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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 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.
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.
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.
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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