Clinicians' Perspectives on Negative Effects of Psychological Treatments
Open accessAbstract
Negative effects of psychological treatments is a fairly unexplored area of clinical research. Previous investigations have indicated that a portion of all patients experience negative effects in terms of deterioration and various adverse events. Meanwhile, evidence suggests that many clinicians are untrained in identifying negative effects and unaware of the current research findings. The objective of the current study is thus to investigate clinicians' own perspectives and experiences of possible negative effects of psychological treatments. An invitation to participate in an anonymous online survey consisting of 14 open-ended questions was distributed via three mailing lists used by clinicians that primarily identify themselves as cognitive behavior therapists. The responses were analyzed using a qualitative method based on thematic analysis. In total, 74 participants completed the survey. A majority agreed that negative effects of psychological treatments exist and pose a problem, and many reported having experienced both deterioration and adverse events among patients in their own practice. The thematic analysis resulted in three core themes: characteristics of negative effects, causal factors, as well as methods and criteria for evaluating negative effects. The clinicians recognize that negative effects exist, but many are unaware of the current research findings and are unfamiliar with methods and criteria for identifying and preventing deterioration and adverse events. The results provide evidence for further dissemination of the present knowledge regarding negative effects, particularly during basic clinical training, as well as the need for raising awareness of the available methods for identifying and preventing negative effects.
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We cannot rule out that the eHealth intervention may induce additional depression and anxiety in some patients.
“However, we cannot rule out that the eHealth intervention may induce additional depression and anxiety in some patients [38].”
From Efficacy and cost-effectiveness of a therapist-assisted web-based intervention for depression and anxiety in patients with ischemic heart disease attending cardiac rehabilitation [eMindYourHeart trial]: a randomised controlled trial protocol (2021) · cites this paper as [38]
In Results, under “Characteristics of negative effects” (page not provided), clinicians describe some patients deteriorating after psychological treatment and a temporary increase in anxiety during exposure therapy. The paper supports the general possibility of treatment-related worsening, but these passages do not establish that an eHealth intervention may induce additional depression and anxiety specifically. (LLM, conf=0.84)
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Cites
Using thematic analysis in psychology
Braun, V., & Clarke, V. (2006) · Qualitative Research in Psychology · doi:10.1191/1478088706qp063oa · Cited by 194,414 · see citing works
Introducing Qualitative Research in Psychology
Willig, C. (2001) · Cited by 3,012 · see citing works
Psychological Treatments That Cause Harm
Lilienfeld, S. O. (2007) · Perspectives on Psychological Science · doi:10.1111/j.1745-6916.2007.00029.x · Cited by 959 · see citing works
Is it time for clinicians to routinely track patient outcome? A meta-analysis
Lambert, M. J., Whipple, J. L., Hawkins, E. J., Vermeersch, D. A., Nielsen, S. L., & Smart, D. W. (2003) · Clinical Psychology: Science and Practice · doi:10.1093/clipsy.bpg025 · Cited by 608 · see citing works
HANDBOOK OF ABNORMAL PSYCHOLOGY
Eysenck, H. J. (1961) · The American Journal of the Medical Sciences · doi:10.1097/00000441-196111000-00034 · Cited by 575 · see citing works
A lab test and algorithms for identifying clients at risk for treatment failure.
Hannan, C. R., Lambert, M., Harmon, C., Nielsen, S. L., Smart, D., Shimokawa, K., & Sutton, S. (2005) · Journal of Clinical Psychology · doi:10.1002/jclp.20108 · Cited by 550 · see citing works
Negative effects from psychological treatments: a perspective
Barlow, D. H. (2010) · American Psychologist · doi:10.1037/a0015643 · Cited by 426 · see citing works
Linden, M. (2013) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.1765 · Cited by 397 · cited 2× · see citing works
“…of psychological treatments, novel symptoms, social stigmatization, interpersonal difficulties, and lowered self-esteem (Dimidjian & Hollon, 2010; Lilienfeld, 2007; Boisvert & Faust, 2003), while the criteria for assessing negative effects are still unclear, making it complicated for clinicians…”
BackgroundThe Effects of Psychological Therapy
(1980) · Elsevier eBooks · doi:10.1016/c2013-0-03226-4 · Cited by 394 · see citing works
Consensus statement on defining and measuring negative effects of internet interventions
Rozental, A., Andersson, G., Boettcher, J., Ebert, D. D., Cuijpers, P., Knaevelsrud, C., Ljótsson, B., Kaldo, V., Titov, N., & Carlbring, P. (2014) · Internet Interventions · doi:10.1016/j.invent.2014.02.001 · Cited by 371 · see citing works
Self-citationStrupp, H. H., & Hadley, S. W. (1977) · American Psychologist · doi:10.1037//0003-066x.32.3.187 · Cited by 336 · see citing works
Hatfield, D., McCullough, L., Frantz, S. H. B., & Krieger, K. (2010) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.656 · Cited by 321 · see citing works
How would we know if psychotherapy were harmful?
Dimidjian, S., & Hollon, S. D. (2010) · American Psychologist · doi:10.1037/a0017299 · Cited by 314 · see citing works
Enhancing psychotherapy outcomes via providing feedback on client progress: a replication
Lambert, M. J., Whipple, J. L., Vermeersch, D. A., Smart, D. W., Hawkins, E. J., Nielsen, S. L., & Goates, M. (2002) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.324 · Cited by 306 · see citing works
Outcome in psychotherapy: The past and important advances.
Lambert, M. J. (2013) · Psychotherapy · doi:10.1037/a0030682 · Cited by 286 · see citing works
Strupp, H. H., & Hadley, S. W. (1977) · American Psychologist · doi:10.1037/0003-066x.32.3.187 · Cited by 286 · see citing works
Some implications of psychotherapy research for therapeutic practice.
Bergin, A. E. (1966) · Journal of Abnormal Psychology · doi:10.1037/h0023577 · Cited by 254 · see citing works
Training implications of harmful effects of psychological treatments.
Castonguay, L. G., Boswell, J. F., Constantino, M. J., Goldfried, M. R., & Hill, C. E. (2010) · American Psychologist · doi:10.1037/a0017330 · Cited by 240 · see citing works
An Experiment in the Prevention of Delinquency: The Cambridge-Somerville Youth Study
Shalloo, J. P., Powers, E., & Witmer, H. L. (1952) · The Journal of Criminal Law Criminology and Police Science · doi:10.2307/1139954 · Cited by 217 · see citing works
The Elephant on the Couch: Side-Effects of Psychotherapy
Berk, M., & Parker, G. (2009) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/00048670903107559 · Cited by 216 · see citing works
Foa, E. B., & Emmelkamp, P. M. G. (1983) · UvA-DARE (University of Amsterdam) · Cited by 190 · see citing works
Kraus, D. R., Seligman, D. A., & Jordan, J. R. (2004) · Journal of Clinical Psychology · doi:10.1002/jclp.20084 · Cited by 131 · see citing works
Contemporary Views of Negative Effects in Psychotherapy: An Integrated Account
Hadley, S. W. (1976) · Archives of General Psychiatry · doi:10.1001/archpsyc.1976.01770110019001 · Cited by 126 · see citing works
Uncritical positive regard? Issues in the efficacy and safety of psychotherapy
Nutt, D. J., & Sharpe, M. (2008) · Journal of Psychopharmacology · doi:10.1177/0269881107086283 · Cited by 123 · see citing works
Iatrogenic Symptoms in Psychotherapy
Boisvert, C. M., & Faust, D. (2002) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.2002.56.2.244 · Cited by 93 · see citing works
Negative outcome in psychotherapy and what to do about it
Mays, D. T., & Franks, C. M. (1985) · Springer eBooks · Cited by 75 · see citing works
The need for expanded monitoring of adverse events in behavioral health clinical trials
Peterson, A. L., Roache, J. D., Raj, J., & Young-McCaughan, S. (2013) · Contemporary Clinical Trials · doi:10.1016/j.cct.2012.10.009 · Cited by 70 · see citing works
Negative treatment effects: Is it time for a black box warning?
Boisvert, C. M. (2010) · American Psychologist · doi:10.1037/a0020078 · Cited by 66 · see citing works
Boisvert, C. M., & Faust, D. (2006) · Professional Psychology Research and Practice · doi:10.1037/0735-7028.37.6.708 · Cited by 66 · see citing works
Boisvert, C. M., & Faust, D. (2003) · Professional Psychology Research and Practice · doi:10.1037/0735-7028.34.5.508 · Cited by 49 · see citing works
Contraindications and Dangers of Psychotherapy
Crown, S. (1983) · The British Journal of Psychiatry · doi:10.1192/bjp.143.5.436 · Cited by 48 · see citing works
Possible Detrimental Effects of Cognitive Behaviour Therapy for Chronic Fatigue Syndrome
Heins, M. J., Knoop, H., Prins, J. B., Stulemeijer, M., van der Meer, J. W. M., & Bleijenberg, G. (2010) · Psychotherapy and Psychosomatics · doi:10.1159/000315130 · Cited by 47 · see citing works
Parker, G. B., Fletcher, K., Berk, M., & Paterson, A. (2013) · Psychiatry Research · doi:10.1016/j.psychres.2012.11.026 · Cited by 45 · see citing works
McClay, C.-A., Waters, L., McHale, C., Schmidt, U. H., & Williams, C. J. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2083 · Cited by 37 · see citing works
Some implications of psychotherapy research for therapeutic practice.
Bergin, A. E. (1967) · PubMed · Cited by 34 · see citing works
Getting worse: Psychotherapy or no treatment—the jury should still be out.
Mays, D. T., & Franks, C. M. (1980) · Professional Psychology · doi:10.1037/0735-7028.11.1.78 · Cited by 26 · see citing works
FOR BETTER OR FOR WORSE? PSYCHOTHERAPY AND VARIANCE CHANGE: A CRITICAL REVIEW OF THE LITERATURE
May, P. R. A. (1971) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-197103000-00004 · Cited by 19 · see citing works
The therapist as a vital factor in side-effects of psychotherapy
Foulkes, P. (2010) · Australian & New Zealand Journal of Psychiatry · doi:10.3109/00048670903487274 · Cited by 19 · see citing works
When Things Get Worse: The Problem of Negative Effects in Psychotherapy
Strupp, H. H., Hadley, S. W., & Gomes-Schwartz, B. (1977) · Cited by 11 · see citing works
Binder, P., Moltu, C., Sagen, S. H., Hummelsund, D., & Holgersen, H. (2013) · Journal of Psychotherapy Integration · doi:10.1037/a0031420 · Cited by 10 · see citing works
Flagged first, then by citations
1 of the 42 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Internet interventions: Past, present and future
Andersson, G. (2018) · Internet Interventions · doi:10.1016/j.invent.2018.03.008 · Cited by 315 · see citing works
Self-citationRozental, A., Kottorp, A., Boettcher, J., Andersson, G., & Carlbring, P. (2016) · PLOS ONE · doi:10.1371/journal.pone.0157503 · Cited by 223 · see citing works
Self-citationUnwanted effects: is there a negative side of meditation? A multicentre survey
Cebolla, A., Demarzo, M., Martins, P., Soler, J., & Garcia-Campayo, J. (2017) · PLOS ONE · doi:10.1371/journal.pone.0183137 · Cited by 192 · see citing works
Rozental, A., Boettcher, J., Andersson, G., Schmidt, B., & Carlbring, P. (2015) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2015.1008033 · Cited by 189 · see citing works
Self-citationMirror exposure therapy for body image disturbances and eating disorders: A review
Griffen, T. C., Naumann, E., & Hildebrandt, T. (2018) · Clinical Psychology Review · doi:10.1016/j.cpr.2018.08.006 · Cited by 179 · see citing works
Rozental, A., Castonguay, L., Dimidjian, S., Lambert, M., Shafran, R., Andersson, G., & Carlbring, P. (2018) · BJPsych Open · doi:10.1192/bjo.2018.42 · Cited by 124 · see citing works
Self-citationExperiences of non-adherence to Internet-delivered cognitive behavior therapy: a qualitative study
Johansson, O., Michel, T., Andersson, G., & Paxling, B. (2015) · Internet Interventions · doi:10.1016/j.invent.2015.02.006 · Cited by 99 · see citing works
Self-citationDeterioration rates in Virtual Reality Therapy: An individual patient data level meta-analysis
Fernández-Álvarez, J., Rozental, A., Carlbring, P., Colombo, D., Riva, G., Anderson, P. L., Baños, R. M., Benbow, A. A., Bouchard, S., Bretón-López, J. M., et al. (2019) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2018.06.005 · Cited by 79 · see citing works
Self-citationNoorwali, R., Almotairy, S., Akhder, R., Mahmoud, G., Sharif, L., Alasmee, N., Mahsoon, A. N., & Hafez, D. A. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19052848 · Cited by 57 · see citing works
Schneider, S. C., Knott, L., Cepeda, S. L., Hana, L. M., McIngvale, E., Goodman, W. K., & Storch, E. A. (2020) · Depression and Anxiety · doi:10.1002/da.23000 · Cited by 48 · see citing works
Wiklund, T., Linton, S. J., Alföldi, P., & Gerdle, B. (2018) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-018-2020-z · Cited by 45 · see citing works
“There has been a growing interest in studying aversive events in non-pharmacological research in recent years [37].”
BackgroundAdverse events of group psychotherapy in the in‐patient setting – results of a naturalistic trial
Schneibel, R., Wilbertz, G., Scholz, C., Becker, M., Brakemeier, E.-L., Bschor, T., Zobel, I., & Schmoll, D. (2017) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.12747 · Cited by 43 · see citing works
Client perspectives on psychotherapy failure
Knox, S., Miller, C., Twidwell, R. E., & Knowlton, G. (2022) · Psychotherapy Research · doi:10.1080/10503307.2022.2110020 · Cited by 38 · see citing works
Jonsson, U., Johanson, J., Nilsson, E., & Lindblad, F. (2015) · Clinical Child Psychology and Psychiatry · doi:10.1177/1359104515614072 · Cited by 35 · see citing works
Geurtzen, N., Keijsers, G. P. J., Karremans, J. C., & Hutschemaekers, G. J. M. (2018) · Journal of Clinical Psychology · doi:10.1002/jclp.22574 · Cited by 33 · see citing works
Gerke, L., Meyrose, A.-K., Ladwig, I., Rief, W., & Nestoriuc, Y. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.02144 · Cited by 33 · see citing works
Negative effects in internet-based interventions for depression: a qualitative content analysis
Fenski, F., Rozental, A., Heinrich, M., Knaevelsrud, C., Zagorscak, P., & Boettcher, J. (2021) · Internet Interventions · doi:10.1016/j.invent.2021.100469 · Cited by 28 · see citing works
Self-citationContextualizing the negative effects of psychotherapy
Rosendahl, J., Klatte, R., Frenzl, D., Castonguay, L., Vybíral, Z., & Strauss, B. (2025) · Nature Reviews Psychology · doi:10.1038/s44159-025-00472-8 · Cited by 9 · see citing works
Clients' perceptions of unhelpful factors in CBT in IAPT serving a deprived area of the UK
Omylinska‐Thurston, J., McMeekin, A., Walton, P., & Proctor, G. (2019) · Counselling and Psychotherapy Research · doi:10.1002/capr.12249 · Cited by 27 · see citing works
Proctor, B. J., Moghaddam, N. G., Evangelou, N., & das Nair, R. (2018) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2018.07.006 · Cited by 26 · see citing works
Gullickson, K. M., Hadjistavropoulos, H. D., Dear, B. F., & Titov, N. (2019) · Internet Interventions · doi:10.1016/j.invent.2019.100278 · Cited by 26 · see citing works
Liu, T., Leung, D. K. Y., Lu, S., Kwok, W.-W., Sze, L., Tse, S. S.-K., Ng, S., Wong, P. W. C., LOU, V. W. Q., Tang, J. Y. ‐., et al. (2022) · Trials · doi:10.1186/s13063-022-06122-1 · Cited by 25 · see citing works
Pedersen, S. S., Andersen, C. M., Ahm, R., Skovbakke, S. J., Kok, R., Helmark, C., Wiil, U. K., Schmidt, T., Olsen, K. R., Hjelmborg, J., et al. (2021) · BMC Cardiovascular Disorders · doi:10.1186/s12872-020-01801-w · Cited by 24 · see citing works
Negative effects of psychotherapies: A systematic review
Paveltchuk, F. D. O., Mourão, S. E. D. Q. C., Keffer, S., da Costa, R. T., Nardi, A. E., & de Carvalho, M. R. (2021) · Counselling and Psychotherapy Research · doi:10.1002/capr.12423 · Cited by 18 · see citing works
Effective—and Tolerable: Acceptance and Side Effects of Intensified Exposure for Anxiety Disorders
Heinig, I., Knappe, S., Hoyer, J., Wittchen, H.-U., Richter, J., Arolt, V., Deckert, J., Domschke, K., Hamm, A., Kircher, T., et al. (2023) · Behavior Therapy · doi:10.1016/j.beth.2022.11.001 · Cited by 17 · see citing works
Kwan, B., Rickwood, D., & Brown, P. M. (2020) · Psychotherapy Research · doi:10.1080/10503307.2020.1829738 · Cited by 18 · see citing works
Nordin, M., Hlynsson, J. I., Eklund, J. H., & Carlbring, P. (2024) · Journal of Psychedelic Studies · doi:10.1556/2054.2024.00337 · Cited by 17 · see citing works
Self-citationSidani, S., & Epstein, D. R. (2016) · Research and theory for nursing practice · doi:10.1891/1541-6577.30.3.242 · Cited by 15 · see citing works
Hayes, D., Fleming, I., & Wolpert, M. (2015) · Current Treatment Options in Pediatrics · doi:10.1007/s40746-015-0037-1 · Cited by 14 · see citing works
Probst, T., Weise, C., Andersson, G., & Kleinstäuber, M. (2018) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2018.1476582 · Cited by 14 · see citing works
Self-citationBielinski, L. L., & Berger, T. (2020) · Counseling Psychology and Psychotherapy · doi:10.17759/cpp.2020280305 · Cited by 14 · see citing works
Muswerakuenda, F. F., Mundagowa, P., Madziwa, C., & Mukora-Mutseyekwa, F. (2023) · BMC Public Health · doi:10.1186/s12889-023-15633-8 · Cited by 13 · see citing works
Is psychotherapy for functional somatic syndromes harmful? A mixed methods study on negative effects
Holsting, A. F., Pedersen, H. F., Rask, M. T., Frostholm, L., & Schröder, A. (2017) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2017.05.010 · Cited by 13 · see citing works
Werbart, A., von Below, C., Engqvist, K., & Lind, S. (2018) · Psychotherapy Research · doi:10.1080/10503307.2018.1453621 · Cited by 14 · see citing works
Wittmann, L., Blomert, E., & Linden, M. (2023) · Psychotherapy Research · doi:10.1080/10503307.2023.2290029 · Cited by 12 · see citing works
Muschalla, B., Flöge, B., Brandenburgklinik, B., & Linden, M. (2020) · Psychiatria Danubina · doi:10.24869/psyd.2020.115 · Cited by 12 · see citing works
A routine outcome measure for youth mental health: Clinically interpreting MyLifeTracker
Kwan, B., & Rickwood, D. (2020) · Early Intervention in Psychiatry · doi:10.1111/eip.13016 · Cited by 13 · see citing works
Muschalla, B., Müller, J., Grocholewski, A., & Linden, M. (2023) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.13543 · Cited by 10 · see citing works
Exploring harm in psychotherapy: Perspectives of clinicians working with children and young people
Batic, B. C., & Hayes, D. (2020) · Counselling and Psychotherapy Research · doi:10.1002/capr.12347 · Cited by 10 · see citing works
Glanert, S., Sürig, S., Grave, U., Faßbinder, E., Schwab, S., Borgwardt, S., & Klein, J. P. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.644972 · Cited by 9 · see citing works
Participation in HIV Behavioral Research: Unanticipated Benefits and Burdens
Tross, S., Pinho, V., Lima, J. E., Ghiroli, M. M., Elkington, K. S., Strauss, D. H., & Wainberg, M. L. (2018) · AIDS and Behavior · doi:10.1007/s10461-018-2114-5 · Cited by 9 · see citing works
Geurtzen, N., Keijsers, G. P. J., Karremans, J. C., & Hutschemaekers, G. J. M. (2018) · Journal of Psychotherapy Integration · doi:10.1037/int0000150 · Cited by 8 · see citing works
Prevalence of Different Approaches to Clinical Hypnosis: Bridging Research and Practice
McCann, B. S. (2023) · International Journal of Clinical and Experimental Hypnosis · doi:10.1080/00207144.2023.2194934 · Cited by 9 · see citing works
Muschalla, B., Müller, J., Grocholewski, A., & Linden, M. (2022) · Psychotherapy and Psychosomatics · doi:10.1159/000524278 · Cited by 8 · see citing works
Unwanted effects: Is there a negative side of meditation? A multicentre surveyPreprint
Cebolla, A., Demarzo, M., García‐Campayo, J., & Soler, J. (2017) · doi:10.31231/osf.io/jc689 · Cited by 8 · see citing works
Glanaghy, E. M., Jackson, J.-L., Morris, P. G., Prentice, W. M., Dougall, N. J., & Hutton, P. (2021) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2648 · Cited by 7 · see citing works
Lawson, Z., & Farquharson, L. (2025) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.12578 · Cited by 6 · see citing works
Christensen, A. B., Svart, N., Bokelund, H., Reinholt, N., Eskildsen, A., Poulsen, S., Hvenegaard, M., Simonsen, E. H., & Arnfred, S. (2020) · Psychiatry · doi:10.1080/00332747.2020.1800292 · Cited by 6 · see citing works
de Pereira, A. R. Q., Borensztein, L., Corbella, V., & Marengo, J. C. (2018) · The International Journal of Psychoanalysis · doi:10.1080/00207578.2018.1533374 · Cited by 6 · see citing works
Westin, F., & Rozental, A. (2023) · Psychotherapy Research · doi:10.1080/10503307.2023.2259064 · Cited by 5 · see citing works
Self-citationBothe, T., Basedow, F., Kröger, C. B., & Enders, D. (2023) · Psychological Medicine · doi:10.1017/s0033291723003094 · Cited by 5 · see citing works
Dandachi‐FitzGerald, B., Otgaar, H., & Merckelbach, H. L. G. J. (2022) · Springer eBooks · doi:10.1007/978-3-031-14332-8_16 · Cited by 5 · see citing works
Lindegaard, T., Persson, L., Thorängen, M., & Rozental, A. (2024) · Psychotherapy Research · doi:10.1080/10503307.2024.2420717 · Cited by 4 · see citing works
Self-citationTherapists and psychotherapy side effects in China: A machine learning-based study
Yao, L., Xu, Z., Zhao, X., Chen, Y., Liu, L., Fu, X., & Chen, F. (2022) · Heliyon · doi:10.1016/j.heliyon.2022.e11821 · Cited by 4 · see citing works
Rodziński, P., Ostachowska, A., CYRANKA, K. M., Rutkowski, K., Sobański, J. A., Citkowska-Kisielewska, A., Dembińska, E., & Mielimąka, M. (2019) · Psychiatria Polska · doi:10.12740/pp/89795 · Cited by 4 · see citing works
Holt, R., & McLean, L. (2019) · Neuroethics · doi:10.1007/s12152-019-09398-4 · Cited by 3 · see citing works
Mejía-Castrejón, J., Sierra-Madero, J. G., Belaunzarán-Zamudio, P. F., Fresán, A., Molina-López, A., Álvarez-Mota, A. B., & Robles, R. (2023) · Psychotherapy Research · doi:10.1080/10503307.2023.2239448 · Cited by 3 · see citing works
Knox, S., Callender, K. A., Mak, T. W., Skaistis, S. M., & Knowlton, G. (2020) · Counselling Psychology Quarterly · doi:10.1080/09515070.2020.1843004 · Cited by 3 · see citing works
Putten, S., Kovács, G., van Dijke, A., Online poli’s I-psy psyQ Brijder, P. G., Noback, I., & Enders‐Slegers, M. (2021) · Applied Neuroscience and Mental Health · doi:10.31739/anamh.2021.1.2 · Cited by 3 · see citing works
Zur Definition und Erfassung von Kunstfehlern und Kunstfehlerfolgen in der Psychotherapie
Schwartze, D., & Strauss, B. M. (2018) · Trauma und Gewalt · doi:10.21706/tg-12-4-296 · Cited by 3 · see citing works
Rozental, A. (2016) · DiVA (Stockholm University) · Cited by 3 · see citing works
Self-citationA Grounded Theory Analysis of the Experience of Therapy in the Context of Negative Change
Hart, C., Boellinghaus, I., Holttum, S., Shepherd, M. A., O’Brien, C., & Salter, D. (2021) · SAGE Open · doi:10.1177/21582440211023198 · Cited by 2 · see citing works
Spencer, S. D., & McKay, D. (2025) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-025-01323-z · Cited by 2 · see citing works
Ethical Dimensions of Psychotherapy Side Effects
Linden, M. (2020) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780198817338.013.22 · Cited by 2 · see citing works
Psychometrische Validierung der deutschen Version des Care Dependency Questionnaire
Schwab, S., Geurtzen, N., Faßbinder, E., Glanert, S., Schaich, A., Assmann, N., Sürig, S., Borgwardt, S., & Klein, J. P. (2025) · Fortschritte der Neurologie · Psychiatrie · doi:10.1055/a-2600-3682 · Cited by 1 · see citing works
Deterioration in mental health: towards a conceptualization based on patients’ perspectives
Låver, J., McAleavey, A. A., Valaker, I., Øien, J.-M. T., & Moltu, C. (2026) · International Journal of Qualitative Studies on Health and Well-Being · doi:10.1080/17482631.2026.2644587 · Cited by 1 · see citing works
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Rozental, A., & Powers, M. B. (2023) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2023.2189794 · Cited by 1 · see citing works
Self-citationGülüm, İ. V. (2018) · Nesne Psikoloji Dergisi · doi:10.7816/nesne-06-13-09
Haupt, M.-L., & Linden, M. (2020) · Verhaltenstherapie · doi:10.1159/000505594
Alonso, C. (2020) · UEL Research Repository (University of East London) · doi:10.15123/uel.88851
Yao, L., Xu, Z., Zhao, X., Chen, Y., Liu, L., Fu, X., & Chen, F. (2021) · Research Square · doi:10.21203/rs.3.rs-1150073/v1
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Rozental, A. (2022) · doi:10.1093/med-psych/9780198867791.003.0006
Self-citation(2022) · Journal of Instructional Research · doi:10.9743/jir.2022.11.3
PENGARUH MEDITASI MELALUI APLIKASI RILIV TERHADAP TINGKAT KECEMASAN MAHASISWA
Rahmatullah, B., Basar, A. N. A., Hasgat, C., Putri, G. S., Tambunan, I. N., Mantika, S. H. A., & Faradiba, A. T. (2023) · PSYCHE Jurnal Psikologi · doi:10.36269/psyche.v5i1.971
Clinician and Client Reports of the Negative Effects of Neuropsychological Assessment for Dementia
Miller, N., Grinter, D. J., McGraw, D., Pritchett, R., & McLeod, H. J. (2025) · Journal of Geriatric Psychiatry and Neurology · doi:10.1177/08919887251407122
Houben, S. T. L., Backus, A. C. P., Merckelbach, H. L. G. J., & Dandachi‐FitzGerald, B. (2026) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.70209
Ertl, R., & von Wirth, E. (2026) · Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie · doi:10.1024/1422-4917/a001104
- Authors
- Bystedt, S., Rozental, A., Andersson, G., Boettcher, J., & Carlbring, P.
- Affiliations
- Stockholm University (SE)
- Linköping University (SE)
- Freie Universität Berlin (DE)
- Corresponding author
- Carlbring, Per
- Venue
- Cognitive Behaviour Therapy
- Publisher
- Informa UK Limited
- Published
- 2014-09-09
- Volume
- 43
- Issue
- 4
- Pages
- 319-331
- ISSN
- 1650-6073 (ISSN-L)
- 1651-2316
- PMC
- PMC4260663
- OpenAlex
- W2091383190
- Cited by
- 78
- References
- 42
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 2 · 2023: 9 · 2022: 9 · 2021: 9 · 2020: 12 · 2019: 4 · 2018: 14 · 2017: 4 · 2016: 3 · 2015: 4
- FWCI
- 4.34
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- Cognitive Behaviour Therapy (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- adverse events, treatment deterioration, clinicians' perspectives, clinical teaching, knowledge dissemination
- MeSH terms
- Adult, Aged, Attitude of Health Personnel, Female, Humans, Male, Middle Aged, Cognitive Behavioral Therapy, Treatment Outcome
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