Changes in meaning in life, working alliance, and outcome in psychodynamic psychotherapy: What leads to what?
We examined how meaning in life was associated with working alliance (WA) and outcomes, all from the client perspective. Random intercept lagged cross-panel analyses were used to analyze data from intake and after every eight sessions for the first 24 sessions of open-ended individual psychodynamic psychotherapy from 94 clients nested within 12 therapists. We found that, for all four time periods, working alliance in one 8-week time period predicted both Meaning in Life Measure–Experience (MILM-E) and Meaning in Life Measure–Reflectivity (MILM-R) in the subsequent time period, and MILM-R in one 8-week time period predi...
Source: Journal of Counseling Psychology - August 4, 2022 Category: Psychiatry & Psychology Source Type: research
Is alliance therapeutic in itself? It depends.
Journal of Counseling Psychology, Vol 69(6), Nov 2022, 786-793; doi:10.1037/cou0000627The alliance has been a leading player in the long-running debate on whether therapeutic change is driven by factors common across distinct treatments or by treatment-specific factors. The present study disentangled between-patients differences in alliance strength from within-patient changes to investigate whether two treatments with identical goals but based on different roles of alliance differ in the within-patient effect of alliance on outcome. Both treatments are aimed at improving the patients’ interpersonal abilities, but in the...
Source: Journal of Counseling Psychology - August 4, 2022 Category: Psychiatry & Psychology Source Type: research
Passing patients’ tests—But how? An analysis of therapists’ helping skills in response to patient testing.
Journal of Counseling Psychology, Vol 69(6), Nov 2022, 845-852; doi:10.1037/cou0000631According to control mastery theory, patients in psychotherapy try to master their problems by disconfirming their pathogenic beliefs. This can be done by testing the therapist. So far, there is hardly any evidence on what concrete interventions or statements of therapists are specifically helpful in passing those tests. In our study, we analyzed the verbal utterances of therapists in test situations to determine whether there is a difference in statements used for passing or failing tests. A total of 168 session transcripts of 21 patient...
Source: Journal of Counseling Psychology - August 4, 2022 Category: Psychiatry & Psychology Source Type: research
Changes in meaning in life, working alliance, and outcome in psychodynamic psychotherapy: What leads to what?
We examined how meaning in life was associated with working alliance (WA) and outcomes, all from the client perspective. Random intercept lagged cross-panel analyses were used to analyze data from intake and after every eight sessions for the first 24 sessions of open-ended individual psychodynamic psychotherapy from 94 clients nested within 12 therapists. We found that, for all four time periods, working alliance in one 8-week time period predicted both Meaning in Life Measure–Experience (MILM-E) and Meaning in Life Measure–Reflectivity (MILM-R) in the subsequent time period, and MILM-R in one 8-week time period predi...
Source: Journal of Counseling Psychology - August 4, 2022 Category: Psychiatry & Psychology Source Type: research
Is alliance therapeutic in itself? It depends.
Journal of Counseling Psychology, Vol 69(6), Nov 2022, 786-793; doi:10.1037/cou0000627The alliance has been a leading player in the long-running debate on whether therapeutic change is driven by factors common across distinct treatments or by treatment-specific factors. The present study disentangled between-patients differences in alliance strength from within-patient changes to investigate whether two treatments with identical goals but based on different roles of alliance differ in the within-patient effect of alliance on outcome. Both treatments are aimed at improving the patients’ interpersonal abilities, but in the...
Source: Journal of Counseling Psychology - August 4, 2022 Category: Psychiatry & Psychology Source Type: research
Passing patients’ tests—But how? An analysis of therapists’ helping skills in response to patient testing.
According to control mastery theory, patients in psychotherapy try to master their problems by disconfirming their pathogenic beliefs. This can be done by testing the therapist. So far, there is hardly any evidence on what concrete interventions or statements of therapists are specifically helpful in passing those tests. In our study, we analyzed the verbal utterances of therapists in test situations to determine whether there is a difference in statements used for passing or failing tests. A total of 168 session transcripts of 21 patients were selected from a total of six therapists, two each in psychoanalytic therapy, ps...
Source: Journal of Counseling Psychology - August 4, 2022 Category: Psychiatry & Psychology Source Type: research
Changes in meaning in life, working alliance, and outcome in psychodynamic psychotherapy: What leads to what?
We examined how meaning in life was associated with working alliance (WA) and outcomes, all from the client perspective. Random intercept lagged cross-panel analyses were used to analyze data from intake and after every eight sessions for the first 24 sessions of open-ended individual psychodynamic psychotherapy from 94 clients nested within 12 therapists. We found that, for all four time periods, working alliance in one 8-week time period predicted both Meaning in Life Measure–Experience (MILM-E) and Meaning in Life Measure–Reflectivity (MILM-R) in the subsequent time period, and MILM-R in one 8-week time period predi...
Source: Journal of Counseling Psychology - August 4, 2022 Category: Psychiatry & Psychology Source Type: research
Is alliance therapeutic in itself? It depends.
The alliance has been a leading player in the long-running debate on whether therapeutic change is driven by factors common across distinct treatments or by treatment-specific factors. The present study disentangled between-patients differences in alliance strength from within-patient changes to investigate whether two treatments with identical goals but based on different roles of alliance differ in the within-patient effect of alliance on outcome. Both treatments are aimed at improving the patients’ interpersonal abilities, but in the supportive treatment (ST) the alliance is the main specific factor, whereas in the su...
Source: Journal of Counseling Psychology - August 4, 2022 Category: Psychiatry & Psychology Source Type: research
The chicken or the egg? Testing temporal relations between academic support, self-efficacy, outcome expectations, and goal progress among college students.
This study was designed to examine the directionality of short-term temporal relations between academic support, self-efficacy, outcome expectations, and goal progress, which are hypothesized as mediators that channel the effects of personality and affective variables on academic well-being. Using the random intercepts cross-lagged panel model (RI-CLPM) approach, four temporal models were tested on data of 825 first-year students gathered at three time points as they began their college journey. Based on the entire sample, the retained model revealed bidirectional relations between support and self-efficacy, support and ou...
Source: Journal of Counseling Psychology - July 4, 2022 Category: Psychiatry & Psychology Source Type: research
“The ‘roller coaster ride’: A longitudinal investigation of the dynamic relationship between Chinese counseling trainees’ self-efficacy and their clients’ outcome and the mediating effects of working alliance and session evaluation": Correction to Li et al. (2021).
Reports an error in "The “roller coaster ride”: A longitudinal investigation of the dynamic relationship between Chinese counseling trainees’ self-efficacy and their clients’ outcome and the mediating effects of working alliance and session evaluation" by Xu Li, Feihan Li, Chaihua Lin, Shitao Chen and Yuge Han (Journal of Counseling Psychology, Advanced Online Publication, Nov 29, 2021, np). In the article, the scale for the Working Alliance Inventory—Short Revised (WAI-SR) was incorrectly described in the Measures section as a “5-point scale that ranges from 1 to 5.” The WAI-SR used the original 7-point scal...
Source: Journal of Counseling Psychology - June 30, 2022 Category: Psychiatry & Psychology Source Type: research
“The ‘dyadic dance’: Exploring therapist–client dynamics and client symptom change using actor–partner interdependence modeling and multilevel mixture modeling": Correction to Li (2021).
Reports an error in "The “dyadic dance”: Exploring therapist–client dynamics and client symptom change using actor–partner interdependence modeling and multilevel mixture modeling" by Xu Li (Journal of Counseling Psychology, Advanced Online Publication, Dec 02, 2021, np). In the article, the scale for the Working Alliance Inventory—Short Revised (WAI-SR) was incorrectly described in the Measures section as a “5-point scale ranging from 1 to 5.” The WAI-SR used the original 7-point scale ranging from 1 to 7. All versions of this article have been corrected. (The following abstract of the original article appea...
Source: Journal of Counseling Psychology - June 30, 2022 Category: Psychiatry & Psychology Source Type: research
The moderating and mediating roles of mindfulness and rumination on COVID-19 stress and depression: A longitudinal study of young adults.
The COVID-19 pandemic has not only accounted for a substantial number of deaths in the United States but also deleterious mental health outcomes. We integrated multiple lines of previous research to better understand psychological strengths and difficulties in the face of the pandemic by testing a moderated mediation model that posited that rumination mediates the relationship between COVID-related stress and depression, and mindfulness moderates the relationship between COVID-related stress and rumination. The participants were 196 young adults (79.6% female, 53.1% persons of color), who ranged in age between 18 and 33 ye...
Source: Journal of Counseling Psychology - June 23, 2022 Category: Psychiatry & Psychology Source Type: research
Mapping the journey from epistemic mistrust in depressed adolescents receiving psychotherapy.
This study is based on a post hoc analysis of interview data collected for a broader purpose. A total of 45 semistructured interviews at three time points were conducted with 15 adolescents (80% female; Mage = 15.28, SD = 1.79) who entered treatment with indications of epistemic mistrust or hypervigilance. These interviews were qualitatively analyzed using ideal type analysis. Three distinct journeys of adolescents’ experiences were identified. Some experienced a shift from epistemic mistrust to epistemic trust which seemed to be associated with the experience of therapy; other adolescents also showed a shift but did not...
Source: Journal of Counseling Psychology - June 23, 2022 Category: Psychiatry & Psychology Source Type: research
Effects of sexual orientation concealment on well-being among sexual minorities: How and when does concealment hurt?
This study also built on minority stress theory to determine whether the psychological process of concealment operates differently as a function of perceived acceptance in different contexts. A community sample of 636 sexual minority individuals in Hong Kong (48.3% men, 50.5% women, and 1.3% transgender and nonbinary individuals; mean age = 25.36 years) was recruited through lesbian, gay, bisexual, and transgender (LGBT) social media, nongovernmental organizations, and social venues to complete a baseline and 1-year follow-up survey. The results showed that loneliness mediated the relationship between concealment and well-...
Source: Journal of Counseling Psychology - June 13, 2022 Category: Psychiatry & Psychology Source Type: research
Email me back: Examining provider biases through email return and responsiveness.
The majority of research on accessing and utilizing mental health services has focused on patient barriers to care. Few studies have explored possible provider biases that may impact client access at point of entry. Using the audit method, we conducted an email-based field experiment to investigate the responsiveness of psychotherapy providers to inquiries from simulated patients with different backgrounds (i.e., race, gender, diagnosis, and ability to pay). A total of 725 therapists (176 men, 549 women) practicing in Chicago, Illinois were identified from an online therapist directory and randomized to receive emails requ...
Source: Journal of Counseling Psychology - June 9, 2022 Category: Psychiatry & Psychology Source Type: research
