Burnout among school psychologists: An exploratory investigation into its nature, extent, and correlates.

Studied 139 school psychologists who completed a survey that included the Maslach Burnout Inventory, a stress inventory, demographic questions, and questions designed to assess their job satisfaction, ideal caseloads, and intent to leave the profession. The results suggested that symptoms of burnout occur frequently among Ss, particularly feelings of emotional exhaustion and reduced personal accomplishment. Demographic factors related modestly to burnout, whereas job-related stressors (lack of resources, interpersonal conflict, crisis cases) related more substantially to burnout. Burnout was also related to Ss' perceptions of their caseloads, overall job satisfaction, supervision satisfaction, and the desire to leave the profession. Also, Ss reported using burnout coping methods that may not adequately address its antecedents. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Psychotherapy with psychotherapists.

Reviews the book, Psychotherapy with psychotherapists edited by Florence W. Kaslow (see record 1990-98484-000). There has been little written about doing psychotherapy with patients who are themselves psychotherapists, despite the fact that many therapists have been in therapy and some have provided treatment for other therapists. This book presents a good overview of many of the issues involved when therapist treats therapist, although there are no real surprises or conceptual breakthroughs. Regardless of theoretical orientation or preferred treatment modality, several common problem areas emerge having to do with boundaries, confidentiality, pride, competition, and countertransference. There is still a clear need for research, including investigation of the supposed efficacy of treatment as training. More discussion and detailed case examples of treatment from the perspective of the therapist-patients would have been desirable. These relatively minor qualifications notwithstanding, therapists will find much here to stimulate and inform their work with therapist-patients. There are fewer "therapists' therapists" than there are therapist-patients, however, and this suggests an even larger readership: trainees and practicing clinicians in treatment. This book may not only help therapists to be therapists to their patients, but should also help therapists to be patients to their therapists. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sex bias in psychotherapy: An examination of the effects of client sex, pathology, and therapist sex on treatment planning.

Investigated the effects of therapist sex, client sex, and client pathology on treatment goals formulated by a pool of 32 male and 32 female practicing psychotherapists (psychiatrists, clinical psychologists, psychiatric social workers, and therapists from related disciplines). Each therapist recommended treatment goals for either 2 male or 2 female pseudoclients who differed in their presenting pathology, which was severe and clearly defined. Male therapists chose significantly more feminine treatment goals for all their clients, whereas female therapists chose significantly more masculine goals, regardless of client sex. Therapists responded to the client's pathology, rather than the client's sex, in formulating treatment goals. This suggested either that client sex is not important in determining treatment goals or that client sex may affect therapists' treatment goal choice only when pathology is vague or not severe. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Informed consent: Therapists' beliefs and practices.

To assess the current status of informed consent among psychotherapists, a survey instrument was sent to 324 American Psychological Association members currently practicing therapy. 189 therapists returned completed surveys, yielding a response rate of 58%. Survey responses provided information on use, importance, reasons, communication, methods, and timing regarding 5 specific consent issues. These issues included confidentiality, risks, treatment length, treatment procedures, and alternatives. Results suggest similarity and variability in therapists' reported beliefs and practices. Therapists of a cognitive-behavioral orientation indicated they inform clients more often and consider the issues more important. These findings, along with the reasons given for not informing clients, highlight the complexity of applying ethical standards to practice contexts. Implications for practice and research are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Quality of the therapeutic relationship: do common factors in psychotherapy correspond with common characteristics of psychotherapists? SPR Collaborative Research Network

In view of the great diversity to be found among psychotherapists in many countries in terms of professional background, theoretical orientation, and other personal and demographic characteristics, it is surprising to find certain areas of great commonality. Among the most striking of these are therapists' reports of their ideals and perceptions concerning their manner of relating to their patients. A very large majority of nearly 2,400 therapists surveyed in an on-going study of psychotherapeutic development wanted to and did see their behavior vis-a-vis patients as accepting, friendly, warm, tolerant, committed, and involved. These traits, which indicate a strong proclivity toward forming a positive therapeutic bond or alliance, also closely match qualities that therapists perceive in their own personal relationships. Discussion of these findings focuses on the possible sources and therapeutic consequences of this common pattern of interpersonal behavior.     

Therapists' reactions to treatment of survivors of political torture.

Working with survivors of political torture and war trauma can trigger strong emotional responses in the therapist. As more survivors seek treatment, it is essential to identify and develop robust support systems for therapists who help their clients confront nearly unspeakable experiences. The emotional reactions of 6 psychotherapists who worked with traumatized survivors in a refugee treatment center were explored. The psychotherapists' reactions were compared with those of therapists who worked in different treatment settings with other presenting problems. The results of the study show that the strong level of responsibility therapists feel for their traumatized clients may hide an emotional strain and may lead to burnout. Suggestions are offered for supporting therapists in this difficult but important work. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A-B therapist perceptions and preferences for schizophrenic and psychoneurotic clients.

Administered an extended version of the a-b scale to 141 experienced, practicing psychotherapists. Ss also completed scales designed to assess therapist attitudes toward working with schizophrenic and psychoneurotic clients, personal liking for specific schizophrenic and psychoneutrotic clients, and orientation toward interpersonal relationships. Analysis of variance results revealed no evidence suggesting that a and b therapists differentially perceive or prefer schizophrenic or psychoneurotic clients. There was evidence suggesting that a therapists initially like both schizophrenic and psychoneurotic clients as individuals more than b therapists. By the time therapy had ended, these differences between a and b therapists tended to dissipate with schizophrenic clients. However, b therapists' personal liking of their psychoneurotic clients actually declined during therapy. (18 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychological distress and burnout among buddies: demographic, situational and motivational factors

Work-related psychological distress (burnout) is a probable cause of drop-out among emotional support volunteers (buddies) who work with people living with AIDS. In addition to the emotional suffering and disruption to both the buddy and the buddied, burnout has significant cost implications for voluntary organizations in terms of training and recruitment. The aim of this study was to identify the demographic, situational and motivational factors associated with burnout among buddies with the intention of identifying individuals at risk at the recruitment stage. A cross-sectional single cohort postal questionnaire study design was used. All buddies registered with the Terrence Higgins Trust, a non-profit making organization set up in the UK to provide education about HIV/AIDS and care for people affected by the virus, were invited to participate. Psychological morbidity was measured with the Hospital Anxiety and Depression Scale, burnout with the Maslach Burnout Inventory and motivation was assessed using the Calvert Motivation Checklist. Information on the buddy relationship and the demographic details of each buddy was also collected. Of 586 questionnaires distributed, 324 (55%) were returned. More than 24% of buddies were classified as probable cases of burnout on one or more of the MBI scales but this is lower than has been reported in medical and nursing staff working with people living with AIDS. Although a number of demographic, situational and motivational factors were associated with burnout, logistic regression models were unable to identify a useful proportion of individuals at risk. It was concluded that although burnout is an important psychological factor in retaining volunteers, it was not possible to identify individuals at risk of burning out either from their self-reported motivations or from demographic factors.     

Use of complaint procedures in cases of therapist–patient sexual contact.

Clients' use of complaint procedures after sexual involvement with psychotherapists is examined, and the effectiveness of these procedures is evaluated. In California, the system chosen for study, between 12 and 16 therapists were disciplined for sexual contact with clients in 1982. Representatives of state licensing boards and therapists' professional organizations attributed this acknowledged underreporting to clients' refusal to lodge complaints. However, interviews with 21 women who had been sexually involved with their male therapists contradicted this assumption. For most of the women, it was lack of knowledge rather than lack of motivation that kept them from taking action on their own behalf. Those who did file complaints found that taking action was healing, even though the results were often minimal. Data from interviews suggest guidelines for the kind of consumer education needed and some pitfalls to be avoided. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Maintaining boundaries in psychotherapy: Covert narcissistic personality characteristics and psychotherapists.

The psychological literature to date has identified more than one form of narcissism: the more well-known grandiose form, and the less familiar and recognized covert form. Although the distinction between these two narcissistic types has been identified with regard to better conceptualizing client dynamics, there has been much less written about how covert narcissistic tendencies and traits may affect psychotherapists and psychotherapy. This paper uses psychodynamic theory to highlight the role that covert narcissistic characteristics may have on the psychotherapists' ability to maintain boundaries, potentially leading to boundary transgressions (existing along a continuum from therapeutically useful to maladaptive and anti-therapeutic). Specific therapeutic situations have been delineated to increase therapists' recognition and awareness of themes that may emerge and compromise the boundaries between themselves and their clients. Areas of focus include narcissism and its forms, the possible connection between covert narcissism in psychotherapists and the impact on managing boundaries, the potential therapeutic implications of covert narcissistic tendencies in psychotherapists, and the implications of covert narcissistic personality characteristics on treatment, supervision, and training. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cross-racial psychotherapy: What the therapists say.

41 White and 37 Black psychotherapists with an average of 8.2 yrs' experience completed a 41-item questionnaire regarding psychotherapy with same- and opposite-race clients. White Ss did not experience racial issues in psychotherapy with the same salience that Black Ss did, yet they reported higher levels of subjective distress in cross-racial treatment. This distress focused on negative attitudes of clients, therapists' feelings of not being able to help or confront opposite race clients, or being oversolicitous or too distant with opposite-race clients. Both therapist groups reported equivalent abilities to empathize with opposite-race clients, but Blacks and Whites differed on a number of questions of racial attitudes and stereotyping. (9 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Client and therapist variability in clients' perceptions of their therapists' multicultural competencies.

This study examined therapist differences in their clients' ratings of their therapists' multicultural competencies (MCCs) as well as tested whether therapists' who were rated as exhibiting more MCCs also had clients who had better therapy outcomes (N = 143 clients and 31 therapists). All clients completed at least 3 sessions. Results demonstrated that therapists accounted for less than 1% of the variance in their clients' Cross-Cultural Counseling Inventory–Revised (CCCI-R; T. D. LaFromboise, H. L. K. Coleman, & A. Hernandez, 1991) scores, suggesting that therapists did not differ in terms of how clients rated their MCCs. Therapists accounted for approximately 8.5% of the variance in therapy outcomes. For each therapist, their clients' CCCI-R scores were aggregated to provide an estimate of therapists' MCCs. Therapists' MCCs, based on aggregate CCCI-R scores, did not account for the variability in therapy outcomes that were attributed to them. Additionally, clients' race/ethnicity, therapists' race/ethnicity, or the interaction of clients'–therapists' race/ethnicity were not significantly associated with clients' perceptions of their therapists' MCCs. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Differences between more and less effective psychotherapists: A study of select therapist variables.

Examined differences between more and less effective trainee psychotherapists. Therapists were assigned to one of two groups depending on whether the preponderance of their patients' changes in symptomatology indicated more or less improvement over the course of therapy. Therapist variables included emotional adjustment, relationship skills, eliciting patient involvement, credibility, directiveness, and theoretical orientation. Less effective therapists were revealed to have lower levels of empathic understanding, to rate their patients as more involved in treatment, and to rate themselves as more supportive than the more effective therapists. Less effective therapists also valued comfort and stimulation significantly more and valued intellectual goals significantly less than did more effective therapists. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The therapist's therapist: A replication and extension 20 years later.

How do mental health professionals choose their own psychotherapists? This study replicates and extends a 1987 national survey of psychotherapists regarding the selection criteria and sociodemographic characteristics of their personal therapists; 608 psychologists, counselors, and social workers participated. Therapists' therapists tended to be middle aged and White (94%) but equally female and male. Their most frequent theoretical orientations were integrative, eclectic, cognitive, and psychodynamic (but rarely behavioral or systemic). Psychology was their most prevalent profession, followed by social work, counseling, and psychiatry. Topping the list of therapist selection criteria were competence, warmth, experience, openness, and reputation. The prototypical positive features of personal treatment that therapists repeated with their own patients all concerned cultivation of the therapeutic relationship. The 2007 results are tentatively compared with those obtained in 1987, thus chronicling the evolution of therapists' therapists over the years. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

"Break copy" duplication: a model for chromosome fragment formation in Saccharomyces cerevisiae

Scores on burnout among 631 Canadian and 1,180 Dutch teachers were compared with various demographic variables (sex and age) and factors related to work (experience in teaching, type of school, and number of hours employed). Burnout was assessed with the Maslach Burnout Inventory of three dimensions, Emotional Exhaustion, Depersonalization, and Personal Accomplishment. Analysis indicated that, over-all, Canadian teachers reported higher scores on Emotional Exhaustion and Depersonalization than their Dutch peers. Differences in the number of hours employed were also significant: full-time Canadian teachers scored higher on Depersonalization than their Dutch colleagues. Across countries, sex and type of school appeared significantly related to burnout. Male teachers rated higher on Emotional Exhaustion and Depersonalization than the women. Especially with regard to the attitudinal components of burnout, i.e., Depersonalization and Personal Accomplishment, secondary school teachers reported higher scores than elementary school teachers. Age was not significantly related to measures.     

An Analogue Study of Therapist Empathic Process: Working With Difference.

Most theories of psychotherapy advocate therapist empathy, although little is known about the process. A study, using analogue clinical scenarios, suggests psychotherapists can bridge perceived differences between their clients' life experiences and their own. Ninety three therapists viewed 5 videotaped vignettes based on actual cases. Each completed a demographic questionnaire, Interpersonal Reactivity Index (M. H. Davis, 1980), vignette response empathy scale, difference measure, reference point questionnaire, and self-perceived empathy measure. Findings show therapists perceived scenarios as different from their lives and that they were generally empathic across client vignettes. Gender differences emerged on measures of empathy. The research suggests therapists' ability to use reference points from their own experience may help facilitate empathy when responding to client life stories of difference. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Treatment preference, treatment-preference match, and psychotherapist credibility: Influence on session outcome and preference shift.

The relationship between treatment preference, counselor credibility, and outcome was examined using two different methods. Client-rated outcome was higher for 32 volunteer clients who received an action-oriented session than for 32 volunteer clients who received an insight-oriented session and for clients who perceived their psychotherapists as credible, although session outcome did not differ between clients who did and did not receive their preferred treatment (insight-oriented vs. action-oriented). Clients who received their nonpreferred treatment shifted more in their preferences than did clients who received their preferred treatment. In addition, 76 participants viewed Rogers doing a demonstration session with Gloria. In general, they shifted toward preferring insight, especially if they perceived Rogers as credible. Limitations and suggestions for future research are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Religious and Spiritual Experience Among Psychotherapists.

Psychology and its practitioners have historically been seen as part of the process of secularization of modern culture. However, recent research has challenged this stereotype. This article contributes to the literature on the religious and spiritual character of psychotherapists by using a version of the Development of Psychotherapists Common Core Questionnaire (DPCCQ) to collect information on the religiosity and professional characteristics of 975 international psychotherapists from New Zealand, Canada, and the United States. Two independent dimensions of therapists' religious and spiritual experiences were identified and replicated across multiple subsamples. A typology derived from these dimensions showed that 51% of therapists exhibited a pattern definable as Personal Spirituality, 27% a pattern of Religious Spirituality, and only 21% a pattern of Secular Morality. This work shows that the religiosity of psychotherapists is more complex than suggested by a simple distinction between secular and religious orientations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reliable changes in psychotherapy behavior among first-year psychiatric residents.

Recorded differences between 19 1st-yr psychiatric residents (novices) and 19 experienced psychotherapists during interviews with a standard film patient. In an initial interview, novices asked more questions/total number of statements than did experienced therapists and their statements contained relatively fewer words. During 2 subsequent interviews, these differences were not present and several lines of evidence suggest that their disappearance was not due to increased patient contact. (PsycINFO Database Record (c) 2010 APA, all rights reserved)