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1.
Jesse Owen Zac Imel Karen W. Tao Bruce Wampold Amanda Smith Emil Rodolfa 《Counselling and Psychotherapy Research》2011,11(3):204-212
Aim: To determine whether or not clients' perceptions of microaggressions varied based on their own and the therapist's race/ethnicity and whether or not they would be negatively related to the effectiveness of therapy and if the working alliance would mediate this effect. Method: The study utilised a cross‐sectional, retrospective, methodology. Clients were recruited from a large university counselling centre in the United States (N=232 clients and 29 therapists). Results: Neither clients' race/ethnicity, therapists’ race/ethnicity, nor client‐therapist ethnic matching predicted perceptions of microaggressions. Clients' ratings of microaggressions were negatively associated with their psychological wellbeing; however, this effect was mediated by clients' ratings of the working alliance. Implications: Therapists should take into account the cultural messages they may be conveying to both white and racial/ethnic minority clients. Therapists should develop strategies that are consistent with a general therapeutic approach that promotes discussions about culture with their clients and, most importantly, should attend to the therapeutic relationship. 相似文献
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Sophie Leuchtenberg Daniel Gromer Ivo Käthner 《Counselling and Psychotherapy Research》2023,23(2):389-403
Objective
Videoconferencing psychotherapy (VCT) is an effective treatment option. Yet, it is unclear whether a similar therapeutic alliance as in conventional face-to-face psychotherapy (F2F) can be achieved, since previous studies yielded mixed results. Furthermore, surveys about the attitudes towards VCT amongst patients have been missing until now. The current study gathered opinions from patients and psychotherapists about the perceived comparability of VCT and F2F regarding contextual factors and treatment characteristics, focusing on therapeutic alliance and empathy.Method
An online survey amongst patients (N = 189) and practitioners (N = 57) taking part in cognitive behavioural therapy was conducted after the first lockdown in Germany due to the COVID-19 pandemic and a resulting transition from F2F to VCT for most participants.Results
While patients experienced therapeutic alliance and empathy as comparable, psychotherapists indicated advantages of F2F. Both groups indicated advantages of F2F for the therapy contents and expressed advantages of VCT for flexibility regarding location and time. More than half of the participants expressed a preference for a combination of analogue and digital therapy.Conclusion
The perceived disadvantages of VCT can be addressed, for example, with training programmes for psychotherapists targeting communication in VCT and adapting established psychotherapy methods to a digital format to further improve VCT. 相似文献3.
This is the second of two articles that examine the psychometric properties and treatment outcomes associated with two measures of the therapeutic alliance in naturalistic routine settings. 相似文献
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Young people are increasingly turning to online support, especially when traditional mental health services are not immediately available. Using a cross-sectional design, sociodemographic information and self-reported perceptions of the strength of the working alliance and client satisfaction were collected from a sample of participants (n = 78) who were users of a service providing free online support using synchronous instant messaging. The results reported a significant positive relationship between the strength of the working alliance and client satisfaction, suggesting that the strength of the working alliance remains a key component in counselling, even online. Participants, however, scored significantly lower on both the strength of the working alliance and client satisfaction, compared to participants in offline settings as reported in past studies. 相似文献
5.
Paul A. Carrola;David A. Johnson;Michelle Santana;Zuzanna Gromulska; 《Journal of Addictions & Offender Counseling》2024,45(1):20-35
Factors such as the therapeutic relationship and working alliance have been shown to be important predictors for client outcomes in broad counseling settings with diverse client populations. The present study used linear multiple regression analysis to explore how relational factors such as in-session empathy and mindfulness impact working alliance when providing sex offender counseling. Results from sex offender counselor participants (N = 109) showed that the perspective taking aspect of empathy was most impactful on working alliance and that in-session mindfulness was less impactful on working alliance. 相似文献
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Ming-Tak Hue 《British Journal of Guidance & Counselling》2008,36(3):303-316
School guidance seeks to promote the whole person growth of students. It is regarded as an integral part of an educational programme. In Hong Kong secondary schools, a team of teachers are responsible for school guidance. This article examines how guidance teachers made sense of their caring work in general and specifically the counselling services they offered to students. With the use of a narrative analysis and personal experience methods, the study explores the experience of guidance teachers in counselling. Twelve in-service teachers who had enrolled in the Postgraduate Diploma in Education programme at the Hong Kong Institute of Education were interviewed. The influence of the Chinese philosophy of Confucianism, emerging as a theme from the data, was prominent, as its key principles were incorporated into the teachers’ personal systems of counselling. The findings illuminate the influence of Chinese culture in Hong Kong schools. Implications for the promotion of culturally responsive approaches to counselling and culturally competent practices for helping are discussed. 相似文献
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GIORGIO ZANOCCO ALESSANDRA DE MARCHI FRANCESCO POZZI 《The International journal of psycho-analysis》2006,87(1):145-158
The authors propose the concept of sensory empathy which emerges through contact between analyst and patient as they get in touch with an area concerning the primary bond. This area is not so much based on thoughts and fantasies as it is on physical sensations. Sensory empathy has to do with that instrument described by Freud as pertaining to the unconscious of any human, which enables one person to interpret unconscious communications of another person. The authors link this concept to that of enactment precisely because the latter concerns unconscious, early elements that fi nd in the act a fi rst meaningful expression. It involves both analyst and patient. In other words, the authors wish to emphasize the importance of the analytical process maintaining contact with that immense fi eld of human interaction that can be defi ned as primary sensory area and which becomes intertwined with the evolution of affects. Clinical examples are provided to clarify these hypotheses. 相似文献
11.
为了探讨观点采择与共情倾向对高中教师共情反应的影响,164名高中教师完成了人际反应指数量表,并在三种不同的观点采择指导语下完成共情反应问卷。结果表明:(1)观点采择通过指导语操作检验有效;(2)情感观点采择下的共情反应显著高于认知观点采择下的共情反应;认知观点采择下的共情反应显著高于技术观点采择下的共情反应;(3)情感观点采择通过共情倾向的部分中介作用对共情反应产生影响,认知观点采择通过共情倾向的完全中介作用对共情反应产生影响。 相似文献
12.
摘 要:本研究基于个体倾向和情境的双重视角,将静态与动态相结合,探讨不同移情能力的个体在真实性不同情境中的移情反应。结果发现: (1)移情能力高、低分组得分存在显著性差异;(2)情境真实性高、低两种情境之间差异不显著;(3)在某些具体的移情反应上,移情能力与情境的交互作用显著;(4)性别差异不显著。属个体倾向范畴的移情能力对移情反应具有显著影响,情境对移情反应的影响与移情能力有关,移情能力高的个体对情境的变化更为敏感。 相似文献
13.
主客体之间产生不一致的情绪反应称之为不对称共情(Counterempathy)。在Decety提出的情绪分享过程两阶段及Goubert提出的“指向自己”和“指向他人”两种情绪反应指向的研究基础上, 构建不对称情绪分享过程的两阶段模型, 通过创建竞争环境, 检验在不对称情绪分享过程中是否存在情绪反应自我指向增强效应的这一假设。被试根据竞争对手的情绪表情(皱眉和笑脸)来完成情绪反应自我指向(判断被试者自己的输赢)和情绪反应他人指向(判断竞争对手的输赢)的实验任务。结果表明: 在不对称情绪分享过程中, 存在情绪反应自我指向的增强效应。被试不仅在自我指向任务中产生了不对称共情, 而且在他人指向任务中也产生了不对称共情, 这说明在有意识的不对称情绪分享过程中, 个体会分化出比他人指向更强烈的自我指向的情绪反应。并且, 相较他人指向任务, 个体在自我指向任务中产生了更强烈的不对称共情。尤其当竞争对手获利时, 个体会产生更强烈的指向自我的负性情绪。 相似文献
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《Cognitive and behavioral practice》2022,29(3):554-559
A strong therapeutic relationship provides the optimal context for CBT, and an important component of this relationship is the alliance. An alliance rupture is a difficulty or deterioration in the alliance manifested by a lack of collaboration on therapy tasks or goals or a strain in the bond. The process of rupture repair can facilitate the work of therapy by renewing collaboration and strengthening the bond. Rupture repair can also provide the opportunity for a corrective experience of successfully navigating interpersonal conflict. A review of research on rupture repair in CBT treatments highlights that ruptures are common, and that failure to repair ruptures is associated with poor outcome and premature dropout. Therapists can reduce the likelihood of contributing to ruptures by adhering to the principle of collaborative empiricism. Therapists can facilitate rupture repair by recognizing ruptures when they occur and employing repair strategies: immediate repair strategies such as modifying the treatment task, or expressive repair strategies such as metacommunicating about the rupture and exploring the interpersonal schemas that underlie it. Training in rupture repair has demonstrated benefits for CBT therapists, particularly trainees. 相似文献
15.
Jairo N. Fuertes Charles J. Gelso Jesse J. Owen David Cheng 《Counselling psychology quarterly》2013,26(3-4):294-312
Six client/therapist dyads (three therapists each working with two clients) were studied to determine how the real relationship unfolds over the course of time-limited treatment and how this unfolding relates to the development of the client/therapist working alliance, client transference, and therapist countertransference. We also examined how these indices of the relationship fluctuate as a function of treatment outcome. Results indicate that in general for all six dyads, therapists’ and clients’ ratings of the real relationship and working alliance were strong throughout treatment. However, patterns of real relationship and working alliance over the course of treatment varied between dyads categorized as more vs. less successful. Therapists’ countertransference was low, as was client transference, but differences in ratings were evident when the dyads were classified by outcome. 相似文献
16.
Jan S. Pfetsch 《The Journal of genetic psychology》2017,178(1):58-72
ABSTRACTEmpathy, as the ability to understand and feel the emotions of others, is related to less bullying behavior. However, the link of bullying behavior with self-reports of empathy seems to be stronger than with behavioral measures of empathy (e.g., empathic accuracy). Few studies have analyzed the relationship of affective and cognitive empathy to cyberbullying behavior, especially among young adults. In a quasiexperimental dyadic interaction paradigm with 72 young adults, empathic accuracy was operationalized as the match of other- and self-reported emotions for the target, and emotional congruence as the match of the target's and the perceiver's self-reported emotions. Affective and cognitive empathy, offline bullying behavior, and cyberbullying behavior were measured using self-reports. Empathic accuracy and cognitive empathy were found to be negatively linked. Emotional congruence, self-reported affective and cognitive empathy did not correlate with offline bullying behavior or cyberbullying behavior. Only empathic accuracy was significantly negatively linked to offline bullying behavior. In group tests, higher empathic accuracy (but not emotional congruence) was connected to less offline bullying behavior. In a multiple regression analysis only emotional congruence was a predictor of cyberbullying behavior. Thus, while empathic accuracy might diminish offline bullying behavior, emotional congruence might diminish cyberbullying behavior. 相似文献
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Dr William J. Whelton Barbara Paulson Christopher W. Marusiak 《Counselling psychology quarterly》2007,20(2):135-148
The relationship between self-criticism and the therapeutic alliance was examined in 169 clients attending counselling in a community clinic. Self-criticism was associated with lower client ratings of the working alliance, suggesting that clients with higher self-criticism had greater difficulties establishing and maintaining a therapeutic alliance. These findings extend previous studies on the working alliance and self-criticism from highly controlled clinical studies to a more ecologically valid community mental health setting. Regression analyses were conducted to examine the mediating effect of additional factors on the relationship between self-criticism and the working alliance. Sensitivity to a perceived subordinate role in therapy did not impact the working alliance, although a general resistance to subordination was related to self-criticism. Implications for counselling self-critical clients are discussed. 相似文献
19.
This study sought to describe a brief review of studies conducted on the therapeutic alliance, taking into consideration therapeutic process and outcomes. We seek to reflect about the need to encourage the communities who engage in and conduct research on clinical practice not only to implement surveys of empirically validated measures of therapeutic outcomes, but also make them a regular practice among all clinical mental health psychotherapists. We therefore suggest the following paradigm – the Practice Based on Evidence of Results (PBER) – as a way to improve the quality of technical and tactical interventions of psychotherapists 相似文献
20.
Navot Naor Simone G. Shamay-Tsoory Gal Sheppes Hadas Okon-Singer 《Cognition & emotion》2018,32(5):972-987
Empathy represents a fundamental ability that allows for the creation and cultivation of social bonds. As part of the empathic process, individuals use their own emotional state to interpret the content and intensity of other people’s emotions. Therefore, the current study was designed to test two hypotheses: (1) empathy for the pain of another will result in biased emotional intensity judgment; and (2) changing one’s emotion via emotion regulation will modulate these biased judgments. To test these hypotheses, in experiment one we used a modified version of a well-known task that triggers an empathic reaction We found that empathy resulted in biased emotional intensity judgment. To the best of our knowledge, this is the first demonstration of a bias in the recognition of emotional facial expressions as a function of empathy for pain. In experiment two, we replicated these findings in an independent sample, and further found that this biased emotional intensity judgment can be moderated via reappraisal. Taken together, our findings suggest that the novel task used here can be employed to further explore the relation between emotion regulation and empathy. 相似文献