The Patient's Experience of the Relationship Scale as a Means of Studying the Inpatient Psychotherapy Relationship

2001 ◽  
Vol 11 (4) ◽  
pp. 473-482 ◽  
Author(s):  
Jack Jurich ◽  
Laura Richardson
Author(s):  
John C. Norcross ◽  
Michael J. Lambert

This chapter concludes the first volume of the third edition of Psychotherapy Relationships That Work. The authors present the formal conclusions and the 28 recommendations of the Third Interdivisional Task Force. Summaries of the meta-analytic associations between the relationship elements and psychotherapy outcomes are provided. Those statements, approved by the 10 members of the Steering Committee, refer to the work in both this volume on therapy relationships and the second volume on treatment adaptations or relational responsiveness. These statements reaffirm and, in several instances, extend those of the earlier task forces. The chapter concludes with final thoughts on what works, and what does not, in the therapy relationship.


2019 ◽  
Vol 46 (4) ◽  
pp. 532-536
Author(s):  
Carolyn Wilshire ◽  
Tony Ward

In a recent paper, Sharpe and Greco suggest that chronic fatigue syndrome/myalgic encephalomyelitis (MECFS) can be viewed as an instance of “illness without disease”, and consequently, treatment should be directed towards altering the patient’s experience of, and response to, their symptoms. We discuss two broad issues that arise from Sharpe and Greco’s article, one relating to the assumptions they make about MECFS and its treatment specifically, and the other relating to their conceptualisation of the illness/disease dichotomy. We argue that the term “illness without disease”, in the sense that Sharpe and Greco use it, is problematic because it can lead to unwarranted causal assumptions. Following these critical comments, we present a new framework for conceptualising the relationship between explanatory disease models and the experience of illness.


2021 ◽  
Vol 2 (Supplement_1) ◽  
pp. A58-A58
Author(s):  
M Puglia ◽  
A Turton ◽  
J Stonehouse ◽  
A Rossely ◽  
A Grbic ◽  
...  

Abstract It is assumed that during the MSLT test, the sleep laboratory environment will be appropriately resourced to facilitate sleep. However, anecdotal evidence suggests that a variety of factors may actually hinder sleep onset, although this possibility has not been formally investigated in the literature. Thirty-four MSLT participants, who attended the sleep unit between 2018 and 2019, completed a questionnaire that was designed to test perception of sleep onset latency by asking them how easy/difficult it was for them to fall asleep on 17 items that came from four categories. The four categories were the 1. sleep unit environment, e.g. noise/ room temperature; 2. the MSLT procedure, e.g. wires/fixed nap times; 3. the MSLT staff e.g. manner/ clarity of explanations and 4. pain/distress unrelated to the test. All items were rated on a five-point Likert scale. Space was provided for written comments for each category. Overall, the relationship with staff had the greatest impact on perceived sleep onset latency. Forty-one percent of participants reported that the provision of a thorough explanation of the day’s procedure helped them fall asleep in naps. Thirty-five percent reported that their own pain and discomfort affected their ability to sleep. Light and noise had little impact. This research indicates that the staff-patient relationship plays a significant role in patient’s experience of the MSLT and may potentially affect test outcomes.


2020 ◽  
Vol 41 (spe) ◽  
Author(s):  
Diovane Ghignatti da Costa ◽  
Gisela Maria Schebella Souto de Moura ◽  
Mariana Goes Moraes ◽  
José Luís Guedes dos Santos ◽  
Ana Maria Müller de Magalhães

Abstract Objective: To unveil patient satisfaction attributes related to safety and quality of care. Methods: Qualitative study carried out in a public university hospital in the south region of Brazil. Data were collected in November 2018 through 24 interviews with patients/families from 12 clinical and surgical hospitalization units. Thematic analysis was carried out. Results: The satisfaction attributes were categorized in terms of structure, process, and care outcome, and they were related to: access to the service, amount of personnel, environment, interaction with the health team, staff’s technical competence, perception of safety with the presence of a relative, assistance patterns present in the care, and change in the health status of the patients. Conclusions: It was verified that the structural aspects were relevant in the patient’s experience, besides the relationship established with the health team in the care process, and the technical assistance standards perceived in the staff’s work.


Author(s):  
John C. Norcross ◽  
Michael J. Lambert

This chapter introduces and frames the third edition of Psychotherapy Relationships That Work, which features dozens of original meta-analyses on what works in the relationship. The authors frame the work within the Third Intradivisional Task Force on Evidence-Based Relationships and Responsiveness. To accommodate new research, the book has grown to two volumes: one on relationship elements (what works in general) and one on treatment adaptations/responsiveness (what works in particular). The centrality of the therapy relationship, its interdependence with treatment methods, and potential limitations of the task force work are all highlighted. Frequently asked questions are also addressed. The authors hope that the book serves to repair some of the damage incurred by the culture wars in psychotherapy and to promote rapprochement between the research and practice communities.


2010 ◽  
Vol 27 (2) ◽  
pp. 262-270 ◽  
Author(s):  
Brent Mallinckrodt

Research suggests that psychotherapy relationships formed by adult clients can exhibit all the essential elements of attachment bonds identified by Mikulincer and Shaver. Specifically, some clients: (i) regard their therapist as stronger and wiser; (ii) seek proximity through emotional connection and regular meetings; (iii) rely upon their therapist as a safe haven when they feel threatened; (iv) derive a sense of felt security from their therapist, who serves as a secure base for psychological exploration; and (v) experience separation anxiety when anticipating loss of their therapist. This paper presents a conceptual model describing how therapists can regulate therapeutic distance to create the relationship conditions best suited for clients with a hyperactivating versus deactivating attachment pattern. These therapists create a corrective emotional experience by offering the same client not one static attachment relationship, but rather a progressively changing series of relationships that promote more adaptive functioning.


1967 ◽  
Vol 31 ◽  
pp. 239-251 ◽  
Author(s):  
F. J. Kerr

A review is given of information on the galactic-centre region obtained from recent observations of the 21-cm line from neutral hydrogen, the 18-cm group of OH lines, a hydrogen recombination line at 6 cm wavelength, and the continuum emission from ionized hydrogen.Both inward and outward motions are important in this region, in addition to rotation. Several types of observation indicate the presence of material in features inclined to the galactic plane. The relationship between the H and OH concentrations is not yet clear, but a rough picture of the central region can be proposed.


Paleobiology ◽  
1980 ◽  
Vol 6 (02) ◽  
pp. 146-160 ◽  
Author(s):  
William A. Oliver

The Mesozoic-Cenozoic coral Order Scleractinia has been suggested to have originated or evolved (1) by direct descent from the Paleozoic Order Rugosa or (2) by the development of a skeleton in members of one of the anemone groups that probably have existed throughout Phanerozoic time. In spite of much work on the subject, advocates of the direct descent hypothesis have failed to find convincing evidence of this relationship. Critical points are:(1) Rugosan septal insertion is serial; Scleractinian insertion is cyclic; no intermediate stages have been demonstrated. Apparent intermediates are Scleractinia having bilateral cyclic insertion or teratological Rugosa.(2) There is convincing evidence that the skeletons of many Rugosa were calcitic and none are known to be or to have been aragonitic. In contrast, the skeletons of all living Scleractinia are aragonitic and there is evidence that fossil Scleractinia were aragonitic also. The mineralogic difference is almost certainly due to intrinsic biologic factors.(3) No early Triassic corals of either group are known. This fact is not compelling (by itself) but is important in connection with points 1 and 2, because, given direct descent, both changes took place during this only stage in the history of the two groups in which there are no known corals.


2020 ◽  
Vol 43 ◽  
Author(s):  
Thomas Parr

Abstract This commentary focuses upon the relationship between two themes in the target article: the ways in which a Markov blanket may be defined and the role of precision and salience in mediating the interactions between what is internal and external to a system. These each rest upon the different perspectives we might take while “choosing” a Markov blanket.


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