Less Directiveness by Therapists Improves Drinking Outcomes of Reactant Clients in Alcoholism Treatment
In this study, the authors examined the impact of the interaction between clients' trait reactance and therapists' directiveness on the effectiveness of psychotherapy treatment for alcoholism. Ratings of videotaped treatment sessions were used to measure clients' reactance ( N = 141)...
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| Veröffentlicht in: | Journal of consulting and clinical psychology 2005-04, Vol.73 (2), p.262-267 |
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| container_title | Journal of consulting and clinical psychology |
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| creator | Karno, Mitchell P Longabaugh, Richard |
| description | In this study, the authors examined the impact of the interaction between clients' trait reactance and therapists' directiveness on the effectiveness of psychotherapy treatment for alcoholism. Ratings of videotaped treatment sessions were used to measure clients' reactance (
N
= 141) and therapists' directiveness. Models tested for the interaction as a predictor of 1-year posttreatment drinking quantity and frequency. Results indicate that directiveness had a negative impact on outcomes for clients at medium and high levels of reactance but did not affect drinking among clients low in reactance. Increased therapist use of interpretation, confrontation, and introduction of topics was most predictive of more frequent and larger quantities of drinking among reactant clients. This study suggests that research on treatment process can yield significant theoretical and clinical benefits. |
| doi_str_mv | 10.1037/0022-006X.73.2.262 |
| format | Article |
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N
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N
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This study suggests that research on treatment process can yield significant theoretical and clinical benefits.</description><subject>Adult</subject><subject>Alcohol Treatment</subject><subject>Alcoholics</subject><subject>Alcoholism</subject><subject>Alcoholism - rehabilitation</subject><subject>Biological and medical sciences</subject><subject>Client Attitudes</subject><subject>Clinical outcomes</subject><subject>Clinical psychology</subject><subject>Cognitive Therapy</subject><subject>Communication</subject><subject>Counselor Client Relationship</subject><subject>Desintoxication. 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Drug withdrawal</topic><topic>Directiveness</topic><topic>Doctor-patient relationship</topic><topic>Drinking</topic><topic>Female</topic><topic>Human</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Outcomes of Treatment</topic><topic>Personality Traits</topic><topic>Predictors</topic><topic>Psychological effects</topic><topic>Psychological Reactance</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. 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Ratings of videotaped treatment sessions were used to measure clients' reactance (
N
= 141) and therapists' directiveness. Models tested for the interaction as a predictor of 1-year posttreatment drinking quantity and frequency. Results indicate that directiveness had a negative impact on outcomes for clients at medium and high levels of reactance but did not affect drinking among clients low in reactance. Increased therapist use of interpretation, confrontation, and introduction of topics was most predictive of more frequent and larger quantities of drinking among reactant clients. This study suggests that research on treatment process can yield significant theoretical and clinical benefits.</abstract><cop>Washington, DC</cop><pub>American Psychological Association</pub><pmid>15796633</pmid><doi>10.1037/0022-006X.73.2.262</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Alcohol Treatment Alcoholics Alcoholism Alcoholism - rehabilitation Biological and medical sciences Client Attitudes Clinical outcomes Clinical psychology Cognitive Therapy Communication Counselor Client Relationship Desintoxication. Drug withdrawal Directiveness Doctor-patient relationship Drinking Female Human Humans Male Medical sciences Outcomes of Treatment Personality Traits Predictors Psychological effects Psychological Reactance Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychotherapeutic Processes Psychotherapy Substance abuse treatment Therapeutical relation and framework Therapist Characteristics Therapists Treatment Treatment Outcome Treatments Videotape Recording Videotape Recordings |
| title | Less Directiveness by Therapists Improves Drinking Outcomes of Reactant Clients in Alcoholism Treatment |
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