How nice is good for patients and for therapy outcome? The role of confrontation in the process of psychotherapy

Figlioli, Patrick; Berger, Thomas; Caspar, Franz (11 July 2013). How nice is good for patients and for therapy outcome? The role of confrontation in the process of psychotherapy (Unpublished). In: 44th International Meeting of the Society for Psychotherapy Research (SPR). Brisbane, Australia. 10.-13.07.2013.

It is well established that the therapeutic relationship contributes about as much to therapy outcome as 'technical' intervention. Furthermore, it follows clear prescriptive concepts in the same manner as technical interventions do. 'Motive Oriented Therapeutic Relationship' is such a concept for establishing a
solid basis for whatever therapeutic work the patients' problems require (Grawe, 1980, 1992; Caspar, 1996). Yet, the therapeutic relationship doesn't explain everything because other factors play a significant role too. Previous studies showed that outcome is clearly better when therapists achieved a generally high quality of a therapeutic relationship when they did not shy away from possibly threatening interventions such as confrontations. This ratio of a fruitful alliance and marginally present confrontations in the same session also showed significant correlations with patient's assessment of alliance and progress in therapy (Figlioli et al., 2009).Aim: The current state of research in the field does not give any answers to questions like how good and bad confrontations can be characterized or what role does the intensity, respectively frequency of confrontations play in the process of psychotherapy. Methods: A sample of 80 therapies of 3 sessions each representing either good or bad outcome was judged moment by moment by independent raters if and how therapists used confrontative interventions. Results: Preliminary analyses show that successful confrontations are explicitly uttered, short but intense, related to important patients goals in therapy and embedded in prior complementarity. Discussion: The results will be discussed in terms of their implications for the clinical daily work.

Item Type:

Conference or Workshop Item (Speech)


07 Faculty of Human Sciences > Institute of Psychology > Clinical Psychology and Psychotherapy

UniBE Contributor:

Figlioli, Patrick; Berger, Thomas and Caspar, Franz


600 Technology > 610 Medicine & health




Adriana Biaggi

Date Deposited:

20 Jun 2014 15:09

Last Modified:

26 Apr 2017 02:28


Actions (login required)

Edit item Edit item
Provide Feedback