Identifying and developing therapeutic principles for trauma focused work in person-centred and emotion focused therapies

Research output: Contribution to journalArticle

Abstract

Background: The aim of this research was to identify facilitative therapeutic principles in person-centred and emotion-focused therapy for working with traumatised clients in the early stages of therapy. Methods: Four cases were selected from the Strathclyde Experiential Therapy for Social Anxiety archive: one good and one poor outcome case from each therapeutic approach. Outcomes were considered good and poor based on quantitative outcome measures. Each case met DSM-IV-TR diagnostic criteria for both PTSD and social anxiety. We developed a new method for the identification of therapeutic principles that offers an alternative to current approaches to competency identification. Our method uses a qualitative, bottom-up inductive process analysis. The first three sessions from each case were transcribed and independently analysed by two researchers (one blinded to the outcomes); the third researcher acted as consultant. The transcripts were analysed by focusing on session episode structure and treatment principles. Findings: Four trauma-focused therapist principles were identified: (a) support early relationship building/alliance formation; (b) facilitate client identification and recognition of past events as trauma experiences; (c) facilitate work on traumatic sources of current experiential and interpersonal difficulties; and (d) offer self-agency focused empathy. Conclusions: We conclude that our approach identifies and provides a new method for establishing person-centred experiential therapy principles for early trauma-focused work. Further research is recommended, and limitations are discussed.

LanguageEnglish
Pages497-507
Number of pages11
JournalCounselling and Psychotherapy Research
Volume19
Issue number4
Early online date11 Jun 2019
DOIs
Publication statusE-pub ahead of print - 11 Jun 2019

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Wounds and Injuries
Anxiety
Research Personnel
Therapeutics
Post-Traumatic Stress Disorders
Consultants
Secondary Prevention
Research
Diagnostic and Statistical Manual of Mental Disorders
Outcome Assessment (Health Care)
Emotion-Focused Therapy
Identification (Psychology)
Person-Centered Therapy

Keywords

  • psychotherapy change processes
  • humanistic-experiential psychotherapy
  • therapist principles

Cite this

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title = "Identifying and developing therapeutic principles for trauma focused work in person-centred and emotion focused therapies",
abstract = "Background: The aim of this research was to identify facilitative therapeutic principles in person-centred and emotion-focused therapy for working with traumatised clients in the early stages of therapy. Methods: Four cases were selected from the Strathclyde Experiential Therapy for Social Anxiety archive: one good and one poor outcome case from each therapeutic approach. Outcomes were considered good and poor based on quantitative outcome measures. Each case met DSM-IV-TR diagnostic criteria for both PTSD and social anxiety. We developed a new method for the identification of therapeutic principles that offers an alternative to current approaches to competency identification. Our method uses a qualitative, bottom-up inductive process analysis. The first three sessions from each case were transcribed and independently analysed by two researchers (one blinded to the outcomes); the third researcher acted as consultant. The transcripts were analysed by focusing on session episode structure and treatment principles. Findings: Four trauma-focused therapist principles were identified: (a) support early relationship building/alliance formation; (b) facilitate client identification and recognition of past events as trauma experiences; (c) facilitate work on traumatic sources of current experiential and interpersonal difficulties; and (d) offer self-agency focused empathy. Conclusions: We conclude that our approach identifies and provides a new method for establishing person-centred experiential therapy principles for early trauma-focused work. Further research is recommended, and limitations are discussed.",
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author = "David Murphy and Robert Elliott and Lorna Carrick",
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AU - Elliott, Robert

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N2 - Background: The aim of this research was to identify facilitative therapeutic principles in person-centred and emotion-focused therapy for working with traumatised clients in the early stages of therapy. Methods: Four cases were selected from the Strathclyde Experiential Therapy for Social Anxiety archive: one good and one poor outcome case from each therapeutic approach. Outcomes were considered good and poor based on quantitative outcome measures. Each case met DSM-IV-TR diagnostic criteria for both PTSD and social anxiety. We developed a new method for the identification of therapeutic principles that offers an alternative to current approaches to competency identification. Our method uses a qualitative, bottom-up inductive process analysis. The first three sessions from each case were transcribed and independently analysed by two researchers (one blinded to the outcomes); the third researcher acted as consultant. The transcripts were analysed by focusing on session episode structure and treatment principles. Findings: Four trauma-focused therapist principles were identified: (a) support early relationship building/alliance formation; (b) facilitate client identification and recognition of past events as trauma experiences; (c) facilitate work on traumatic sources of current experiential and interpersonal difficulties; and (d) offer self-agency focused empathy. Conclusions: We conclude that our approach identifies and provides a new method for establishing person-centred experiential therapy principles for early trauma-focused work. Further research is recommended, and limitations are discussed.

AB - Background: The aim of this research was to identify facilitative therapeutic principles in person-centred and emotion-focused therapy for working with traumatised clients in the early stages of therapy. Methods: Four cases were selected from the Strathclyde Experiential Therapy for Social Anxiety archive: one good and one poor outcome case from each therapeutic approach. Outcomes were considered good and poor based on quantitative outcome measures. Each case met DSM-IV-TR diagnostic criteria for both PTSD and social anxiety. We developed a new method for the identification of therapeutic principles that offers an alternative to current approaches to competency identification. Our method uses a qualitative, bottom-up inductive process analysis. The first three sessions from each case were transcribed and independently analysed by two researchers (one blinded to the outcomes); the third researcher acted as consultant. The transcripts were analysed by focusing on session episode structure and treatment principles. Findings: Four trauma-focused therapist principles were identified: (a) support early relationship building/alliance formation; (b) facilitate client identification and recognition of past events as trauma experiences; (c) facilitate work on traumatic sources of current experiential and interpersonal difficulties; and (d) offer self-agency focused empathy. Conclusions: We conclude that our approach identifies and provides a new method for establishing person-centred experiential therapy principles for early trauma-focused work. Further research is recommended, and limitations are discussed.

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