scholarly journals Therapist personality traits as predictors of psychological treatment outcomes

2020 ◽  
Vol 30 (7) ◽  
pp. 857-870 ◽  
Author(s):  
Jaime Delgadillo ◽  
Amanda Branson ◽  
Stephen Kellett ◽  
Pamela Myles-Hooton ◽  
Gillian E. Hardy ◽  
...  
2019 ◽  
Vol 36 (1) ◽  
pp. 1-11
Author(s):  
Garret G. Zieve ◽  
Lu Dong ◽  
Allison G. Harvey

AbstractPatient memory for treatment contents is defined as memory for the ideas, concepts, skills, and/or insights (termed treatment points) that the therapist thinks are important for the patient to remember and implement as a part of therapy. This article reviews key findings on patient memory for treatment contents, describes the development and evaluation of the Memory Support Intervention (MSI), and outlines future directions for research. Patient memory for treatment contents is poor, and worse memory is associated with worse treatment outcome. The MSI is composed of eight memory support strategies that therapists incorporate frequently alongside treatment points delivered during treatment-as-usual. Training therapists to deliver the MSI may yield better treatment outcomes by enhancing patient memory for treatment contents. Future research is needed to understand how to best measure patient memory for treatment contents, and the mediators, moderators, and dissemination potential of the MSI.


2007 ◽  
Vol 38 (5) ◽  
pp. 629-634 ◽  
Author(s):  
D. M. Clark ◽  
C. G. Fairburn ◽  
S. Wessely

2019 ◽  
Author(s):  
Meredith Bucher ◽  
Takakuni Suzuki ◽  
Douglas Samuel

Personality traits have been hypothesized to be clinically useful for diagnosis, client conceptualization, treatment planning, as well as for predicting treatment outcomes. Although several studies examined the relation between personality traits and specific therapy outcomes, this literature has not yet been systematically reviewed. Thus, the purpose of the current study was to investigate the relations between personality traits and various therapeutic outcomes. Traits were organized via the domains of the five-factor model to provide a common framework for interpreting effects. Across 99 studies (N=107,206), overall findings indicated that traits were systematically related to outcomes, with many specific relations congruent with theorized predictions. Generally, lower levels of neuroticism and higher levels of extraversion, agreeableness, conscientiousness, and openness were associated with more favorable outcomes. More specifically, agreeableness had positive associations with therapeutic alliance and conscientiousness was positively related to abstinence from substances suggesting these traits are likely a beneficial factor to consider at the outset of services. Personality traits also related to various outcomes differently based on moderators. For example, duration of treatment moderated links between traits and outcomes suggesting these effects are amplified over longer services. Overall results suggest that personality assessment can aid with case conceptualization by suggesting potential strengths as well as barriers to treatment.


2021 ◽  
pp. 1-12
Author(s):  
Joshua E. J. Buckman ◽  
Joshua Stott ◽  
Nicole Main ◽  
Daniela M. Antonie ◽  
Satwant Singh ◽  
...  

Abstract Background To determine: whether young adults (aged 18–24) not in education, employment or training (NEET) have different psychological treatment outcomes to other young adults; any socio-demographic or treatment-related moderators of differential outcomes; and whether service-level changes are associated with better outcomes for those who are NEET. Methods A cohort was formed of 20 293 young adults treated with psychological therapies in eight Improving Access to Psychological Therapies services. Pre-treatment characteristics, outcomes, and moderators of differential outcomes were compared for those who were and were not NEET. Associations between outcomes and the following were assessed for those that were NEET: missing fewer sessions, attending more sessions, having a recorded diagnosis, and waiting fewer days between referral and starting treatment. Results Those who were NEET had worse outcomes: odds ratio (OR) [95% confidence interval (CI)] for reliable recovery = 0.68 (0.63–0.74), for deterioration = 1.41 (1.25–1.60), and for attrition = 1.31 (1.19–1.43). Ethnic minority participants that were NEET had better outcomes than those that were White and NEET. Living in deprived areas was associated with worse outcomes. The intensity of treatment (high or low) did not moderate outcomes, but having more sessions was associated with improved outcomes for those that were NEET: odds (per one-session increase) of reliable recovery = 1.10 (1.08–1.12), deterioration = 0.94 (0.91–0.98), and attrition = 0.68 (0.66–0.71). Conclusions Earlier treatment, supporting those that are NEET to attend sessions, and in particular, offering them more sessions before ending treatment might be effective in improving clinical outcomes. Additional support when working with White young adults that are NEET and those in more deprived areas may also be important.


TheOxford Handbook of Treatment Processes and Outcomes in Psychologypresents a multidisciplinary approach to a biopsychosocial, translational model of psychological treatment across the life span. It describes cutting edge research across developmental, clinical, counseling, and school psychology; social work; neuroscience; and psychopharmacology. TheHandbookemphasizes the development of individual differences in resilience and mental health concerns, including social, environmental, and epigenetic influences across the life span, particularly during childhood. TheHandbookis a primer for practitioners and researchers, and is a guide for clinics and oversight bodies responsible for decision making regarding training of staff and the evaluation of treatment effectiveness. TheHandbookis appropriate reading for students in graduate programs in psychology, social work, and counseling. ThisHandbookpresents work by experts from multiple disciplines to readers who otherwise might have difficulty gaining direct access to the works by these authors. Detailed discussions are offered that expand on areas of research and practice that already have a substantive research base, such as self-regulation, resilience, defining evidence-based treatment, and describing client-related variables that influence treatment processes. TheHandbookalso includes chapters devoted to newer areas of research (e.g., neuroimaging, medications as adjuncts to psychological treatment, and the placebo effect). Additionally, it includes chapters that address treatment outcomes, such as evaluating therapist effectiveness, examining treatment outcomes from different perspectives, and assessing the length of treatment necessary to achieve clinical improvement. TheHandbookprovides entrée into research as well as “hands on” guidance and suggestions for practice and oversight, making it a valuable resource for graduate students, seasoned practitioners, researchers, and agencies alike.


2021 ◽  
Vol 3 (4) ◽  
pp. e231-e240 ◽  
Author(s):  
Claire Bone ◽  
Melanie Simmonds-Buckley ◽  
Richard Thwaites ◽  
David Sandford ◽  
Mariia Merzhvynska ◽  
...  

Author(s):  
Amelia A.J. Foy ◽  
Daniel Morris ◽  
Vanessa Fernandes ◽  
Katharine A. Rimes

AbstractLesbian, gay, bisexual, queer and other sexual minority (LGBQ+) people experience higher levels of psychological difficulties than heterosexual people. Evidence suggests that LGBQ+ treatment outcomes within England’s Improving Access to Psychological Therapies (IAPT) services are worse than the outcomes for heterosexuals, especially for bisexual people and sexual minority women. IAPT services provide evidence-based treatments like cognitive behavioural therapy (CBT), typically for anxiety or depression. This study explored LGBQ+ adults’ experiences with IAPT services and/or primary care counselling. LGBQ+ adults (n = 136) answered an online questionnaire (fixed-response and optional open-ended questions) about their access and treatment experiences. Descriptive statistics summarized multiple-choice responses. Qualitative data were analysed through thematic analysis. Before access, 41.9% of participants were concerned about experiencing LGBQ+ stigma/discrimination within psychological services. Only 13.2% of participants thought their sexuality negatively impacted their treatment, although prejudice/discrimination may be underestimated as 33.6% participants did not disclose their sexuality to practitioners and sexuality was not discussed in treatment for 44.0% of participants. Bisexual clients were significantly less likely to disclose their sexuality. The barriers LGBQ+ people described within IAPT or primary care services included: feared or experienced stigma in the services; reluctance to disclose sexuality; inconsistent discussion of sexuality in treatment; a lack of awareness and understanding towards LGBQ+ identities and community-specific challenges; and distrust, disillusionment and exclusion resultantly. Overall, 52.2% thought services could be improved for LGBQ+ individuals. This study identified multiple issues to be addressed in therapist training and service development.Key learning aims (1)The unique needs/experiences that LGBQ+ people bring to therapy, such as the need to disclose their sexuality and past experiences of stigma/discrimination, including how this differs within the community (e.g. bisexual people or LGBQ+ Black and minority ethnic people).(2)How these needs/experiences can result in barriers that make their treatment experience distinct from heterosexuals and influence their treatment outcomes.(3)What steps should be taken in future research and clinical practice to ensure improvements in the psychological treatment experiences of LGBQ+ people, including in relation to therapist understanding and training in LGBQ+-related issues.


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