Stressful involvement in psychotherapeutic work: therapist, client and process correlates

Psychotherapy Research : Journal of the Society for Psychotherapy Research
Almut ZeeckArmin Hartmann

Abstract

We examined potential predictors of therapists' "Stressful Involvement" (SI) among variables reflecting the psychotherapy process, therapist characteristics, patients' symptom severity or context variables (treatment setting). Ninety-eight sequences from individual psychodynamic treatments conducted by 26 therapists were studied. Data were analyzed using mixed regression models. Between-therapist and within-therapist variance accounted for most of the difference in SI. SI was strongly associated with negative feelings of the therapist about patient and therapy in the time between sessions. Therapists with more 'unassertive' and 'vindictive' interpersonal styles were also more prone to experiencing SI. The strong association of SI with therapist rather than patient characteristics and process ratings indicates the importance of further study of the therapist as a person and participant in psychotherapy.

References

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Jul 1, 2011·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Joana CoutinhoJeremy Safran
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Jul 30, 2011·Journal of Clinical Psychology·Armin HartmannAlmut Zeeck
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Citations

Nov 10, 2012·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Helene A Nissen-LieMichael Helge Rønnestad
Sep 26, 2013·European Psychiatry : the Journal of the Association of European Psychiatrists·E HeinonenO Lindfors
Feb 28, 2014·Clinical Psychology & Psychotherapy·Helene A Nissen-LieJon T Monsen
Oct 10, 2015·Clinical Psychology & Psychotherapy·Helene A Nissen-LieJon T Monsen
Jul 8, 2014·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Armin HartmannAlmut Zeeck

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