UNSPECIFIED. (2004) Therapists' experience of difficulty in practice. PSYCHOTHERAPY RESEARCH, 14 (3). pp. 328-345. ISSN 1050-3307

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Abstract

As every clinician knows, therapeutic work can feel difficult. The matter is frequently aired among colleagues and in supervision but rarely studied. Difficulties in practice were investigated by distinguishing different types of therapists' experiences, constructing a system for categorizing narratives of such experiences, and establishing its reliability and validity. Drawing on previous work, descriptive definitions of difficulty types were developed and applied to narratives in several iterative steps, leading to 3 types: transient, based on competency deficits; paradigmatic, based on therapists' enduring personal characteristics; and situational, based on features of patients or circumstances. Subsequently, a rating system for the types was developed and applied to 191 narratives of difficulties. Satisfactory reliabilities were obtained with trained raters, and construct validity was established using therapist self-report and other criteria. Consequences for supervision, therapist development, and further research are discussed.

Item Type:	Journal Article
Subjects:	B Philosophy. Psychology. Religion > BF Psychology
Journal or Publication Title:	PSYCHOTHERAPY RESEARCH
Publisher:	OXFORD UNIV PRESS
ISSN:	1050-3307
Date:	2004
Volume:	14
Number:	3
Number of Pages:	18
Page Range:	pp. 328-345
Identification Number:	10.1093/ptr/kph028
Publication Status:	Published
URI:	http://wrap.warwick.ac.uk/id/eprint/8149

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