A test of psychotherapists' and nontherapists' recognition of correct and incorrect process in managing client resistance.

Objective: Psychotherapist management of client resistance (i.e., opposition to change or the therapy process) has a significant impact on therapy outcomes. This study aimed at assessing psychotherapists' and nontherapists' abilities to recognise empirically supported correct and erroneous therapist...

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Published in:Counselling & Psychotherapy Research Vol. 23; no. 4; pp. 1097 - 1108
Main Authors: Cooper, Max B., Di Bartolomeo, Alyssa A., Westra, Henny A., Olson, David A., Boritz, Tali
Format: research tables/charts Journal Article
Published: Wiley-Blackwell Dec2023
Online Access:View this record in EBSCOhost
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      dt: Dec2023
      vid: 23
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1002/capr.12653
        173115827
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        atl: A test of psychotherapists' and nontherapists' recognition of correct and incorrect process in managing client resistance.
      aug:
        au:
          Cooper, Max B.
          Di Bartolomeo, Alyssa A.
          Westra, Henny A.
          Olson, David A.
          Boritz, Tali
        affil: Department of Psychology, York University, Toronto Ontario, , Canada
      sug:
        subj:
          Psychotherapists
          Patient Attitudes Evaluation
          Attitude to Change Evaluation
          Professional Knowledge Evaluation
          Human
          Task Performance and Analysis
          Psychotherapy
          Treatment Errors
          Job Experience
          Process Assessment (Health Care)
      ab: Objective: Psychotherapist management of client resistance (i.e., opposition to change or the therapy process) has a significant impact on therapy outcomes. This study aimed at assessing psychotherapists' and nontherapists' abilities to recognise empirically supported correct and erroneous therapist responses to client resistance. Method: Seventy‐eight therapists and 111 nontherapists completed a rapidly administered novel skills test, Therapist Errors in Resistance Management (TERM), assessing recognition of correct and erroneous resistance management. Results: Participants were, on average, less than half as accurate at recognising therapist errors (recognised below chance levels) compared with correct therapist responses to resistance (recognised above chance levels). Therapists outperformed nontherapists in accurate recognition of therapist responding. However, among the therapist group, greater clinical experience did not predict superior recognition of therapist errors. Conclusion: These results indicate that therapists and nontherapists alike may have difficulty detecting erroneous therapist responses to resistance, tending to mistake empirically contraindicated directive responses for correct responding. This may reflect the difficult and unintuitive nature of correct resistance responding and may suggest a need for increased training in process acuity and resistance management in therapist education.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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