Therapists' emotional responses and their relation to patients' experience of attunement and responsiveness.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL Psychotherapy Research Pub Date : 2024-11-07 DOI:10.1080/10503307.2024.2403422

Maayan Abargil, Avital Schenkolewski, Orya Tishby

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Abstract

Objective: Therapists' emotional responses play a significant role in the therapeutic relationship and in the therapy process. The current study examined the associations between therapists' emotional responses before and after therapy sessions, and patients' experience of them as attuned and responsive.

Method: Forty patient-therapist dyads participated in 16 weekly sessions of Supportive Expressive Psychotherapy. Therapists' emotions were assessed on the Feeling Word Checklist-58. We examined one positive feeling (Parental) and one negative feeling (Inadequate) Following each session, patients and therapists rated responsiveness on the Patient's Experience of Attunement and Responsiveness.

Results: Feeling Parental before sessions was associated with patients' post-session ratings of therapist empathy, but not with session helpfulness or sensed achievement. Therapists' feelings of inadequacy before sessions were negatively associated with patients' ratings of helpfulness and achievement, but not with empathy. Therapists' Parental feelings after the session were positively associated with patients' ratings and their own ratings on all 3 PEAR subscales. Feeling Inadequate after the session was negatively associated with patients' ratings of helpfulness, achievement and empathy. Therapists' ratings were only negatively associated only with helpfulness.

Conclusion: The study demonstrates that therapists' emotional reactions play a role in their patients' experience of their responsiveness.

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治疗师的情绪反应及其与患者的调适和响应体验之间的关系。

目的治疗师的情绪反应在治疗关系和治疗过程中发挥着重要作用。本研究探讨了治疗师在治疗前后的情绪反应与患者对治疗师的体贴和回应体验之间的关联：方法：40 名患者-治疗师二人组参加了每周 16 次的支持性表达心理治疗。治疗师的情绪通过 "感觉词汇核对表-58 "进行评估。每次治疗后，患者和治疗师都会在 "患者对贴合度和响应度的体验 "中对响应度进行评分：结果：治疗前的 "父母感 "与患者治疗后对治疗师共情的评价有关，但与治疗的帮助性或成就感无关。治疗师在治疗前的不足感与患者对治疗师帮助性和成就感的评价呈负相关，但与移情无关。治疗师在治疗后的 "父母感 "与患者的评分以及治疗师自己在所有 3 个 PEAR 分量表上的评分呈正相关。疗程后的 "不足感 "与患者对 "帮助"、"成就 "和 "移情 "的评分呈负相关。治疗师的评分仅与乐于助人负相关：这项研究表明，治疗师的情绪反应会影响患者对治疗师反应能力的体验。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.