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A preliminary examination of therapist hope as a predictor of clients' distress over treatment.
Journal of Counseling Psychology ( IF 3.8 ) Pub Date : 2023-03-30 , DOI: 10.1037/cou0000664
Theodore T Bartholomew 1
Affiliation  

Therapist and client hope have both been conceptualized and empirically examined as factors that contribute to the reduction of clients' distress in treatment. That is, clients may come to therapy demoralized and without hope per Frank and Frank's contextual model of psychotherapy. Therapy can serve to increase their hope and thereby contribute to the reduction of distress; however, therapists also bring their own individual hope to the therapeutic process. Despite both parties contributing their hope as treatment factors, no research has yet simultaneously examined therapist and client hope. The purpose of this preliminary study was to test the relationships between therapist and client hope with the clients' distress to assess if these relationships hold when both perspectives are modeled. Naturalistic psychotherapy data from 99 clients receiving treatment in a community-serving, doctoral-training clinic were included. Multilevel modeling results indicated that therapist and client hope both significantly and negatively predict clients' distress over the course of treatment. Cross-lagged panel modeling demonstrated that therapists' hope predicted reductions in future sessions' psychological distress. Implications of these significant findings are discussed in connection with therapist and client factor literature, and future directions for the co-occurring examination of therapist and client hope are described. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译:

对治疗师希望作为来访者治疗痛苦的预测指标的初步检查。

治疗师和来访者的希望都被概念化并被实证检验为有助于减少来访者在治疗中的痛苦的因素。也就是说,根据弗兰克和弗兰克的心理治疗情境模型,来访者可能会士气低落,并且没有希望。治疗可以增加他们的希望,从而有助于减少痛苦;然而,治疗师也将自己的个人希望带入治疗过程中。尽管双方都将希望作为治疗因素,但尚未有研究同时检验治疗师和来访者的希望。这项初步研究的目的是测试治疗师和来访者希望与来访者痛苦之间的关系,以评估在对两种观点进行建模时这些关系是否成立。其中包括 99 名在社区服务、博士培训诊所接受治疗的客户的自然主义心理治疗数据。多层次建模结果表明,治疗师和客户希望对客户在治疗过程中的痛苦进行显着和负面的预测。交叉滞后面板模型表明,治疗师希望能够减少未来治疗中的心理困扰。结合治疗师和来访者因素文献讨论了这些重要发现的含义,并描述了治疗师和来访者希望同时发生的检查的未来方向。(PsycInfo 数据库记录 (c) 2023 APA,保留所有权利)。多层次建模结果表明,治疗师和客户希望对客户在治疗过程中的痛苦进行显着和负面的预测。交叉滞后面板模型表明,治疗师希望能够减少未来治疗中的心理困扰。结合治疗师和来访者因素文献讨论了这些重要发现的含义,并描述了治疗师和来访者希望同时发生的检查的未来方向。(PsycInfo 数据库记录 (c) 2023 APA,保留所有权利)。多层次建模结果表明,治疗师和客户希望对客户在治疗过程中的痛苦进行显着和负面的预测。交叉滞后面板模型表明,治疗师希望能够减少未来治疗中的心理困扰。结合治疗师和来访者因素文献讨论了这些重要发现的含义,并描述了治疗师和来访者希望同时发生的检查的未来方向。(PsycInfo 数据库记录 (c) 2023 APA,保留所有权利)。结合治疗师和来访者因素文献讨论了这些重要发现的含义,并描述了治疗师和来访者希望同时发生的检查的未来方向。(PsycInfo 数据库记录 (c) 2023 APA,保留所有权利)。结合治疗师和来访者因素文献讨论了这些重要发现的含义,并描述了治疗师和来访者希望同时发生的检查的未来方向。(PsycInfo 数据库记录 (c) 2023 APA,保留所有权利)。
更新日期:2023-03-30
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