Title: Specificity and pace variability of therapists’ interventions under naturalistic conditions
Authors : Koemeda-Lutz, Margit
Crameri, Aureliano
Schulthess, Peter
von Wyl, Agnes
Tschuschke, Volker
Published in : International Journal of Psychotherapy
Volume(Issue) : 20
Issue : 1
Pages : 19
Pages to: 50
Publisher / Ed. Institution : Brunner - Routledge
Issue Date: 2016
License (according to publishing contract) : Licence according to publishing contract
Type of review: Peer review (Publication)
Language : English
Subjects : Psychotherapy process; Naturalistic design; Adherence; Common and specic intervention; Interventional pace
Subject (DDC) : 616.89: Mental disorders, clinical psychology and psychiatry
Abstract: The aims of this naturalistic study were twofold: First, to assess how frequently psychotherapists who identified themselves as adherent to one of eight different psychotherapeutic approaches actually employed interventions specific to their approach. Second, to identify types of intervention employed by therapists that engendered the lengthiest (> 120 seconds) interaction units between therapist and patient. 422 audio-recorded sessions between 42 therapists and 92 patients were coded using a Rating Manual (PAP-S-RM) developed by PAP-S researchers. The majority of interventions used were common to all approaches. The total number of common, approach-specific, and specific to other approaches interventions across all of the sessions were tallied. Multilevel modelling analyses revealed that – with one exception – the therapists' professed adherence did not predict which types of intervention were used. The factor therapist explained part of the variation of some types of intervention, while the factor patient best predicted which interventions were used. Results concerning the second question identified the 10 interventions most likely to set off interaction units lasting longer than 120 seconds. Findings are discussed as supporting an integrative approach to psychotherapy that acknowledges the role of common factors in effective treatments while also considering the usefulness of specific interventions from approaches that are not yet established as evidence-based.
Departement: Angewandte Psychologie
Organisational Unit: Psychological Institute (PI)
Publication type: Article in scientific Journal
ISSN: 1356-9082
URI: https://digitalcollection.zhaw.ch/handle/11475/3377
Appears in Collections:Publikationen Angewandte Psychologie

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