Psychotherapists' attitudes toward clients reporting mystical experiences.

Studied the proportion of therapy clients who report mystical experiences, the diagnostic attitudes of their therapists, and the influence of personal and professional factors on attitudes toward these clients by analyzing the survey responses of 285 32–82 yr old psychotherapists (primarily males). Of the 20,670 clients seen during a 12-mo period, 4.5% reported a mystical experience; 67% of Ss had seen at least one such client during that period. Psychodynamic and behavioral therapists attributed significantly more pathology to such clients than did humanistic/existential therapists. Responses suggested that some therapists were biased in their diagnostic attitudes toward clients reporting mystical experiences. 50% of Ss said they had personally had a mystical experience. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A qualitative analysis of client perceptions of the effects of helpful therapist self-disclosure in long-term therapy.

Thirteen adult psychotherapy clients currently in long-term therapy were interviewed twice, with semistructured protocols, about their experiences with helpful instances of therapist self-disclosure. Data were analyzed with a qualitative methodology. Results indicated that helpful therapist self-disclosures (a) occurred when these clients were discussing important personal issues, (b) were perceived as being intended by therapists to normalize or reassure the clients, and (c) consisted of a disclosure of personal nonimmediate information about the therapists. The therapist self-disclosures resulted in positive consequences for these clients that included insight or a new perspective from which to make changes, an improved or more equalized therapeutic relationship, normalization, and reassurance. Implications for psychotherapy are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Ambiguity tolerance of therapists and process changes of their clients.

Investigated the relationships between 18 student-therapists' tolerance for ambiguity in visual perception tasks and (a) the positive affect displayed toward them by their 22 student clients, (b) changes in proportions of clients' self-reference statements, and (c) measures of improvement in clients' "adjustment." Results show an increase in clients' positive affect toward the therapists but no relationship between changes in clients' affect toward their therapists or the number of their self-reference statements and the therapists' tolerance for ambiguity. Clients of ambiguity-tolerant therapists described themselves more negatively, but all but 2 clients described themselves more favorably later in therapy. No positive correlation was obtained between client and therapist affect toward each other. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Brain serotonin synthesis rates in rhesus monkeys determined by [11C]alpha-methyl-L-tryptophan and positron emission tomography compared to CSF 5-hydroxyindole-3-acetic acid concentrations

OBJECTIVE: This study examined occupational therapists' use of the occupational form of goal setting as therapy and its impact on clients. METHOD: The study method was qualitative, using participant observation and interviewing as the main source of data. RESULTS: The findings illustrated that therapists work both to give substance to the occupational form and to create the context of an implied narrative that imbues it with particular meanings. Simultaneously, clients' experience of meaning is influenced by a personal volitional narrative. When the two narratives do not coincide, therapists' efforts to maintain the occupational form intensify as they encourage clients toward attitudes and performances that do not resonate with the clients' experience of reality. CONCLUSION: The findings underscore the importance of recognizing that occupational forms are embedded in social processes and perspectives that inevitably come into play when occupational forms are used as therapy.     

Helping construct desirable identities: A self-presentational view of psychotherapy.

The author reviews the research demonstrating not only that clients withhold personal information and reactions from their therapists but also that such discretion is associated with positive therapy process ratings and outcomes. These results run counter to traditional approaches to psychotherapy, which demand a high degree of openness from clients. These puzzling findings can be explained by conceptualizing psychotherapy as a self-presentational process, wherein clients come to benefit from therapy by perceiving that their therapists have favorable views of them. Creating these favorable impressions can involve clients' hiding some undesirable aspects of themselves from their therapists. The author offers findings from the psychotherapy and social-psychology literatures in support of this view and makes suggestions concerning what clients and therapists might optimally reveal in therapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Authoritarianism: A selection variable for psychotherapy.

Analyzed 3 films showing Carl Rogers, Albert Ellis, and Frederick Perls interviewing the same client to determine if (a) authoritarian clients would dislike psychotherapy more than nonauthoritarian, and (b) authoritarian clients would prefer a directive therapist whereas nonauthoritarian would prefer a nondirective therapist. After 147 undergraduates viewed the films to decide which therapists were considered to be the most and least directive, approximately 300 additional Ss were screened with the California F scale to form authoritarian (n = 22) and nonauthoritarian (n = 22) groups. Using a counterbalanced design, these 2 groups viewed the Rogers and Ellis films and all Ss rated their degree of liking or disliking for both therapists. Results do not support the 1st hypothesis but significantly support the 2nd. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Therapist retrospective recall impasses in long-term psychotherapy: A qualitative analysis.

Twelve experienced therapists completed a questionnaire, and 8 of the 12 were then interviewed about their experiences with a therapeutic impasse that ended in the termination of therapy. Data were analyzed using a qualitative methodology. Results indicated that most of the clients were anxious and depressed with personality disorders and interpersonal problems. Therapists perceived impasses as having a profound negative impact on both clients and therapists. Variables associated with impasses in a majority of the cases were a client history of interpersonal problems, a lack of agreement between therapists and clients about the tasks and goals of therapy, interference in the therapy by others, transference, possible therapist mistakes, and therapist personal issues. Implications for training, practice, and research are provided. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Remembering childhood sexual abuse: A national survey of psychologists' clinical practices, beliefs, and personal experiences.

A national survey of 1,000 psychologists, to which 223 responded, assessed professionals' clinical practices and beliefs about the treatment of adult survivors of childhood sexual abuse (CSA), personal CSA history, and the phenomenon of clients remembering CSA in therapy. Results indicated that over 25% of therapists reported using guided imagery, dream interpretation, bibliotherapy regarding sexual abuse, referral to sexual abuse survivors' group, and free association of childhood memories as memory retrieval techniques with clients who had no specific memory of CSA. However, the majority of therapists reported that they had not seen any cases of adult clients entering therapy with no memory of CSA and subsequently recalling abuse in the course of therapy. A personal history of CSA was not associated with most clinical practices related to treating sexual abuse survivors. The implications for training and establishing scientific standards of psychological practice are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Myers-Briggs Type Indicator personality dimensions and perceptions of quality of therapy relationships.

Examined associations between perceived quality of therapy relationships and therapist and client scores on the Myers-Briggs Type Indicator (MBTI). 35 experienced therapists and 53 adult outpatients involved in long-term personal therapy completed the MBTI and measures of therapy relationship quality and pretherapy adjustment. More positive client ratings of the quality of the therapy relationship were associated with similarity of therapist and client in overall MBTI profiles and in the thinking–feeling and judging–perceiving dimensions of the MBTI. When therapists had higher extroversion and feeling scores, both therapists and clients rated the relationship more positively. The MBTI may be valuable in determining optimal therapist–client matches and in guiding therapists to better understand their impact on clients. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Therapists' liking of their psychotherapy patients: Some issues related to severity of disorder and treatability.

57 American and Israeli psychotherapists completed the MMPI and questionnaires on professional background and personal experience in psychotherapy. Ss each nominated 1 "easy" and 1 "difficult" patient, and MMPIs and personal information were obtained from these patients. Several factors appeared to differentiate easy from difficult psychotherapy patients. The general characteristics of easy as compared to difficult patients indicated significantly less pathology on the MMPI, a more favorable psychotherapy prognosis, greater physical attractiveness if female, and less of a tendency to be labeled "personality disorder." The positive "liking" ratings of therapists toward their easy patients appeared to override all ideological differences in therapeutic orientation. The impact of the therapist's affective response is discussed in terms of "nonspecific" treatment factors that may affect the outcome of therapy. (21 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Experienced psychoanalytically oriented therapists' narrative acounts of their personal therapy: Impacts on professional and personal development.

Examined the impact of personal therapy on the professional and personal development of psychotherapists through in-depth interviews with 5 psychoanalytically oriented psychotherapists (aged 40–50 yrs). An adaptation of the method of consensual qualitative coding was used to study the narrative accounts of therapy experiences leading to the identification 6 domains: (1) importance of personal therapy for therapists; (2) impacts on the professional self: identity; (3) impacts or one's being in the session: process; (4) experiences in previous and current therapy; (5) self in relation to the personal therapists; and (6) mutual and unique influences of didactic learning, supervision, and personal therapy. The authors found that personal therapy is perceived not only as an essential part of the training phase, but as playing an important role in the therapist's ongoing process of individuation and in the development of the ability to use the self, to achieve moment-to-moment authentic relatedness with one's clients. The domains and categories are appended. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perceptions of the psychotherapy relationship in long- versus short-term therapy.

Examined participant perceptions of therapy by comparing long- with short-term therapy dyads. 30 therapy dyads from 3 large midwestern community mental health centers were included. Therapists and clients (20–49 yrs old) completed the Therapy Session Report 4 times and the Survey of Interpersonal Values twice immediately following scheduled therapy sessions. Results indicate that therapists and clients in long-term therapy dyads were more phenomenologically congruent in their feelings toward psychotherapy and each other and in their perceptions of therapeutic goals and processes than were therapists and clients in short-term therapy dyads. Often these perceptions were shared at the very outset of therapy. (26 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychotherapy as a personal relationship: A social psychological perspective.

Shows how theory and research on personal relationships can increase understanding of the therapy relationship. The article focuses on a social exchange approach to satisfaction and commitment to therapy, responsiveness in the therapy relationship, and the development of the therapy relationship (gradual or accelerated). By examining how therapy is a professional relationship and how it is similar to other personal relationships, therapists and clients may be encouraged to acknowledge the personal elements in the therapy relationship. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Adjustment, Pollyannaism, and attraction to close relationships.

Examined the common finding that personal adjustment tends to be associated with favorable attitudes toward self and others from 3 perspectives: (a) personal adjustment is associated with liking for close, personal relationships; (b) personal adjustment is associated with a general Pollyannaism concerning all aspects of the person's world; (c) apparent adjustment and attraction to socially approved objects are manifestations of a test-taking style of favorable self-presentation. Questionnaire data obtained from a total of 574 college students in 3 cultures (US, Japan, and New Zealand) tended to support the 1st interpretation best and the 3rd least. There was evidence for a general Pollyannaism among well-adjusted Ss, but their preferences were especially pronounced for close, personal relationships. (39 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)     

Comparing therapist and client perspectives on reasons for psychotherapy termination.

Examines the extent of agreement on the reasons for psychotherapy termination given by therapists and their clients. 194 client files in a psychology training clinic were reviewed to obtain reasons for termination cited by therapists in treatment termination reports. Telephone interviews were conducted with 87 of these former clients to determine their perspectives on reasons for termination. Consistent with previous research, there was little concordance among the reasons cited by therapists and by clients regarding clients' decisions to terminate therapy. Of the clients identified by therapists as terminating because of the successful attainment of therapeutic goals, three-quarters reported this reason as important in their termination decision; of those clients reporting termination because of attaining therapeutic goals, only half were identified by therapists as having achieved their goals. Dissatisfaction with therapy and/or the therapist were reported by many clients as important in their termination decisions; such factors were rarely cited by therapists as reasons for termination. Attention to discrepancies between client and therapist expectations of therapy and therapy termination is necessary to reduce the high rate of premature termination in psychotherapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of clinical experience and client emotion on therapists' responses.

In an Emotion by Therapist Experience design, actresses portraying angry vs sad clients interacted with "therapists" (graduate clinical psychology students) varying in prior therapy experience (high, medium, or low). Results indicate that therapists judged angry clients less favorably than sad clients. More experienced therapists showed greater tolerance of anger. Therapists intervened less with angry clients than with depressed clients, and angry clients received less supportiveness, less directiveness, and fewer requests for information. (4 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Beneath the surface of long-term therapy: Therapist and client report of their own and each other's covert processes.

Therapists and clients reported on their own and their perceptions of each other's covert processes in long-term therapy. Therapists had a match rate of .45 for client reactions, with therapists rating match on therapeutic work reactions as helpful. Although 65% of clients left somethimg unsaid (primarily because of avoidance), only 27% of therapists were able to match what clients left unsaid. Of the clients, 46% had secrets (often sexual), primarily because of shame or insecurity. Clients had a match rate of .50 for therapist intentions, with therapists rating match on exploratory and restructuring intentions as helpful and both clients and therapists rating match on assessment intentions as not helpful. Thus, awareness of the other's covert processes had an effect on therapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Harmful effects of posttermination sexual and romantic relationships between therapists and their former clients.

[Correction Notice: An erratum for this article was reported in Vol 25(4) of Psychotherapy: Theory, Research, Practice, Training (see record 2007-12032-001). Reference was made to the Minnesota law regarding reporting of "any sexual or romantic relationship in which the parties were once therapist and client" (p. 250). Upon further review by the author, it was determined that the law is more complicated than conveyed in the article. A detailed explanation of the law is provided in the erratum, although legal counsel is suggested for further interpretation.] Examines anecdotal evidence regarding the harmful effects of posttermination sexual or romantic relationships between therapists and clients, focusing on relationships between female therapists and former clients who are also women. The question of equality of power between therapists and former clients is addressed. The impact of these relationships on the community in which they occur is considered. It is concluded that posttermination relationships between therapists and clients have the potential to do as much harm as relationships initiated during therapy and that such relationships should be defined as unethical. (PsycINFO Database Record (c) 2010 APA, all rights reserved)