Cited by 0Psychological Treatments and AssessmentsCounseling, Therapy, and Family DynamicsPsychotherapy Techniques and Applications

The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index; none of the 37 sources its claims cite is checked for support yet.

The Use of Outsider Witness Practice in Narrative Therapy in Group Counseling: A Mixed Method Study

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Kurtuluş, Emin, Düşünceli, Betül·2026·Türk Psikolojik Danışma ve Rehberlik Dergisi

Abstract

Fear of negative evaluation is an important risk factor for adolescents’ social anxiety and psychological well-being. However, intervention studies focusing on post-modern approaches such as Narrative therapy are limited. This mixed-methods study used a sequential explanatory intervention design to examine the effectiveness of group counseling with and without outsider witness practice in Narrative therapy. The study group consisted of 24 adolescents assigned to experimental group 1, experimental group 2, and the control group. Quantitative data were collected using the Fear of Negative Evaluation Scale, and qualitative data were obtained through semi-structured interviews. Both experimental groups showed significant reductions in fear of negative evaluation from pre-test to post-test, and these reductions were maintained at the 10-week follow-up. In contrast, the control group showed no significant change. No statistically significant difference was found between the two intervention conditions. Qualitative findings across the two intervention groups indicated participant-reported improvements in self-awareness, recognition of shared experiences, coping, and sustained benefits. Taken together, the findings suggest that narrative therapy-based group counseling may help reduce adolescents’ fear of negative evaluation. However, the present findings do not demonstrate an additional effect of outsider witness practice beyond narrative therapy-based group counseling without this practice.

Overview

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TL;DR

This mixed-methods intervention study found that narrative therapy-based group counseling significantly reduced adolescents’ fear of negative evaluation, with gains maintained at 10-week follow-up, but adding outsider witness practice did not produce a statistically significant additional benefit. Qualitative interviews in both intervention groups described perceived cognitive, relational, emotional, and coping benefits.

Key findings

  • Both narrative therapy-based groups showed significant pre-test to post-test reductions in Fear of Negative Evaluation Scale scores: experimental group 1 fell from 48.88 to 30.88 and experimental group 2 from 47.38 to 28.88; at follow-up these were 29.00 and 24.50, respectively. The control group changed only from 47.38 to 44.88 at post-test and 44.38 at follow-up.
  • Repeated-measures ANOVA showed significant effects for intervention, \(F(2,21)=12.784, p<.05, \eta^2=.549\); time, \(F(2,42)=63.517, p<.05, \eta^2=.752\); and intervention × time, \(F(4,42)=10.487, p<.05, \eta^2=.500\).
  • Bonferroni comparisons showed both experimental groups differed significantly from the control group, but experimental group 1 and experimental group 2 did not differ significantly from each other (mean difference +2.67, \(p=1.000\)).
  • Qualitative analysis after intervention produced 3 themes and 10 subthemes; follow-up produced 3 themes and 6 subthemes. All 16 participants in the two intervention groups reported at least one positive effect after intervention and at least one continuing positive effect at follow-up.

Methods

  • Sequential explanatory mixed-method intervention design with a phenomenological qualitative strand. Participants were 24 10th- and 11th-grade adolescents, randomly assigned to experimental group 1, experimental group 2, or control, with 8 participants per group; each group had 1 male and 7 female adolescents, ages 16–17.
  • Screening administered the Fear of Negative Evaluation Scale to 454 students; 71 students scoring between +1 and +2 SD above the mean were identified, and 24 volunteers with parental consent and adolescent assent were included.
  • Experimental group 1 received narrative therapy-based group counseling with outsider witness practice; experimental group 2 received narrative therapy-based group counseling without outsider witness practice; the control group received no intervention. Quantitative data were analyzed with one-way ANOVA, repeated-measures ANOVA, and Bonferroni comparisons; qualitative data came from semi-structured interviews after intervention and at 10-week follow-up, analyzed descriptively, with expert review agreement of 89%.

Limitations

  • The paper states that each group had only 8 participants, limiting statistical power to detect differences between the two active intervention conditions; the nonsignificant difference between experimental groups should not be interpreted as equivalence.
  • The paper states that participants came from a single high school in Türkiye, had a restricted age range, and included substantially more female than male adolescents, limiting generalizability.
  • The paper states that the same researcher delivered both interventions, conducted interviews, transcribed recordings, and completed initial coding; qualitative data from both intervention groups were analyzed within a shared thematic framework, so findings cannot isolate effects uniquely attributable to outsider witness practice. The follow-up was limited to 10 weeks, and fear of negative evaluation was assessed primarily through self-report.

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Crossref · 10.17066/tpdrd.1950394

Cites

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    The stress caused by adaptation to secondary education and preparation for the university exam may affect fear of negative evaluation.

    “The reason for this is the possibility that the stress caused by adaptation and the exam may affect the fear of being evaluated negatively.”
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  • Consistentχ²(52) = 103.71reported p < .05 · recomputed p < .001

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Citations

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Research works printed but not linked: 12

  1. Ahad, N. A., Yin, T. S., Othman, A. R., & Yaacob, C. R. (2011). Sensitivity of normality tests to non-normal data. Sains Malaysiana, 40(6), 637-641. https://journalarticle.ukm.my/2511/
  2. Başol, G., Demir, Y., Aldemir, A., & Çakan, O. (2017). Identification or individualization: mothers’ role in adolescent girls’ self-perception. International Journal of Turkish Education Sciences, 2017(9), 141-164. https://dergipark.org.tr/en/pub/goputeb/issue/34356/379945
  3. Beidel, D.C. (1998). Social anxiety disorder: etiology and early clinical presentation, Journal of Clinical Psychiatry, 59(17), 27-32. https://europepmc.org/article/med/9811427
  4. Creswell, J. W. (2015). A concise introduction to mixed methods research. Sage Publications.
  5. Dyck, T. (2000). Narrative therapy with individual adults (Master Thesis). National Library of Canada.
  6. George, D., & Mallery, M. (2010). SPSS for Windows step by step: A simple guide and reference, 17.0 update. Boston: Pearson
  7. Hooper, D., Coughlan, J., & Mullen, M. R. (2008). Structural equation modelling: Guidelines for determining model fit. Electronic Journal of Business Research Methods, 6(1), 53-60. https://www.researchgate.net/publication/254742561_Structural_Equation_Modeling_Guidelines_for_Determining_Model_Fit
  8. İncir, Z. V. (2019). Narrative therapy and search for meaning in spiritual counseling (Master Thesis). Turkish Council of Higher Education, Thesis Center (No: 583390).
  9. Kurtuluş, E. (2022). Solution focused and narrative therapy family/couple counseling. In M. Kaya (Ed.), Family and couple counseling (pp. 229-256). Nobel.
  10. Parry, A., & Doan, R. E. (1994). Story re-visions: Narrative therapy in the post-modern world. Guilford Press.
  11. Steinberg, L. (2016). Adolescence. McGraw‐Hill.
  12. Uğur, E. (2018). Effectiveness of acceptance and commitment therapy oriented psychoeducational program on fear of negative evaluation (Doctoral thesis). Turkish Council of Higher Education, Thesis Center (No: 517328)

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Metadata

Authors
Kurtuluş, E., & Düşünceli, B.
Affiliations
  • Mi̇lli̇ Eği̇ti̇m Bakanliği (TR)
  • Sakarya University (TR)
Venue
Türk Psikolojik Danışma ve Rehberlik Dergisi
Published
2026-09-29
Volume
16
Issue
82
Pages
631-647
ISSN
1302-1370 (ISSN-L)
OpenAlex
W7214757928
Cited by
0
References
21
FWCI
0.00
Type
journal article
Language
en
Open access
Locations
  • Türk Psikolojik Danışma ve Rehberlik Dergisi (publishedVersion)
  • DergiPark (Istanbul University) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
  • Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords
narrative therapy, group counseling, fear of negative evaluation, social anxiety, adolescents, psychological well-being, self-awareness, coping

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