Structured supervision of graduate clinicians in psychodynamic psychotherapy: Alliance and technique

Journal of Counseling Psychology

Volumn 62, Issue 2, 2015, Pages 173-183

  Hilsenroth, Mark J ^a   Kivlighan, Dennis M ^b   Slavin Mulford, Jenelle ^c  

^a ADELPHI UNIVERSITY   (United States)

^b UNIVERSITY OF MARYLAND   (United States)

^c AUGUSTA UNIVERSITY   (United States)

Author keywords

Alliance; Graduate training; Psychodynamic psychotherapy; Supervision; Therapeutic technique

Indexed keywords

ADOLESCENT; ADULT; COOPERATION; EDUCATION; FEMALE; HEALTH STUDENT; HUMAN; HUMAN RELATION; MALE; MIDDLE AGED; OUTPATIENT; PROCEDURES; PSYCHODYNAMIC PSYCHOTHERAPY; PSYCHOLOGY; STANDARDS; YOUNG ADULT;

ADOLESCENT; ADULT; COOPERATIVE BEHAVIOR; FEMALE; HUMANS; MALE; MIDDLE AGED; OUTPATIENTS; PROFESSIONAL-PATIENT RELATIONS; PSYCHOTHERAPY, PSYCHODYNAMIC; STUDENTS, HEALTH OCCUPATIONS; YOUNG ADULT;

EID: 84929956982     PISSN: 00220167     EISSN: None     Source Type: Journal    
DOI: 10.1037/cou0000058     Document Type: Article

References (58)

1. Ackerman, S. J., Hilsenroth, M. J., Baity, M. R.,&Blagys, M. D. (2000). Interaction of therapeutic process and alliance during psychological assessment. Journal of Personality Assessment, 75, 82-109. http://dx.doi.org/10.1207/S15327752JPA7501_7
2. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
3. Bambling, M., King, R., Raue, P., Schweitzer, R.,&Lambert, W. (2006). Clinical supervision: Its influence on client-rated working alliance and client symptom reduction in the brief treatment of major depression. Psychotherapy Research, 16, 317-331. http://dx.doi.org/10.1080/10503300500268524
4. Barber, J.,&Crits-Christoph, P. (Eds.). (1995). Dynamic therapies for the psychiatric disorders (Axis I). New York, NY: Basic.
5. Beutler, L. E.,&Kendall, P. C. (1995). Introduction to the special section: The case for training in the provision of psychological therapy. Journal of Consulting and Clinical Psychology, 63, 179-181. http://dx.doi.org/10.1037/0022-006X.63.2.179
6. Binder, J. L. (1999). Issues in teaching and learning time-limited psychodynamic psychotherapy. Clinical Psychology Review, 19, 705-719. http://dx.doi.org/10.1016/S0272-7358(98)00078-6
7. Blagys, M.,&Hilsenroth, M. J. (2000). Distinctive features of short-term psychodynamic-interpersonal psychotherapy: A review of the comparative psychotherapy process literature. Clinical Psychology: Science and Practice, 7, 167-188. http://dx.doi.org/10.1093/clipsy.7.2.167
8. Blagys, M. D.,&Hilsenroth, M. J. (2002). Distinctive activities of cognitive-behavioral therapy. A review of the comparative psychotherapy process literature. Clinical Psychology Review, 22, 671-706. http://dx.doi.org/10.1016/S0272-7358(01)00117-9
9. Book, H. (1998). How to practice brief psychodynamic psychotherapy: The core conflictual relationship theme method. Washington, DC: American Psychological Association. http://dx.doi.org/10.1037/10251-000
10. Boswell, J. F., Castonguay, L. G.,&Wasserman, R. H. (2010). Effects of psychotherapy training and intervention use on session outcome. Journal of Consulting and Clinical Psychology, 78, 717-723. http://dx.doi.org/10.1037/a0020088
11. Burlingame, G., Fuhriman, A., Paul, S.,&Ogles, B. (1989). Implementing a time-limited therapy program: Differential effects of training and experience. Psychotherapy: Theory, Research, Practice, Training, 26, 303-313. http://dx.doi.org/10.1037/h0085440
12. Clemence, J., Hilsenroth, M., Ackerman, S., Strassle, C.,&Handler, L. (2005). Facets of the therapeutic alliance and perceived progress in psychotherapy: Relationship between patient and therapist perspectives. Clinical Psychology&Psychotherapy, 12, 443-454. http://dx.doi.org/10.1002/cpp.467
13. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (3rd ed.). New York, NY: Academic Press.
14. Crits-Christoph, P., Gibbons, M. B. C., Crits-Christoph, K., Narducci, J., Schramberger, M.,&Gallop, R. (2006). Can therapists be trained to improve their alliances? A preliminary study of alliance-fostering psychotherapy. Psychotherapy Research, 16, 268-281. http://dx.doi.org/10.1080/10503300500268557
15. Crits-Christoph, P., Siqueland, L., Chittams, J., Barber, J. P., Beck, A. T., Frank, A.,.. Woody, G. (1998). Training in cognitive, supportive-expressive, and drug counseling therapies for cocaine dependence. Journal of Consulting and Clinical Psychology, 66, 484-492. http://dx.doi.org/10.1037/0022-006X.66.3.484
16. Croninger, R. G., Buese, D.,&Larson, J. (2012). A mixed-methods look at teaching quality: Challenges and possibilities from one study. Teachers College Record, 114, 1-36.
17. Derogatis, L. (1993). Symptom Checklist-90-Revised: Administration, scoring, and procedures manual (3rd ed.). Minneapolis, MN: National Computer Systems.
18. Finn, S. E.,&Tonsager, M. E. (1997). Information-gathering and therapeutic models of assessment: Complementary paradigms. Psychological Assessment, 9, 374-385. http://dx.doi.org/10.1037/1040-3590.9.4.374
19. Fleiss, J. L. (1981). Statistical methods for rates and proportions (2nd ed.). New York, NY: Wiley.
20. Hatcher, R. L. (1999). Therapists' views of treatment alliance and collaboration in therapy. Psychotherapy Research, 9, 405-423. http://dx.doi.org/10.1080/10503309912331332831
21. Hatcher, R. L.,&Barends, A. W. (1996). Patients' view of the alliance of psychotherapy: Exploratory factor analysis of three alliance measures. Journal of Consulting and Clinical Psychology, 64, 1326-1336. http://dx.doi.org/10.1037/0022-006X.64.6.1326
22. Hatcher, R. L., Barends, A., Hansell, J.,&Gutfreund, M. J. (1995). Patients' and therapists' shared and unique views of the therapeutic alliance: An investigation using confirmatory factor analysis in a nested design. Journal of Consulting and Clinical Psychology, 63, 636-643. http://dx.doi.org/10.1037/0022-006X.63.4.636
23. Henry, W. P., Schacht, T. E., Strupp, H. H., Butler, S. F.,&Binder, J. L. (1993). Effects of training in time-limited dynamic psychotherapy: Mediators of therapists' responses to training. Journal of Consulting and Clinical Psychology, 61, 441-447. http://dx.doi.org/10.1037/0022-006X.61.3.441
24. Henry, W. P., Strupp, H. H., Butler, S. F., Schacht, T. E.,&Binder, J. L. (1993). Effects of training in time-limited dynamic psychotherapy: Changes in therapist behavior. Journal of Consulting and Clinical Psychology, 61, 434-440. http://dx.doi.org/10.1037/0022-006X.61.3.434
25. Hill, C.,&Kellems, I. (2002). Development and use of the Helping Skills Measure to assess client perceptions of the effects of training and of helping skills in sessions. Journal of Counseling Psychology, 49, 264-272. http://dx.doi.org/10.1037/0022-0167.49.2.264
26. Hill, C. E.,&Knox, S. (2013). Training and supervision in psychotherapy: Evidence for effective practice. In M. J. Lambert (Ed.), Handbook of psychotherapy and behavior change (6th ed., pp. 775-811). New York, NY: Wiley.
27. Hilsenroth, M. J. (2007). A programmatic study of short-term psychodynamic psychotherapy: Assessment, process, outcome, and training. Psychotherapy Research, 17, 31-45. http://dx.doi.org/10.1080/10503300600953504
28. Hilsenroth, M. J., Ackerman, S. J., Blagys, M. D., Baumann, B. D., Baity, M. R., Smith, S. R.,.. Holdwick, D. J., Jr. (2000). Reliability and validity of DSM-IV axis V. The American Journal of Psychiatry, 157, 1858-1863. http://dx.doi.org/10.1176/appi.ajp.157.11.1858
29. Hilsenroth, M. J., Ackerman, S. J., Clemence, A. J., Strassle, C. G., & Handler, L. (2002). Effects of structured clinician training on patient and therapist perspectives of alliance early in psychotherapy. Psychotherapy: Theory, Research, Practice, Training, 39, 309-323. http://dx.doi.org/10.1037/0033-3204.39.4.309
30. Hilsenroth, M., Blagys, M., Ackerman, S., Bonge, D.,&Blais, M. (2005). Measuring psychodynamic-interpersonal and cognitive- behavioral techniques: Development of the Comparative Psychotherapy Process Scale. Psychotherapy: Theory, Research, Practice, Training, 42, 340-356. http://dx.doi.org/10.1037/0033-3204.42.3.340
31. Hilsenroth, M. J., Cromer, T.,&Ackerman, S. (2012). How to Make Practical Use of Therapeutic Alliance Research in Your Clinical Work. In R. A. Levy, J. S. Ablon,&H. Kaechele (Eds.), Psychodynamic Psychotherapy Research: Evidence-Based Practice and Practice-Based Evidence (pp. 361-380). NY: Springer Press.
32. Hilsenroth, M., Defife, J., Blagys, M.,&Ackerman, S. (2006). Effects of training in short-term psychodynamic psychotherapy: Changes in graduate clinician technique. Psychotherapy Research, 16, 293-305. http://dx.doi.org/10.1080/10503300500264887
33. Hilsenroth, M. J., Peters, E. J.,&Ackerman, S. J. (2004). The development of therapeutic alliance during psychological assessment: Patient and therapist perspectives across treatment. Journal of Personality Assessment, 83, 332-344. http://dx.doi.org/10.1207/s15327752jpa8303_14
34. Horvath, A. O., Del Re, A. C., Flückiger, C.,&Symonds, D. (2011). Alliance in individual psychotherapy. Psychotherapy, 48, 9-16. http://dx.doi.org/10.1037/a0022186
35. Horvath, A. O.,&Greenberg, L. (1989). Development and validation of the Working Alliance Inventory. Journal of Counseling Psychology, 36, 223-233. http://dx.doi.org/10.1037/0022-0167.36.2.223
36. Ickes, W. (1993). Empathic accuracy. Journal of Personality, 61, 587-610. http://dx.doi.org/10.1111/j.1467-6494.1993.tb00783.x
37. Kivlighan, D. M., Jr., Schuetz, S. A.,&Kardash, C. M. (1998). Counselor trainee achievement goal orientation and the acquisition of time-limited dynamic psychotherapy skills. Journal of Counseling Psychology, 45, 189-195. http://dx.doi.org/10.1037/0022-0167.45.2.189
38. Kwok, O. M., Underhill, A. T., Berry, J. W., Luo, W., Elliott, T. R., & Yoon, M. (2008). Analyzing longitudinal data with multilevel models: An example with individuals living with lower extremity intra-articular fractures. Rehabilitation Psychology, 53, 370-386. http://dx.doi.org/10.1037/a0012765
39. Luborsky, L. (1984). Principles of psychoanalytic psychotherapy: A manual for supportive/expressive treatment. New York, NY: Basic Books.
40. Luborsky, L. (1990). Theory and technique in dynamic psychotherapy-Curative factors and training therapists to maximize them. Psychotherapy and Psychosomatics, 53, 50-57. http://dx.doi.org/10.1159/000288340
41. Luborsky, L.,&Crits-Christoph, P. (1997). Understanding transference: The core conflictual relational theme method (2nd ed.). Washington, DC: American Psychological Association.
42. Malan, D. (1979). Individual psychotherapy and the science of psychodynamics. London: Butterworths.
43. Marangoni, C., Garcia, S., Ickes, W.,&Teng, G. (1995). Empathic accuracy in a clinically relevant setting. Journal of Personality and Social Psychology, 68, 854-869. http://dx.doi.org/10.1037/0022-3514.68.5.854
44. McCullough, L., Kuhn, N., Andrews, S., Kaplan, A., Wolf, J.,&Hurley, C. (2003). Treating affect phobia: A manual for short-term dynamic psychotherapy. New York, NY: Guilford Press.
45. Multon, K., Kivlighan, D.,&Gold, P. (1996). Changes in counselor adherence over the course of training. Journal of Counseling Psychology, 43, 356-363. http://dx.doi.org/10.1037/0022-0167.43.3.356
46. Muthén, B.,&Curran, P. (1997). General longitudinal modeling of individual differences in experimental designs: A latent variable framework for analysis and power estimation. Psychological Methods, 2, 371-402. http://dx.doi.org/10.1037/1082-989X.2.4.371
47. Norcross, J. (2011). Psychotherapy relationships that work. New York, NY: Oxford University Press. http://dx.doi.org/10.1093/acprof:oso/9780199737208.001.0001
48. Owen, J.,&Hilsenroth, M. J. (2014). Treatment adherence: The importance of therapist flexibility in relation to therapy outcomes. Journal of Counseling Psychology, 61, 280-288. http://dx.doi.org/10.1037/a0035753
49. Patton, M. J., Kivlighan, D.,&Multon, K. D. (1997). The Missouri Psychoanalytic Counseling Research Project: Relation of changes in counseling process to client outcomes. Journal of Counseling Psychology, 44, 189-208. http://dx.doi.org/10.1037/0022-0167.44.2.189
50. Peters, E., Hilsenroth, M., Eudell-Simmons, E., Blagys, M.,&Handler, L. (2006). Reliability and validity of the Social Cognition and Object Relations Scale in clinical use. Psychotherapy Research, 16, 617-626. http://dx.doi.org/10.1080/10503300600591288
51. Raudenbush, S. W., Bryk, A. S., Cheong, Y. F.,&Congdon, R. (2005). HLM6: Hierarchical linear and nonlinear modeling [Computer software manual]. Lincolnwood, IL: Scientific Software International.
52. Shrout, P. E.,&Fleiss, J. L. (1979). Intraclass correlations: Uses in assessing rater reliability. Psychological Bulletin, 86, 420-428. http://dx.doi.org/10.1037/0033-2909.86.2.420
53. Stein, M., Pesale, F., Slavin, J.,&Hilsenroth, M. (2010). A training outline for conducting psychotherapy process ratings: An example using therapist technique. Counselling&Psychotherapy Research, 10, 50-59. http://dx.doi.org/10.1080/14733140903229457
54. Strupp, H. H.,&Binder, J. (1984). Psychotherapy in a new key. New York, NY: Basic Books.
55. Strupp, H. H., Butler, S. F.,&Rosser, C. L. (1988). Training in psychodynamic therapy. Journal of Consulting and Clinical Psychology, 56, 689-695. http://dx.doi.org/10.1037/0022-006X.56.5.689
56. Wachtel, P. L. (1993). Therapeutic communication: Principles and effective practice. New York, NY: Guilford Press.
57. Westen, D.,&Muderrisoglu, S. (2003). Assessing personality disorders using a systematic clinical interview: Evaluation of an alternative to structured interviews. Journal of Personality Disorders, 17, 351-369. http://dx.doi.org/10.1521/pedi.17.4.351.23967
58. Westen, D.,&Muderrisoglu, S. (2006). Clinical assessment of pathological personality traits. The American Journal of Psychiatry, 163, 1285-1287. http://dx.doi.org/10.1176/appi.ajp.163.7.1285