Learning from clients: A qualitative investigation of psychotherapists’ reactions to negative verbal feedbackFootnote^*

* This research was conducted at St. Olavs University Hospital, Tiller, Norway.

References

• Anseel, F., Beatty, A. S., Shen, W., Lievens, F., & Sackett, P. R. (2015). How are we doing after 30 years? A meta-analytic review of the antecedents and outcomes of feedback-seeking behavior. Journal of Management, 41(1), 318–348. doi: 10.1177/0149206313484521
   Web of Science ®Google Scholar
• Bertolini, B., & Miller, S. D. (2012). ICCE manuals on feedback-informed treatment (Vols 1–6). Chicago, IL: ICCE Press.
   Google Scholar
• Beutler, L., Malik, M., Alimohamed, S., Harwood, T., Talebi, H., & Noble, S. (2004). Therapist variables. In M. Lambert (Ed.), Bergin and Garfield’s handbook of psychotherapy and behavior change (5th ed., pp. 226–306). New York, NY: John Wiley & Sons.
   Google Scholar
• Binder, J. L., & Strupp, H. H. (1997). “Negative process”: A recurrently discovered and underestimated facet of therapeutic process and outcome in the individual psychotherapy of adults. Clinical Psychology: Science and Practice, 4(2), 121–139.
   Web of Science ®Google Scholar
• Blanchard, M., & Farber, B. A. (2015). Lying in psychotherapy: Why and what clients don’t tell their therapist about therapy and their relationship. Counselling Psychology Quarterly, 29(1), 90–112. doi: 10.1080/09515070.2015.1085365
   Web of Science ®Google Scholar
• Chow, D. L., Miller, S. D., Seidel, J. A., Kane, R. T., Thornton, J. A., & Andrews, W. P. (2015). The role of deliberate practice in the development of highly effective psychotherapists. Psychotherapy, 52(3), 337–345. doi: 10.1037/pst0000015
   PubMed Web of Science ®Google Scholar
• Claiborn, C. D., & Goodyear, R. K. (2005). Feedback in psychotherapy. Journal of Clinical Psychology, 61(2), 209–217. doi: 10.1002/jclp.20112
   PubMed Web of Science ®Google Scholar
• Coutinho, J., Ribeiro, E., Hill, C., & Safran, J. (2011). Therapists’ and clients’ experiences of alliance ruptures: A qualitative study. Psychotherapy Research, 21(5), 525–540. doi: 10.1080/10503307.2011.587469
   PubMed Web of Science ®Google Scholar
• Duncan, B. L. (2012). The partners for change outcome management system (PCOMS): The heart and soul of change project. Canadian Psychology/Psychologie Canadienne, 53(2), 93–104. doi: 10.1037/a0027762
   Web of Science ®Google Scholar
• Farber, B. A. (2003). Patient self-disclosure: A review of the research. Journal of Clinical Psychology, 59(5), 589–600. doi: 10.1002/jclp.10161
   PubMed Web of Science ®Google Scholar
• Goldberg, S. B., Rousmaniere, T., Miller, S. D., Whipple, J., Nielsen, S. L., Hoyt, W. T., … Wampold, B. E. (2016). Do psychotherapists improve with time and experience? A longitudinal analysis of outcomes in a clinical setting. Journal of Counseling Psychology, 63(1), 1–11. doi: 10.1037/cou0000131
   PubMed Web of Science ®Google Scholar
• Hayes, J. A., Gelso, C. J., & Hummel, A. M. (2011). Managing countertransference. Psychotherapy, 48(1), 88–97. doi: 10.1037/a0022182
   PubMed Web of Science ®Google Scholar
• Henry, W. P., Schacht, T. E., & Strupp, H. H. (1990). Patient and therapist introject, interpersonal process, and differential psychotherapy outcome. Journal of Consulting and Clinical Psychology, 56(8), 768–774. doi: 10.1037/0022-006X.58.6.768
   Google Scholar
• Hill, C. E. (2012). Consensual qualitative research: A practical resource for investigating social science phenomena. Washington, DC: American Psychological Association.
   Google Scholar
• Hill, C. E., Kellems, I. S., Kolchakian, M. R., Wonnell, T. L., Davis, T. L., & Nakayama, E. Y. (2003). The therapist experience of being the target of hostile versus suspected-unasserted client anger: Factors associated with resolution. Psychotherapy Research, 13(4), 475–491. doi: 10.1093/ptr/kpg040
   PubMed Web of Science ®Google Scholar
• Hill, C. E., & Knox, S. (2009). Processing the therapeutic relationship. Psychotherapy Research, 19(1), 13–29. doi:10.1080/10503300802621206
   PubMed Web of Science ®Google Scholar
• Hill, C. E., Knox, S., Thompson, B. J., Williams, E. N., Hess, S. A., & Ladany, N. (2005). Consensual qualitative research: An update. Journal of Counseling Psychology, 52(2), 196–205. doi: 10.1037/0022-0167.52.2.196
   Web of Science ®Google Scholar
• Hill, C. E., Nutt-Williams, E., Heaton, K. J., Thompson, B. J., & Rhodes, R. H. (1996). Therapist retrospective recall of impasses in long-term psychotherapy: A qualitative analysis. Journal of Counseling Psychology, 43(2), 207–217. doi: 10.1037/0022-0167.43.2.207
   Web of Science ®Google Scholar
• Hill, C. E., Thompson, B., & Corbett, M. (1992). The impact of therapist ability to perceive displayed and hidden client reactions on immediate outcome in first sessions of brief therapy. Psychotherapy Research, 2(2), 143–155. doi: 10.1080/10503309212331332914
   Google Scholar
• Hill, C. E., Thompson, B. J., Cogar, M. C., & Denman, D. W. (1993). Beneath the surface of long-term therapy: Therapist and client report of their own and each other’s covert processes. Journal of Counseling Psychology, 40(3), 278–287. doi: 10.1037/0022-0167.40.3.278
   Web of Science ®Google Scholar
• Horvath, A., & Bedi, R. (2002). The alliance. In C. Norcross (Ed.), Psychotherapy relationships that work: Therapist contributions and responsiveness to patients (pp. 37–69). London: Oxford University Press.
   Google Scholar
• Howard, K. I., Moras, K., Brill, P. L., Martinovich, Z., & Lutz, W. (1996). Evaluation of psychotherapy: Efficacy, effectiveness, and patient progress. American Psychologist, 51(10), 1059–1064. doi: 10.1037/0003-066X.51.10.1059
   PubMed Web of Science ®Google Scholar
• Jennings, L., & Skovholt, T. M. (1999). The cognitive, emotional, and relational characteristics of master therapists. Journal of Counseling Psychology, 46(1), 3–11. doi: 10.1037/0022-0167.46.1.3
   Web of Science ®Google Scholar
• de Jong, K., van Sluis, P., Nugter, M. A., Heiser, W. J., & Spinhoven, P. (2012). Understanding the differential impact of outcome monitoring: Therapist variables that moderate feedback effects in a randomized clinical trial. Psychotherapy Research, 22(4), 464–474. doi: 10.1080/10503307.2012.673023
   PubMed Web of Science ®Google Scholar
• Kluger, A. N., & DeNisi, A. (1996). The effects of feedback interventions on performance: A historical review, a meta-analysis, and a preliminary feedback intervention theory. Psychological Bulletin, 119(2), 254–284. doi: 10.1037/0033-2909.119.2.254
   Web of Science ®Google Scholar
• Knox, S., Adrians, N., Everson, E., Hess, S., Hill, C., & Crook-Lyon, R. (2011). Clients’ perspectives on therapy termination. Psychotherapy Research, 21(2), 154–167. doi:10.1080/10503307.2010.534509
   PubMed Web of Science ®Google Scholar
• Kvale, S., & Brinkmann, S. (2009). Interviews: Learning the craft of qualitative research interviewing. London: Sage.
   Google Scholar
• Lambert, M. J. (2004). Administration and scoring manual for the OQ-45.2 (outcome questionnaire). Salt Lake City, UT: OQ Measures, LLC.
   Google Scholar
• Lambert, M. J. (2007). Presidential address: What we have learned from a decade of research aimed at improving psychotherapy outcome in routine care. Psychotherapy Research, 17(1), 1–14. doi: 10.1080/10503300601032506
   Web of Science ®Google Scholar
• Macdonald, J., & Mellor-Clark, J. (2014). Correcting psychotherapists’ blindsidedness: Formal feedback as a means of overcoming the natural limitations of therapists. Clinical Psychology & Psychotherapy, 22(3), 249–257. doi: 10.1002/cpp.1887
   PubMed Web of Science ®Google Scholar
• Miller, S. D., Hubble, M. A., Chow, D., & Seidel, J. (2015). Beyond measures and monitoring: Realizing the potential of feedback-informed treatment. Psychotherapy, 52(4), 449–457. doi: 10.1037/pst0000031
   PubMed Web of Science ®Google Scholar
• Moltu, C., Binder, P.-E., & Nielsen, G. H. (2010). Commitment under pressure: Experienced therapists’ inner work during difficult therapeutic impasses. Psychotherapy Research, 20(3), 309–320. doi: 10.1080/10503300903470610
   PubMed Web of Science ®Google Scholar
• Murdock, N. L., Edwards, C., & Murdock, T. B. (2010). Therapists’ attributions for client premature termination: Are they self-serving? Psychotherapy: Theory, Research, Practice, Training, 47(2), 221–234. doi: 10.1037/a0019786
   PubMed Web of Science ®Google Scholar
• Nissen-Lie, H. A., Monsen, J. T., & Ronnestad, M. H. (2010). Therapist predictors of early patient-rated working alliance: A multilevel approach. Psychotherapy Research, 20(6), 627–646. doi: 10.1080/10503307.2010.497633
   PubMed Web of Science ®Google Scholar
• Nissen-Lie, H. A., Monsen, J. T., Ulleberg, P., & Ronnestad, M. H. (2013). Psychotherapists’ self-reports of their interpersonal functioning and difficulties in practice as predictors of patient outcome. Psychotherapy Research, 23(1), 86–104. doi: 10.1080/10503307.2012.735775
   PubMed Web of Science ®Google Scholar
• Nissen-Lie, H. A., Rønnestad, M. H., Høglend, P. A., Havik, O. E., Solbakken, O. A., Stiles, T. C., & Monsen, J. T. (2015). Love yourself as a person, doubt yourself as a therapist? Clinical Psychology & Psychotherapy. Advance online publication. doi:10.1002/cpp.1977
   Web of Science ®Google Scholar
• Piselli, A., Halgin, R. P., & MacEwan, G. H. (2011). What went wrong? Therapists’ reflections on their role in premature termination. Psychotherapy Research, 21(4), 400–415. doi: 10.1080/10503307.2011.573819
   PubMed Web of Science ®Google Scholar
• Regan, A. M., & Hill, C. E. (1992). Investigation of what clients and counselors do not say in brief therapy. Journal of Counseling Psychology, 39(2), 168–174. doi: 10.1037/0022-0167.39.2.168
   Web of Science ®Google Scholar
• Rhodes, R. H., Hill, C. E., Thompson, B. J., & Elliott, R. (1994). Client retrospective recall of resolved and unresolved misunderstanding events. Journal of Counseling Psychology, 41(4), 473–483. doi: 10.1037/0022-0167.41.4.473
   Web of Science ®Google Scholar
• Ronnestad, M. H., & Skovholt, T. M. (2003). The journey of the counselor and therapist: Research findings and perspectives on professional development. Journal of Career Development, 30(1), 5–44.
   Web of Science ®Google Scholar
• Ronnestad, M. H., & Skovholt, T. M. (2012). The developing practitioner: Growth and stagnation of therapists and counselors. New York, NY: Routledge.
   Google Scholar
• Safran, J. D., & Muran, J. C. (2000). Negotiating the therapeutic alliance: A relational treatment guide. New York, NY: Guilford Press.
   Google Scholar
• Sapyta, J., Riemer, M., & Bickman, L. (2005). Feedback to clinicians: Theory, research, and practice. Journal of Clinical Psychology, 61(2), 145–153. doi: 10.1002/jclp.20107
   PubMed Web of Science ®Google Scholar
• Schröder, T., Orlinsky, D., Rønnestad, M. H., & Willutzki, U. (2015). Psychotherapeutic process from the psychotherapist’s perspective. In O. C. G. Gelo (Eds.), Psychotherapy research (pp. 351–365). Wien: Springer-Verlag.
   Google Scholar
• Tracey, T. J., Wampold, B. E., Lichtenberg, J. W., & Goodyear, R. K. (2014). Expertise in psychotherapy: An elusive goal? American Psychologist, 69(3), 218–229. doi: 10.1037/a0035099
   PubMed Web of Science ®Google Scholar
• Tryon, G. S., Blackwell, S. C., & Hammel, E. F. (2007). A meta-analytic examination of client–therapist perspectives of the working alliance. Psychotherapy Research, 17(6), 629–642. doi: 10.1080/10503300701320611
   Web of Science ®Google Scholar
• von der Lippe, A. L., Monsen, J. T., Ronnestad, M. H., & Eiertsen, D. E. (2008). Treatment failure in psychotherapy: The pull of hostility. Psychotherapy Research, 18(4), 420–432. doi: 10.1080/10503300701810793
   PubMed Web of Science ®Google Scholar
• Walfish, S., McAlister, B., O'Donnell, P., & Lambert, M. J. (2012). An investigation of self-assessment bias in mental health providers. Psychological Reports, 110(2), 639–644. doi: 10.2466/02.07.17.PR0.110.2.639-644
   PubMed Web of Science ®Google Scholar