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This book examines therapeutic failures in psychotherapy. Despite the consistent positive outcome findings and psychotherapists’ best intentions in their efforts to help their clients, psychotherapy simply does not work in all cases. In fact, 5-10% of adult clients deteriorate during psychotherapy. Although not exclusively due to treatment failures per se, almost a fifth of clients terminate their therapy prematurely and findings suggest that that between 20 and 30% of clients do not return after the first session with half terminating after just two sessions. Therapeutic failures could include a range of negative therapy outcomes, such as harm, deterioration, client non-response, premature termination, or dropout, as well as process factors, such as negative therapy experiences, impasses, or alliance ruptures. Investigating therapeutic failures holds the key to improving the effectiveness of psychotherapy as well as understanding some of the fundamental conditions that need to be in place for the change mechanisms of psychotherapy to take effect. Although psychotherapy has made many strides over the last few decades to improve research rigour and to promote evidence-based practices, it is a profession that is still growing. By embracing the opportunity to learn from therapeutic failures the profession will continue to refine its practices to better serve clients and to strive toward developing ethical and effective practices. Both comprehensive and accessible, this book will be of great interest to psychotherapists in practice, therapists-in-training, as well as students and professionals in psychology and mental health in general. The chapters in this book were originally published in Counselling Psychology Quarterly.
This book is a valuable historical record of how counselling psychologists responded to the COVID-19 pandemic around the globe. Volume I includes 14 chapters that address topics associated with transferring counselling practice online. Several chapters focus on transitioning to online therapy from face-to-face contact, including the effect of such a transition on the therapeutic relationship, and working with clients' emotional processes online. Written by prominent researchers and clinicians in the field of counselling and psychotherapy, both the volumes together cover a wide range of perspectives and offer useful clinical recommendations related to effective telepsychotherapy practice. The chapters in these volumes were originally published as a special issue of Counselling Psychology Quarterly.
This book is a valuable historical record of how counselling psychologists responded to the COVID-19 pandemic around the globe. Volume II presents 17 chapters that address four major topic areas. In the first, the chapters focus on training and supervision: during the pandemic, most on-site training and supervision had to be discontinued to prevent spread of the virus. However, many trainers and training programs found creative ways to continue to provide training opportunities to their trainees. The second focus is on the populations who may require specialty care during times of such upheaval, such as those with psychosis and serious mental illness. In the third part, the chapters speak to the pandemic across cultures, as well as its effects on clients from underrepresented groups. Finally, three chapters present research perspectives on the pandemic. Written by prominent researchers and clinicians in the field of counselling and psychotherapy, both the volumes together cover a wide range of perspectives and offer useful clinical recommendations related to effective telepsychotherapy practice. The chapters in these volumes were originally published as a special issue of Counselling Psychology Quarterly.
In this collection, international contributors come together to discuss how qualitative and quantitative methods can be used in psychotherapy research. The book considers the advantages and disadvantages of each approach, and recognises how each method can enhance our understanding of psychotherapy. Divided into two parts, the book begins with an examination of quantitative research and discusses how we can transfer observations into numbers and statistical findings. Chapters on quantitative methods cover the development of new findings and the improvement of existing findings, identifying and analysing change, and using meta-analysis. The second half of the book comprises chapters considering how qualitative and mixed methods can be used in psychotherapy research. Chapters on qualitative and mixed methods identify various ways to strengthen the trustworthiness of qualitative findings via rigorous data collection and analysis techniques. Adapted from a special issue of Psychotherapy Research, this volume will be key reading for researchers, academics, and professionals who want a greater understanding of how a particular area of research methods can be used in psychotherapy.
In this collection, international contributors come together to discuss how qualitative and quantitative methods can be used in psychotherapy research. The book considers the advantages and disadvantages of each approach, and recognises how each method can enhance our understanding of psychotherapy. Divided into two parts, the book begins with an examination of quantitative research and discusses how we can transfer observations into numbers and statistical findings. Chapters on quantitative methods cover the development of new findings and the improvement of existing findings, identifying and analysing change, and using meta-analysis. The second half of the book comprises chapters considering how qualitative and mixed methods can be used in psychotherapy research. Chapters on qualitative and mixed methods identify various ways to strengthen the trustworthiness of qualitative findings via rigorous data collection and analysis techniques. Adapted from a special issue of Psychotherapy Research, this volume will be key reading for researchers, academics, and professionals who want a greater understanding of how a particular area of research methods can be used in psychotherapy.
Although clients disclose many of their concerns to therapists, they often choose to conceal some of their concerns as well. Equally, therapists occasionally reveal something of themselves to clients via therapist self-disclosure, but typically keep the focus on clients. Such disclosure, whether by clients or therapists, is seldom easy, and is instead often fraught with questions as to what, how much, and why to disclose, as well as concerns regarding the consequences of disclosure. Clearly, disclosure (or the lack thereof) is an important phenomenon of the therapy endeavour. The chapters included in this book examine various aspects of the disclosure and concealment phenomena, whether from client or therapist perspective. Contributions examine the relationship of therapist self-disclosure to alliance and outcome; the phenomenon of therapist self-disclosure in psychodynamic therapy; client concealment and disclosure of secrets in therapy; young adults' disclosures in psychotherapy and on Facebook; and lying in psychotherapy. Each offers intriguing insights into the disclosure, or lack of disclosure, in psychotherapy, from the therapist or client perspective. This book was originally published as a special issue of Counselling Psychology Quarterly.
Although clients disclose many of their concerns to therapists, they often choose to conceal some of their concerns as well. Equally, therapists occasionally reveal something of themselves to clients via therapist self-disclosure, but typically keep the focus on clients. Such disclosure, whether by clients or therapists, is seldom easy, and is instead often fraught with questions as to what, how much, and why to disclose, as well as concerns regarding the consequences of disclosure. Clearly, disclosure (or the lack thereof) is an important phenomenon of the therapy endeavour. The chapters included in this book examine various aspects of the disclosure and concealment phenomena, whether from client or therapist perspective. Contributions examine the relationship of therapist self-disclosure to alliance and outcome; the phenomenon of therapist self-disclosure in psychodynamic therapy; client concealment and disclosure of secrets in therapy; young adults' disclosures in psychotherapy and on Facebook; and lying in psychotherapy. Each offers intriguing insights into the disclosure, or lack of disclosure, in psychotherapy, from the therapist or client perspective. This book was originally published as a special issue of Counselling Psychology Quarterly.
The brief, practical texts in the Essentials of Qualitative Methods series introduce social science and psychology researchers to key approaches to capturing phenomena not easily measured quantitatively, offering exciting, nimble opportunities to gather in-depth qualitative data. In this volume, Clara E. Hill and Sarah Knox describe consensual qualitative research (CQR), an inductive method characterized by open-ended interview questions, small samples, a reliance on words over numbers, the importance of context, an integration of multiple viewpoints (for example, the consensus of the research team and auditors), and a high emphasis on rigor and replicability. CQR is especially well suited to research that requires rich descriptions of inner experiences, attitudes, and convictions, and is therefore widely used by psychotherapy researchers. About the Essentials of Qualitative Methods book series: Even for experienced researchers, selecting and correctly applying the right method can be challenging. In this groundbreaking series, leading experts in qualitative methods provide clear, crisp, and comprehensive descriptions of their approach, including its methodological integrity, and its benefits and limitations. Each book includes numerous examples to enable readers to quickly and thoroughly grasp how to leverage these valuable methods.
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