Varieties of client experience in psychotherapy: An analysis of the literature
Identifieur interne : 001342 ( Istex/Corpus ); précédent : 001341; suivant : 001343Varieties of client experience in psychotherapy: An analysis of the literature
Auteurs : Robert Elliott ; Elisabeth JamesSource :
- Clinical Psychology Review [ 0272-7358 ] ; 1989.
Abstract
We propose that psychotherapy researchers, theoreticians, and practitioners can better understand the process and action of psychotherapy if they are acquainted with the types of experience clients have in therapy. To this end, we analyze the main themes in the research literature. We begin by describing the methodological options for measuring client therapy experiences. We then present nine domains of client experience that appear in the existing empirical literature. Five of these pertain to clients' experiences of their own psychological processes during therapy: intentions, feelings, style of self-relatedness, style of relating to therapist, and central concerns. Two domains refer to clients' experiences of the action and person of their therapists: therapists' intentions and characteristics. The final two domains concern clients' experiences of change in therapy — therapeutic impacts and helpful aspects of therapy. We analyze each domain for its content themes and summarize available measures. Three dimensions seem to underlie the domains and themes within each: evaluation/affiliation, interpersonal control/independence, and interpersonal/task factors. We conclude with some recommendations for future research and implications and suggestions for the practice of psychotherapy.
Url:
DOI: 10.1016/0272-7358(89)90003-2
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To this end, we analyze the main themes in the research literature. We begin by describing the methodological options for measuring client therapy experiences. We then present nine domains of client experience that appear in the existing empirical literature. Five of these pertain to clients' experiences of their own psychological processes during therapy: intentions, feelings, style of self-relatedness, style of relating to therapist, and central concerns. Two domains refer to clients' experiences of the action and person of their therapists: therapists' intentions and characteristics. The final two domains concern clients' experiences of change in therapy — therapeutic impacts and helpful aspects of therapy. We analyze each domain for its content themes and summarize available measures. Three dimensions seem to underlie the domains and themes within each: evaluation/affiliation, interpersonal control/independence, and interpersonal/task factors. 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We then present nine domains of client experience that appear in the existing empirical literature. Five of these pertain to clients' experiences of their own psychological processes during therapy: intentions, feelings, style of self-relatedness, style of relating to therapist, and central concerns. Two domains refer to clients' experiences of the action and person of their therapists: therapists' intentions and characteristics. The final two domains concern clients' experiences of change in therapy — therapeutic impacts and helpful aspects of therapy. We analyze each domain for its content themes and summarize available measures. Three dimensions seem to underlie the domains and themes within each: evaluation/affiliation, interpersonal control/independence, and interpersonal/task factors. 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To this end, we analyze the main themes in the research literature. We begin by describing the methodological options for measuring client therapy experiences. We then present nine domains of client experience that appear in the existing empirical literature. Five of these pertain to clients' experiences of their own psychological processes during therapy: intentions, feelings, style of self-relatedness, style of relating to therapist, and central concerns. Two domains refer to clients' experiences of the action and person of their therapists: therapists' intentions and characteristics. The final two domains concern clients' experiences of change in therapy — therapeutic impacts and helpful aspects of therapy. We analyze each domain for its content themes and summarize available measures. Three dimensions seem to underlie the domains and themes within each: evaluation/affiliation, interpersonal control/independence, and interpersonal/task factors. 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We would like to think that these three efforts share a common purpose of attempting to map a terrain through which individuals pass as they seek meaning and relief from distresses both general and particular.</ce:note-para><ce:note-para>This paper was written with the support of a Faculty Research Fellowship from the Graduate School of the University of Toledo. 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To this end, we analyze the main themes in the research literature. We begin by describing the methodological options for measuring client therapy experiences. We then present nine domains of client experience that appear in the existing empirical literature. Five of these pertain to clients' experiences of their own psychological processes during therapy: intentions, feelings, style of self-relatedness, style of relating to therapist, and central concerns. Two domains refer to clients' experiences of the action and person of their therapists: therapists' intentions and characteristics. The final two domains concern clients' experiences of change in therapy — therapeutic impacts and helpful aspects of therapy. We analyze each domain for its content themes and summarize available measures. Three dimensions seem to underlie the domains and themes within each: evaluation/affiliation, interpersonal control/independence, and interpersonal/task factors. 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We conclude with some recommendations for future research and implications and suggestions for the practice of psychotherapy.</abstract><note>Our title reflects the influence of Orlinsky and Howard's (1975) study, which inspired us in our work as clinicians and researchers to study client experiences; Orlinsky and Howard's usage in turn derived from William James' (1902) classic work on religious experiences. We would like to think that these three efforts share a common purpose of attempting to map a terrain through which individuals pass as they seek meaning and relief from distresses both general and particular.</note><note>This paper was written with the support of a Faculty Research Fellowship from the Graduate School of the University of Toledo. We thank Arthur Auerbach, Clara Hill, Ken Howard, Susan Noble, David Orlinsky and David Rennie for sharing important unpublished data with us.</note><relatedItem type="host"><titleInfo><title>Clinical Psychology Review</title></titleInfo><titleInfo type="abbreviated"><title>CPR</title></titleInfo><genre type="journal">journal</genre><originInfo><dateIssued encoding="w3cdtf">1989</dateIssued></originInfo><identifier type="ISSN">0272-7358</identifier><identifier type="PII">S0272-7358(00)X0135-3</identifier><part><date>1989</date><detail type="issue"><title>Special Issue: Psychotherapy Process Research</title></detail><detail type="volume"><number>9</number><caption>vol.</caption></detail><detail type="issue"><number>4</number><caption>no.</caption></detail><extent unit="issue pages"><start>411</start><end>547</end></extent><extent unit="pages"><start>443</start><end>467</end></extent></part></relatedItem><identifier type="istex">445E1E5B7DF1518815AE616E138410CF12D67119</identifier><identifier type="DOI">10.1016/0272-7358(89)90003-2</identifier><identifier type="PII">0272-7358(89)90003-2</identifier><recordInfo><recordContentSource>ELSEVIER</recordContentSource></recordInfo></mods></metadata></istex></record>Pour manipuler ce document sous Unix (Dilib)
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