Integrating clients' moment‐to‐moment ratings into psychotherapy research: A novel approach.

Counselling and psychotherapy researchers have considerably advanced the field's understanding of psychotherapy processes and how they relate to treatment outcomes. Despite these advances, little is known about the client's perspective of changes in psychotherapy processes that occur throughout a gi...

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Published in:Counselling & Psychotherapy Research Vol. 20; no. 3; pp. 456 - 463
Main Authors: Penix, Elizabeth A., Swift, Joshua K., Trusty, Wilson T.
Format: case study review tables/charts Journal Article
Published: Wiley-Blackwell Sep2020
Online Access:View this record in EBSCOhost
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      dt: Sep2020
      vid: 20
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1002/capr.12296
        144804882
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        atl: Integrating clients' moment‐to‐moment ratings into psychotherapy research: A novel approach.
      aug:
        au:
          Penix, Elizabeth A.
          Swift, Joshua K.
          Trusty, Wilson T.
        affil: Department of Psychology, Idaho State University, Pocatello Idaho,
      sug:
        subj:
          Psychotherapy Methods
          Consumer Attitudes
          Professional-Client Relations
          Treatment Outcomes
          Male
          Adult
          Research Personnel Psychosocial Factors
          Psychotherapists Psychosocial Factors
          Feedback
          Medical Practice
          Heart Rate Variability
          Adult: 19-44 years
          Male
      ab: Counselling and psychotherapy researchers have considerably advanced the field's understanding of psychotherapy processes and how they relate to treatment outcomes. Despite these advances, little is known about the client's perspective of changes in psychotherapy processes that occur throughout a given session (i.e. micro‐processes). To address this gap, this article describes the novel application of methods that assess participants' moment‐to‐moment ratings to psychotherapy research. This method entails recording psychotherapy session content that clients and other potential raters (e.g. therapists, researchers) later review while simultaneously providing continuous ratings of psychotherapy processes (e.g. helpfulness, alliance). In addition, moment‐to‐moment ratings can facilitate significant events research by prompting researchers to elicit client feedback about the moments that are rated the most and least positively. However, few studies have used these methods in the context of psychotherapy research. Studies incorporating these methods may yield findings that advance psychotherapy research, training efforts and clinical practice. For example, studies may examine how the magnitude and timing of clients' moment‐to‐moment ratings of psychotherapy processes are associated with treatment outcomes, therapist ratings and physiological processes (e.g. heart rate variability). Trainee therapists and their supervisors may also use clients' moment‐to‐moment ratings to facilitate attunement to verbal and non‐verbal indicators of moments perceived more positively and negatively. Last, these methods can produce findings that are highly relevant to clinical practice, where therapists routinely navigate fluctuations in psychotherapy processes (e.g. alliance ruptures) that can be assessed using moment‐to‐moment ratings.
      pubtype: Academic Journal
      doctype:
        case study
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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