Can I read Risk Factors for Negative Experiences During Psychotherapy on EtoBox?

Risk Factors for Negative Experiences During Psychotherapy by Gillian E. Hardy; Lindsey Bishop-Edwards; Eleni Chambers; Janice Connell; Kim Dent-Brown; Gemma Kothari; Rachel O’hara; Glenys D. Parry is a scholarly article available to read on EtoBox.

What is Risk Factors for Negative Experiences During Psychotherapy about?

Background: It is estimated that between 3% and 15% of patients have a negative experience of psychotherapy, but little is understood about this. Aims: The aim of this study was to investigate the factors associated with patients' negative therapy experiences. Method: The data comprised 185 patient and 304 therapist questionnaires, 20 patient and 20 therapist interviews. Patients reported on an unhelpful or harmful experience of therapy, and therapists on a therapy where they thought the patient they were working with had a poor or harmful experience. These were transcribed and analysed using thematic analysis. Results: There was a Lack of fit between Patient needs, Therapist skills, and Service structures. This could result in Fault Lines, a tension between Safety and containment and Power and control. This tension led to Strain and Poor Engagement, which led to Consequences following the negative therapy experience. Conclusions: Patients require clear information, choice, involvement in decision-making, explicit contracting and clarity about sessions and progress. Opportunities for patient feedback should be the norm, where the therapist and service are vigilant for signs of dete

Author

Gillian E. Hardy; Lindsey Bishop-Edwards; Eleni Chambers; Janice Connell; Kim Dent-Brown; Gemma Kothari; Rachel O’hara; Glenys D. Parry

Publisher

Informa UK Limited

Published

2017

Language

EN