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

Figlioli, Patrick; Caspar, Franz; Berger, Thomas (26 September 2013). How nice is good for patients and for therapy outcome? The role of confrontation in the process of psychotherapy (Unpublished). In: 43rd Annual Congress of the European Association for Behavioural and Cognitive Therapies (EABCT). Marrakech, Marocco. 25.-28.09.2013.

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). These findings are also very much in line with Sachse’s metaphor of accumulating, but then also using ‘relationship credits’ and Farrelly’s ‘Provocative Therapy’ (1986), as well as the ‘Intensive Short-Term Dynamic Psychotherapy’ by Davanloo (1980).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 / Discussion: The results will be discussed in terms of their implications for the clinical daily work. Preliminary analyses show that successful confrontations are explicitly uttered, short but intense, related to important patients goals in therapy and embedded in prior complementarity.

Item Type:

Conference or Workshop Item (Speech)

Division/Institute:

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

UniBE Contributor:

Figlioli, Patrick; Caspar, Franz and Berger, Thomas

Subjects:

600 Technology > 610 Medicine & health

Language:

English

Submitter:

Adriana Biaggi

Date Deposited:

20 Jun 2014 15:10

Last Modified:

26 Apr 2017 02:28

URI:

https://boris.unibe.ch/id/eprint/50683

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