofeedback group appeared to report significantly lower levels of distress post-intervention.

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Goates-Jones, Melissa. "Psychotherapy process in the exploration stage." College Park, Md. : University of Maryland, 2004. http://hdl.handle.net/1903/1540.

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Thesis (M.A.) -- University of Maryland, College Park, 2004.
Thesis research directed by: Dept. of Psychology. Title from t.p. of PDF. Includes bibliographical references. Published by UMI Dissertation Services, Ann Arbor, Mich. Also available in paper.

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Harkness, Ralph James Cunningham. "Psychotherapy and Christianity : an autoethnographical exploration." Thesis, University of East Anglia, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.405227.

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37

Ford, Ramone. "African American psychologists' attitudes toward psychotherapy." Cleveland, Ohio : Cleveland State University, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=csu1209519794.

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Thesis (Ph.D.)--Cleveland State University, 2008.
Abstract. Title from PDF t.p. (viewed on July 11, 2008). Includes bibliographical references (p.71-80). Available online via the OhioLINK ETD Center. Also available in print.

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Butler, Jason A. "Imagining an archetypal approach to psychotherapy." Thesis, Pacifica Graduate Institute, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3560879.

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One of the primary pursuits of archetypal psychology has been to "unpack the backpack" of psychology—relying heavily on a methodological stance of via negativa, or description through negation, and deconstruction. This position has resulted in a wealth of critique that, while often controversial and even heretical, has had a significant impact on the field of psychology. It is important to note, however, that this deconstructive approach is also one fantasy amongst many. A move towards seeing through this methodology invokes an immediate encounter with the dismembering influence of Dionysus. It is the Dionysian presence that facilitates the radical re-visioning and tearing apart of stale, violently fixated, and dogmatic theory and practice. Through the work of archetypal psychology, Dionysus has presented as a dialectic partner to the abhorrent one-sidedness of Apollonian natural science psychology. As necessary as this deconstruction has been, James Hillman (2005) himself has noted, every archetypal image has its own excess and intensity. Without an explicitly constructive element, the clinical implications of archetypal psychology will remain largely dormant. Archetypal psychology has yet to produce a work that effectively encapsulates an archetypal approach to psychotherapy (Hillman, 2004). True to its Dionysian form, dismembered pieces of therapeutic method are strewn throughout the literature (Berry, 1982, 2008; Guggenbühl-Craig, 1971; Hartman, 1980; Hillman, 1972, 1975a, 1977a, 1978, 1979b, 1980b; Newman, 1980; Schenk, 2001a; Watkins, 1981, 1984). This study will attempt to gather the disparate pieces of archetypal method and weave them together with dreams, fantasy images, and clinical vignettes in an effort to depict the particular style taken up by archetypal psychotherapy. While respecting the importance of deconstruction and via negativa, the aim of this research is to re-construct and clearly describe the primary elements of a therapeutic method derived from the literature of archetypal psychology using a theoretical design complemented by the alchemical hermeneutic method resulting in a depiction of an archetypal approach to psychotherapy. The face of archetypal psychotherapy that has taken form throughout this study is one in which the phenomenal presentation of psychic image is given radical autonomy and privilege.

Keywords: Archetypal, Dream, Image, Myth, Psychotherapy.

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Tojcic, Irena. "Comparative analysis of psychotherapy integrative theories." Thesis, University of Canterbury. Psychology, 2000. http://hdl.handle.net/10092/6983.

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Psychotherapy represents a diverse and controversial field. It is characterised by an excessive proliferation of various psychotherapeutic approaches accompanied by the sectarian attitudes of a majority of psychotherapists. In response to these, the psychotherapy integration movement was established. Within this movement three ways of psychotherapy integration have emerged, namely, theoretical integration, common factors approach and technical eclecticism. Methodological issues of theoretical integration are the focus of interest in this thesis. The current methodological recommendations in this area seem to be very limited. A specific method of assimilative integration has been proposed and the necessity of the existence of metatheoretical congruence between theories to be integrated has been emphasised. Both of these recommendations are in need of further elaboration and extension. In order to clarify some of these methodological issues, the current "state of the art" of theoretical integration is explored by comparatively analysing existing integrative theories. In this way, their similarities and differences are revealed with the unveiling of some aspects of the integrative assimilation that was used in their creation. On the basis of these findings some guidelines for future theoretical integration are proposed that might prompt further theoretical and empirical research in this area.

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Leichsenring, Falk, Jürgen Hoyer, Manfred Beutel, Sabine Herpertz, Wolfgang Hiller, Eva Irle, Peter Joraschky, et al. "The Social Phobia Psychotherapy Research Network." Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2014. http://nbn-resolving.de/urn:nbn:de:bsz:14-qucosa-133684.

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This paper presents the Social Phobia Psychotherapy Research Network. The research program encompasses a coordinated group of studies adopting a standard protocol and an agreed-on set of standardized measures for the assessment and treatment of social phobia (SP). In the central project (study A), a multicenter randomized controlled trial, refined models of manualized cognitive-behavioral therapy and manualized short-term psychodynamic psychotherapy are compared in the treatment of SP. A sample of 512 outpatients will be randomized to either cognitive-behavioral therapy, short-term psychodynamic psychotherapy or waiting list. Assessments will be made at baseline, at the end of treatment and 6 and 12 months after the end of treatment. For quality assurance and treatment integrity, a specific project using highly elaborated measures has been established (project Q). Study A is complemented by 4 interrelated add-on projects focusing on attachment style (study B1), on cost-effectiveness (study B2), on variation in the serotonin transporter gene in SP (study C1) and on structural and functional deviations of the hippocampus and amygdala (study C2). Thus, the Social Phobia Psychotherapy Research Network program enables a highly interdisciplinary research into SP. The unique sample size achieved by the multicenter approach allows for studies of subgroups (e.g. comorbid disorders, isolated vs. generalized SP), of responders and nonresponders of each treatment approach, for generalization of results and for a sufficient power to detect differences between treatments. Psychological and biological parameters will be related to treatment outcome, and variables for differential treatment indication will be gained. Thus, the results provided by the network may have an important impact on the treatment of SP and on the development of treatment guidelines for SP
Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich

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Austen, Clare. "Eclectic and integrative approaches in psychotherapy." Thesis, City, University of London, 2005. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.433655.

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Hewison, David Stuart. "Conceptualising audit in couple psychoanalytic psychotherapy." Thesis, University of East London, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.532555.

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Audit is found increasingly in clinical settings, and attempts are being made to extend its impact and effectiveness. This has given rise to debates about its relevance as a form of intervention into professional practices in spheres as different as accountancy, engineering, medicine, and psychoanalysis. These debates are examined, together with attempts to develop forms of `clinical audit' relevant to psychotherapy services in general. A case is made that psychoanalytic psychotherapy has not been subject to successful or convincing audit processes. This is especially true of couple psychoanalytic psychotherapy. A case is made for the development of forms of `conceptual research' in psychoanalytic modalities - particularly ones which respect the unique nature of the psychoanalytic `clinical fact' and the influence of the practitioner's pre-conscious. The development of couple psychoanalytic psychotherapy in the UK from its early roots in the Family Discussion Bureau to its current institutional practice at the Tavistock Marital Studies Institute and its private practice within the Society of Psychoanalytic Marital Psychotherapists is examined to show how couple psychoanalytic psychotherapy has developed as a discrete modality of psychoanalytic treatment. A research project is described which attempted to survey the field of couple psychoanalytic psychotherapy. A questionnaire gathered demographic data, theoretical orientation and conceptual orientation data, and approaches to clinical material and concepts. The analysis of the research data (utilising quantitative and qualitative methods including those of Grounded Theory) showed that within the field of couple psychoanalytic psychotherapy there are clear groupings of practitioner, with a good degree of congruence between their self-reports and their practice when approaching clinical material. The reasons for, and make-up of, these groupings is described. Recommendations are made in three areas of couple psychoanalytic psychotherapy practice: audit, training and research. The need for audit processes to be developed out of the psychoanalytic experience is underlined as part of a way of developing reflexive couple psychoanalytic psychotherapy practitioners.

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Duffy, Daniel Q. "Prospective Clients' Expectations about Videoconference Psychotherapy." Thesis, Southern Illinois University at Edwardsville, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10129937.

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The implementation of telecommunication technologies has allowed traditionally underserved populations to receive healthcare, including those who lack access to mental health treatment. While previous literature has found videoconference therapy (VCP) as a viable alternative to traditional face-to-face therapy for specific disorders, common therapeutic factors, such as, expectations for therapy, has been largely overlooked. Vignettes depicting either VCP or traditional therapy and a scale for expectations of the therapy provider were given to 192 mechanicalTurk participants. Significant, yet clinically insignificant results indicated lower expectations for VCP psychotherapists in their ability to establish a working relationship and respond to an emergency. While a significant difference was identified, participants rated both modalities similar and relatively high. Analysis of a qualitative statement further indicates VCP providers may have an inability to establish a human connection. Future research should identify working relationship expectancy interventions for VCP therapy.

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Doll, Sadie. "Therapists' Perceptions of Deception in Psychotherapy." Thesis, The Chicago School of Professional Psychology, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10160006.

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The literature to date on deception in psychotherapy is lacking in several areas, particularly in the exploration of therapists’ perceptions of being deceived in session. The current study explored the perceived frequency of client deception, therapists’ deception cue reliance, the content of perceived deception, detection confidence, perceived motivation to deceive, and the effect of the lie on several areas of treatment. Participants included psychologists who were generally representative of the population of practicing psychologists in the United States. Results indicated therapists significantly underestimate the frequency of client deception, relied on verbal information, and were generally confident in their detection ability. Results were mixed regarding the therapists’ understanding of their clients’ motivation for deception, but revealed the majority of therapists believed the lie negatively affected the therapeutic relationship. The current study’s limitations are explored as well as suggestions for future research to further the literature on deception in psychotherapy.

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Chung, Man Cheung. "A philosophical critique of existential psychotherapy." Thesis, Durham University, 2008. http://etheses.dur.ac.uk/1334/.

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While existential psychotherapy is in its ascendancy, there is a lack of philosophical critiques of existential psychotherapeutic thinking. This thesis is an attempt to examine whether there is conceptual confusion embedded within this thinking and, if so, to tease out what it is. My examination has shown that contemporary existential psychotherapists are confused about what existential psychotherapy is, while on the surfac.e, they seem to be clear about what it is. While existential psychotherapy has increasingly been , integrated with other forms of therapy such as cognitive-behavioural arid multimodal, such integration could necessitate important changes to the existential psychotherapeutic fundamental basic assumptions. Meanwhile, some existential psychotherapists have tried to challenge or re-define psychoanalytic concepts. However, my examination suggests that there are in fact common features in the concepts (interpretation, transference, resistance. and repression) that existential and psychoanalytic psychotherapists share. This, in turn, questions the extent to which existential psychotherapists have truly challenged or distanced themselves from psychoanalytic concepts, as they claim to have done. Existential psychotherapists have developed their own understanding of the ! unconscious; however, my examination shows that their understanding of it is in fact incoherent. The way in which they define the unconscious implies a strong sense of selfconsciousness, Le. the unconscious is found within a wider capacity of human consciousness. But, I have argued that existential psychotherapists have not resolved difficulties which are derived from viewing the notion of self-deception as a conscious phenomenon. Also, their effort to assist their clients to enhance or widen self-consciousness could lead clients to develop fantasy. The foregoing critiques, I believe, represent only some of the conceptual confusions embedded within existential psychotherapeutic thinking

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Vance, Jeffrey Michael. "Therapeutic Assessment as Preparation for Psychotherapy." Thesis, University of North Texas, 2019. https://digital.library.unt.edu/ark:/67531/metadc1538669/.

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This study examined the impact therapeutic assessment (TA) had on participants recruited from the UNT Psychology Clinic's waiting list. Using a pretest-posttest design, participants completed measures prior to and following their assessment. UNT Psychology Clinic archive data was used to compare this sample to clients who received traditional information gathering assessments with implicit measures, those receiving assessments relying on only self-report measures, and those who did not receive an assessment before beginning psychotherapy. The findings of this study vary based on the criteria being examined. Due to the small sample in the experimental group, no statistical significance was found through null hypothesis testing. However, the TA group's scores on the Outcome Questionnaire – 45 (OQ) and the Working Alliance Inventory (WAI) indicated better outcomes than those without a TA, with large effect sizes. Furthermore, those who received a TA were more likely than those without a TA to score below the clinically significant cutoff levels on the OQ. The study raises issues for consideration in what is deemed "effective" in therapeutic efficacy research.

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FORD, RAMONE. "African American Psychologists Attitudes Towards Psychotherapy." Cleveland State University / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=csu1209519794.

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Wilde, Shannon Vincent. "Value conflicts in psychotherapy : psychology graduates'perspectives /." Diss., CLICK HERE for online access, 2008. http://contentdm.lib.byu.edu/ETD/image/etd2739.pdf.

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Mohr, David Curtis. "Negative outcome and attrition in psychotherapy." Diss., The University of Arizona, 1991. http://hdl.handle.net/10150/185524.

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Although the rate of negative outcome in psychotherapy is around 10%, there are virtually no studies that examine the phenomenon empirically using objective data. This study attempted to identify patients who would drop out of or remain in therapy using pretreatment subjective distress variables and pretreatment interpersonal functioning. Of those who remained, this study then distinguished among positive responders, negative responders, and nonresponders. Subjective distress was linearly related to outcome such that patients with higher levels of subjective distress improved while patients with lower levels deteriorated. Interpersonal functioning was curvilinearly related to outcome such that higher levels of difficulty were associated with positive and negative responders while lower levels were associated with non-responders. There was also an interaction between coping style and type of treatment such that more directive treatments were more effective with patients exhibiting externalizing coping styles than with patients exhibiting internalizing coping styles. The reverse was true for non-directive therapies.

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Daniel, Marguerite. "Private practice in counselling and psychotherapy." Thesis, University of Manchester, 2004. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.504822.

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Dissertations / Theses on the topic 'Psychotherapy'

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