Client Perceptions of Helpfulness in Therapy: a Novel Video-Rating Methodology for Examining Process Variables at Brief Intervals During a Single Session

Behavioural and Cognitive Psychotherapy
Alexandra A CocklinSara Tai

Abstract

The value of clients' reports of their experiences in therapy is widely recognized, yet quantitative methodology has rarely been used to measure clients' self-reported perceptions of what is helpful over a single session. A video-rating method using was developed to gather data at brief intervals using process measures of client perceived experience and standardized measures of working alliance (Session Rating Scale; SRS). Data were collected over the course of a single video-recorded session of cognitive therapy (Method of Levels Therapy; Carey, 2006; Mansell et al., 2012). We examined the acceptability and feasibility of the methodology and tested the concurrent validity of the measure by utilizing theory-led constructs. Eighteen therapy sessions were video-recorded and clients each rated a 20-minute session of therapy at two-minute intervals using repeated measures. A multi-level analysis was used to test for correlations between perceived levels of helpfulness and client process variables. The design proved to be feasible. Concurrent validity was borne out through high correlations between constructs. A multi-level regression examined the independent contributions of client process variables to client perceived helpfulness....Continue Reading

Associated Clinical Trials

Apr 26, 2021·Kadie-Charelle Roberts, Kadie-Charelle Roberts

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Citations

Feb 1, 2019·International Journal of Mental Health Nursing·Robert GriffithsSara J Tai
May 1, 2019·Journal of Cognitive Psychotherapy·Jakub GrzegrzolkaWarren Mansell
Jun 27, 2019·Journal of Clinical Psychology·Robert GriffithsSara J Tai
Aug 11, 2021·BMC Psychiatry·Dan J SteinUNKNOWN WHO World Mental Health Survey collaborators

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