The DOI matches its Crossref record; 11 of the 11 references it cites were found in a registry or an index.
Effects of training in time-limited dynamic psychotherapy: mediators of therapists’ responses to training
Abstract
Sixteen therapists were enrolled in a year-long manualized training program as part of the Vanderbilt II study of time-limited dynamic psychotherapy (TLDP). The training program successfully changed therapists' interventions in line with prescriptions of the TLDP manual, but some unanticipated changes ran counter to the intent of the training, including increased negative interpersonal transactions as indicated by process measures such as the Structural Analysis of Social Behavior (SASB). We examined therapist variables, patient variables, and training variables that appeared to mediate therapist responses to the training program. Results indicate that patient difficulty may mediate certain aspects of therapists' responses to training. Therapists with self-reported hostile and controlling introjects showed the greatest technical adherence, which was intriguing because prior research has linked hostile therapist introject to greater frequency of countertherapeutic interpersonal process. Of special interest were differences in effects of training associated with individual training faculty. This finding, if generalizable, has important implications for manualized therapy research, especially multisite trials.
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“The finding of unexpected negative effects of training is consistent with some of the counterintuitive findings reported in the psychology literature.”
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“Furthermore, therapists who participated in a training programme showed unexpected deterioration in skills after training.158”
Citations
Cites
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Effects of training in time-limited dynamic psychotherapy: Changes in therapist behavior.
Henry, W. P., Butler, S. F., Strupp, H. H., Schacht, T. E., & al, E. (1993) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.61.3.434 · Cited by 384
Self-citationPatient and therapist introject, interpersonal process, and differential psychotherapy outcome.
Henry, W. P., Schacht, T. E., & Strupp, H. H. (1990) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.58.6.768 · Cited by 366
Self-citationRounsaville, B. J. (1986) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-198610000-00014 · Cited by 201
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Therapist training: A critical review of skill training studies
Alberts, G. M., & Edelstein, B. A. (1990) · Clinical Psychology Review · doi:10.1016/0272-7358(90)90094-q · Cited by 84
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Miller, W. R., Yahne, C. E., Moyers, T. B., Martinez, J., & Pirritano, M. (2004) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.72.6.1050 · Cited by 1,075
Beidas, R. S., & Kendall, P. C. (2010) · Clinical Psychology: Science and Practice · doi:10.1111/j.1468-2850.2009.01187.x · Cited by 1,085
Safran, J. D., Muran, J. C., & Eubanks-Carter, C. (2011) · Psychotherapy · doi:10.1037/a0022140 · Cited by 823
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Nonresponse and Dropout Rates in Outcome Studies on PTSD: Review and Methodological Considerations
Schottenbauer, M. A., Glass, C. R., Arnkoff, D. B., Tendick, V., & Gray, S. H. (2008) · Psychiatry: Interpersonal and Biological Processes · doi:10.1521/psyc.2008.71.2.134 · Cited by 634
Metadata
- Authors
- Henry, W. P., Schacht, T. E., Strupp, H. H., Butler, S. F., & Binder, J. L.
- Affiliations
- Vanderbilt University (US)
- ORCID
- Butler, Stephen F.
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 1993
- Volume
- 61
- Issue
- 3
- Pages
- 441-447
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2025754500
- Cited by
- 204
- References
- 11
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2022: 3 · 2021: 3 · 2020: 5 · 2019: 4 · 2018: 5 · 2017: 6 · 2016: 3 · 2015: 9 · 2014: 7 · 2013: 5 · 2012: 12
- FWCI
- 10.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Digital Commons - East Tennessee State University (East Tennessee State University) (submittedVersion)
- Funders
- National Institutes of Health (5r01mh020369-18)
- National Institute of Mental Health (MH-20369)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Social Sciences › Psychology › Clinical Psychology › Counseling Practices and Supervision
- Keywords
- therapist training, manualized psychotherapy, Structural Analysis of Social Behavior, patient difficulties, multisite trials
- MeSH terms
- Adult, Mental Disorders, Clinical Competence, Education, Continuing, Female, Humans, Male, Middle Aged, Outcome and Process Assessment, Health Care, Personality Inventory, Professional-Patient Relations, Psychoanalytic Therapy, Psychotherapy, Brief
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