Browsing by Subject "Therapist and patient"
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Item Effects of counselor attire on subject perceptions of counselor expertness, empathy, and counselor preference(Texas Tech University, 1983-12) Bailey-Hampton, BeckyNot availableItem Effects of couples' perceptions of genogram construction on therapeutic alliance and session impact: a growth curve analysis(Texas Tech University, 1998-12) Coupland, ScottPreliminary evidence of the predictive validity of therapeutic alliance to outcome in couple therapy has recently been empirically established. Clinicians have asserted that genogram construction is an effective method for building the therapist-client relationship and impacting specific aspects of therapy sessions. However, this claim had not been empirically tested in a therapeutic context. The purpose of this study was to examine how the construction of a therapist administered genogram (TAGE) or a self-administered genogram (SAGE) would affect the therapeutic alliance and the session character in couple therapy across time. Eight student marriage and family therapists conducting couple therapy with 17 couples administered a TAGE, SAGE, or control treatment intervention in the second therapy session. Clients' perceptions of therapeutic alliance and session impact were measured with the Couple Therapy Alliance Scale (CTAS, Pinsof, 1986) and the Session Evaluation Questionnaire (SEQ, Stiles, 1984; Stiles & Snow, 1984a), respectively, following the first five sessions. A growth curve analysis was used to investigate within-couple member growth trajectories for individual patterns of change on the CTAS and SEQ and their subdimensions, and between-couple growth trajectories for treatment group-based patterns of change on the CTAS and SEQ and their subdimensions. Also examined was whether the growth curves of couples who completed five sessions were different from couples who terminated therapy prior to completing five sessions, and if Pinsof and Catherall's (1986) concept of split alliance was identifiable. A series of simple regressions were conducted on mean CTAS and SEQ ratings. Inspection of individual growth curves revealed minimally positive slopes on both dependent variables for the sample as a whole. Results of one-way MANOVAs showed no significant differences in couple members' growth curves based either on their participation in one of the three treatment groups, or when they were divided into therapy completer and noncompleter groups. In other words, the efficacy of genogram construction to affect the therapeutic alliance or the depth and smoothness of sessions in early therapy was called into question. When Spearman's rho and Kendall's tau correlation coefficients were used to examine the associations between domains of CTAS and SEQ by treatment group, only the CTAS tasks subscale was positively correlated with the SEQ depth index in the SAGE plus couple therapy (-HCT) group. This finding indicated that couples who completed a SAGE related the therapist's understanding of, and methods for addressing their difficulties, with the "deep" work of therapy. Finally, a two-standard deviation rule was applied to differences in mean slope scores between couple members to evaluate the presence of a split alliance. When this rule was applied to differences in mean slope scores for the whole sample, six percent of the couples experienced a split alliance. When applied within treatment groups, 14% of couples in the TAGE+CT group and 13% of couples in the SAGE+CT group experienced a split alliance. Relatively few couples, therefore, had disparate attitudes regarding their alliance with their therapist. This result may have reflected a strength of genogram construction. When considered in light of the studies limitations, particularly a small sample size and data collection weaknesses, these findings, in general, do not support genogram construction as a method for building a therapeutic alliance or enhancing the depth and smoothness of early couple therapy. Recommendations were made for future genogram construction research.Item Effects of meeting or failing to meet subject preference for therapist response style in a psychotherapy interview analogue(Texas Tech University, 1977-08) Duckro, Paul NicholasNot availableItem Factors influencing self-disclosure in actual therapy sessions(Texas Tech University, 1983-05) Patten, Thomas GeraldNot availableItem Quality therapy: cue utilization and the judgment of effective therapist behavior(Texas Tech University, 1976-05) Stricherz, Mathias ENot availableItem Referral patterns as a function of sex of referral source and sex and age of referral case(Texas Tech University, 1979-08) Haydel, Jill A.NOT AVAILABLEItem The impact of consistent-inconsistent combinations of visual and verbal cues on communication of empathy and genuineness in the therapeutic situation(Texas Tech University, 1981) Reed, Carolyn BlankenshipNot availableItem Therapeutic alliance in marital therapy(Texas Tech University, 1997-12) Reif, Clara LynneFrom a systemic perspective, there is more to therapeutic alliance than the relationship between one client and one therapist. This is especially evident in marital therapy. Research in the area of therapeutic alliance and marital therapy has been extremely limited, and findings from individually oriented studies of therapeutic alliance are insufficient to account for the role and nature of alliance in systemic therapies. This dissertation provides ground work for understanding the relationship between couple relationship characteristics, client characteristics, client perceived therapist characteristics, and therapeutic alliance. Twenty-eight married, heterosexual couples were the participants in the study. Each partner filled out a questionnaire after the first couple therapy session. The questionnaire consisted of the Couple Therapy Alliance Scale (Pinsof & Catherall, 1986), the Dyadic Adjustment Scale (Spanier, 1976), the Miller Social Intimacy Scale (Miller & Lefcourt, 1982), and the Perception of Therapist Behaviors Inventory derived from research by Lorr (1965), and basic demographic information. There were no significant relationships between overall therapeutic alliance and client characteristics. Significant relationships were found between couple relationship characteristics, perceived therapist characteristics and therapeutic alliance. A stepwise multiple regression, using couple relationship characteristics, determined that social intimacy between spouses accounted for 26.2% of the variance in therapeutic alliance. A regression for perceived therapist characteristics found that perception of the therapist as not "critical-hostile" accounted for 67.9% of the variance in the total alliance, and then a second variable, seeing the therapist as "accepting," was added the two variables accounted for 75.6% of the total variance in the alliance. Both perception of therapist characteristics and couple relationship characteristics are strongly related to therapeutic alliance in marital therapy.