Abstract

Objective

Understanding the client perspective is important for the provision of psychotherapy. The significant events paradigm, within which clients report on the most significant events of a therapy session immediately after the session, represents a useful means to explore clients’ in-session experience.

Method

The aim of this study was to investigate what types of client-identified impacts are reported in qualitative studies on helpful and hindering events in psychotherapy. Seventeen primary studies focusing on client-identified helpful and hindering events were identified through database searches and subsequent manual searches. The data were subjected to qualitative meta-analysis.

Results

The descriptions of event impacts were classified into 12 helpful (e.g., gaining a new perspective on the self; feeling heard, understood, and accepted; and feeling engaged in the therapeutic process) and eight hindering (e.g., lacking guidance from the therapist and feeling emotionally overwhelmed) impact meta-categories.

Conclusion

The findings provide an update to a previous meta-analysis by identifying several new categories of helpful event impacts and by categorizing hindering event impacts.

中文翻译：

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心理治疗中帮助和阻碍事件的客户识别影响：定性荟萃分析

摘要

客观的

了解客户的观点对于提供心理治疗很重要。重要事件范式，其中客户在疗程结束后立即报告治疗会话中最重要的事件，代表了探索客户的会话体验的有用方法。

方法

本研究的目的是调查在关于心理治疗中有益和阻碍事件的定性研究中报告了哪些类型的客户识别影响。通过数据库搜索和随后的手动搜索，确定了 17 项侧重于客户识别的有用和阻碍事件的主要研究。对数据进行定性荟萃分析。

结果

事件影响的描述分为 12 种有帮助的（例如，获得对自我的新视角；感觉被听到、理解和接受；感觉参与治疗过程）和 8 种阻碍（例如，缺乏治疗师的指导和感觉情绪不知所措）影响元类别。

结论

这些发现通过识别几个新的有用事件影响类别和对阻碍事件影响进行分类，为之前的荟萃分析提供了更新。