Resolving a challenge to the therapeutic relationship: a single-case study.
The selection of a case of demonstrated change using a quantitative criterion preceded an exploration of possible change mechanisms in therapy. Between-session variations in the therapeutic relationship revealed by a quantitative measure prompted an intensive qualitative investigation of in-session events. Within these events, the study focused on challenges to the therapeutic relationship and their subsequent resolution. Understanding the resolution of such challenges to the relationship was guided by a rational model derived from the treatment rationale. A tentative account of the process of change is offered, and case replications are required to confirm and extend the findings.
Agnew
R M
RM
Department of Clinical Psychology, Leicester General Hospital, UK.
Harper
H
H
Shapiro
D A
DA
Barkham
M
M
D001008:Anxiety Disorders / Q000628:therapy*; D003866:Depressive Disorder / Q000628:therapy*; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008875:Middle Aged; D011369:Professional-Patient Relations; D011613:Psychotherapy