Browsing by Subject "Psychotherapy"
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Item Characteristics of Highly Resilient Therapists(2015-08) Hou, Jian-MingThis qualitative study aimed to explore characteristics that sustain therapists' resilience. Ten highly resilient therapists were recruited through two phases of sample screening: peer nomination and two quantitative scales. Data were collected through in-person interviews and were analyzed using grounded theory. Results as characteristics suggest that highly resilient therapists (a) are drawn to strong interpersonal relationships, (b) possess a core values and beliefs framework, (c) actively engage with the core self, and (d) desire to learn and grow. A strong web of vibrant connectedness was identified as the central characteristic that interlinks with each characteristic. The central role of connectedness for therapist resilience has not identified as having a vital role in previous studies. The final result was a definition of the Highly Resilient Therapist.Item Investigating Psychotherapy No-Shows Using Latent Trajectory Analysis(2022-08) Palmer, RileyPsychotherapy dropouts are generally considered to have poor outcomes relative to treatment completers. However, qualitative evidence has found that some dropouts benefit from therapy, and most quantitative evidence uses average-level analyses, which may obscure dropouts who improve. Furthermore, most research in this area does not conceptualize dropout as a no-show, despite this form of dropout having negative implications for others accessing treatment. To address these shortcomings in the literature, the present study used a sample of no-shows and used latent growth mixture modeling (LGMM) and latent class growth analysis (LCGA) to identify subgroups of individuals with similar distress trajectories during the course of therapy. The naturalistic sample included 2,179 no-shows at college counseling centers across the U.S. The Distress Index of the Counseling Center Assessment of Psychological Symptoms was used. I hypothesized there would be evidence for some no-shows improving to a similar degree as treatment completers. Following LGMM/LCGA, subgroups of no-shows were compared to treatment completers (N = 4,813), and predictors of group membership among no-shows were considered. A five-class LCGA model was ultimately selected, with four of the five classes showing improvement ranging from small to large (ds = 0.44-0.81). The growth parameters of some no-show subgroups had overlapping confidence intervals with treatment completers, suggesting similar trajectories. From a more subjective perspective, the groups’ trajectories were also visually similar. Predictor variables were not meaningfully associated with class membership. This study provides support for the idea that many clients who no-show to therapy without returning nevertheless benefit from the process to a meaningful degree. Limitations are discussed, as well as implications for reducing the incidence of no-shows.Item The story of intuition in marriage and family therapy(2014-04) Zaid, Samantha JoyClinical intuition has been a subject of interest in the field of marriage and family therapy (MFT) for decades. Authors have theorized how intuition might be useful in the practice of MFT. Before understanding the place of intuition in the field, we must first explore the concept of intuition in MFT. The purpose of this study was to more deeply understand the phenomenon of intuition in MFT clinical work. The specific research question addressed in this study was: How have marriage and family therapists (MFTs) experienced intuition in their clinical work? Using a qualitative transcendental phenomenological approach, the researcher gathered and analyzed MFTs' stories of intuition in order to begin to make meaning of this phenomenon. Twelve participants shared 26 stories of intuition in their clinical work. Findings provided insight into the lived experience of intuition in MFT. Intuition allowed therapists to shift their attention to new possibilities, thus forming and offering interventions for clients to make significant changes and achieve their goals. Implications for future research and clinical practice are discussed.