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Expectations and perception of the psychotherapy process and outcome. Psychotherapeutic factors and the psychodrama specificities in psychodrama group participants at a psychiatric hospital

Erwartungen und Wahrnehmungen bezüglich des psychotherapeutischen Prozesses und Effektes. Psychotherapeutische Faktoren und Psychodramaspezifitäten von TeilnehmerInnen einer Psychodramagruppe in einer psychiatrischen Klinik

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Zeitschrift für Psychodrama und Soziometrie Aims and scope

Abstract

In the present article of the Zeitschrift für Psychodrama und Soziometrie, the expectations (self-assessed at the beginning of the treatment) and perception (self-assessed upon the conclusion of the treatment) of the psychotherapy process and outcome, psychotherapeutic factors and psychodrama specificities are presented and analysed in a psychodrama group for adult participants held in an outpatient psychiatric clinic. There were 12 male and 31 female participants, aged from 19 to 63 years, diagnosed with anxiety, depression, and borderline personality disorder or committed into the hospital after their first psychotic episode. Questionnaires were applied at the beginning of the treatment and at the end. Results showed that the participants’ expectations regarding the psychotherapy process and outcomes were quite high at the beginning of the treatment and rose significantly at the end. The same was true of the participants’ expectations and perception of the specificities of psychodrama—demonstrating the participants’ positive inclination towards this specific psychotherapeutic way of conducting psychodrama. Even though there were no age or gender differences, there were, differences between participants’ different diagnoses; there were significant differences in the expectations of both psychotherapy outcome and factors before treatment and perceptions of them after treatment.

Zusammenfassung

In dem vorliegenden Artikel der Zeitschrift für Psychodrama und Soziometrie werden Erwartungen und Wahrnehmungen des Psychotherapieprozesses und der Effekte sowie psychotherapeutische Faktoren und Psychodramaspezifitäten in der Psychodramagruppe für erwachsene Teilnehmer einer ambulanten psychiatrischen Klinik vorgestellt und analysiert. Es gab 12 männliche und 31 weibliche TeilnehmerInnen im Alter von 19 bis 63 Jahren, bei denen Angstzustände, Depressionen, Borderline-Persönlichkeitsstörungen diagnostiziert wurden oder die nach ihrer ersten psychotischen Episode ins Krankenhaus eingeliefert wurden. Die Fragebögen wurden zu Beginn und am Ende der Behandlung angewendet. Die Ergebnisse zeigen, dass die Erwartungen der TeilnehmerInnen an dem Psychotherapieprozess und den Effekten zu Beginn der Behandlung recht hoch sind und am Ende sogar deutlich steigen. Gleiches gilt für die Erwartungen und Wahrnehmungen von Psychodramaspezifitäten durch die TeilnehmerInnen – möglicherweise zeigt dies die positive Neigung der TeilnehmerInnen zur spezifischen Art und Weise, einen psychotherapeutischen Prozess im Psychodrama durchzuführen. Obwohl es keine Alters- oder Geschlechtsunterschiede gibt, gab es zwischen TeilnehmerInnen mit unterschiedlichen Diagnosen signifikante Unterschiede in den Erwartungen an das Psychotherapieergebnis vor und nach der Behandlung sowie in der Erwartung hinsichtlich psychotherapeutischer Faktoren vor der Behandlung.

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References

  • Ardito, R. B., & Rabellino, D. (2011). Therapeutic alliance and outcome of psychotherapy: Historical excursus, measurements, and prospects for research. Frontiers in Psychology, 2, 270. https://doi.org/10.3389/fpsyg.2011.00270.

    Article  PubMed  PubMed Central  Google Scholar 

  • Benjamin, L. S., & Karpiak, C. P. (2001). Personality disorders. Psychotherapy: Theory, Research, & Practice, 38, 487–491. https://doi.org/10.1037/0033-3204.38.4.487.

    Article  Google Scholar 

  • Blatner, A. (2000). Foundations of psychodrama. New York: Springer.

    Google Scholar 

  • Blatner, A. (2007). Morenian approaches: recognising psychodrama’s many facets. Journal of Group Psychotherapy, Psychodrama and Sociometry, 59(4), 159–170.

    Article  Google Scholar 

  • Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy, 16, 252–260. https://doi.org/10.1037/h0085885.

    Article  Google Scholar 

  • Clark, A. J. (1993). Interpretation in group counselling: theoretical and operational issues. The Journal for Specialists in Group Work, 18, 174–181. https://doi.org/10.1080/01933929308413752.

    Article  Google Scholar 

  • Crouch, E. C., Bloch, S., & Wanlass, J. (1994). Therapeutic factors: Interpersonal and intrapersonal mechanisms. In A. Fuhriman & G. Burlingame (Eds.), Handbook of group psychotherapy (pp. 269–315). New York: Wiley.

    Google Scholar 

  • D’Aniello, C., & Tambling, R. B. (2017). The Effect of Expectations on Intention to Persist in Therapy. The American Journal of Family Therapy, 45(1), 37–50. https://doi.org/10.1080/01926187.2016.1223568.

    Article  Google Scholar 

  • Dayton, T. (1994). The drama within: psychodrama and experiential therapy. Florida: Health Communications.

    Google Scholar 

  • DeLucia-Waack, J. (1996). Multiculturalism is inherent in all group work. The Journal for Specialists in Group Work, 21, 218–223.

    Article  Google Scholar 

  • Flowers, J. V. (1987). Client outcome as a function of agreement or disagreement with the modal group perception of curative factors in short-term, structured group psychotherapy. International Journal of Group Psychotherapy, 37, 113–117.

    Article  Google Scholar 

  • Freud, S. (1913). On the beginning of treatment (Further recommendations on the technique of psychoanalysis I). In J. Strachey (Ed.), (pp. 122–144). London: Hogarth, Standard Edition of the Complete Psychological Works of S. Freud, Volume XII (1911–1913).

  • Fuhriman, A., Drescher, S., Hanson, E., Henrie, R., & Rybicki, W. (1986). Refining the measurement of curativeness: an empirical approach. Small Group Behavior, 17, 186–201.

    Article  Google Scholar 

  • Gillaspy, J. A., Wright, A. R., Campbell, C., Stokes, S., & Adinoff, B. (2002). Group alliance and cohesion as predictors of drug and alcohol abuse treatment outcomes. Psychotherapy Research, 12(2), 213–229.

    Article  Google Scholar 

  • Goldberg, F. S., McNiel, D. E., & Binder, R. L. (1988). Therapeutic factors in two forms of inpatient group psychotherapy: music therapy and verbal therapy. Group, 12(3), 145–156.

    Article  Google Scholar 

  • Havsteen-Franklin, D., Haeyen, S., Grant, C., & Karkou, V. (2018). A thematic synthesis of therapeutic actions in arts therapies and their perceived effects in the treatment of people with a diagnosis of Cluster B personality disorder. The Arts in Psychotherapy. https://doi.org/10.1016/j.aip.2018.10.001.

    Article  Google Scholar 

  • Horvath, A. O., & Greenberg, L. S. (1989). Development and validation of the working alliance inventory. Journal of Counseling Psychology, 36(2), 223–233.

    Article  Google Scholar 

  • Horvath, A. O., & Luborsky, L. (1993). The role of the therapeutic alliance in psychotherapy. Journal of Consulting and Clinical Psychology, 61(4), 561–573.

    Article  Google Scholar 

  • Johnson, I. H., Torres, J. S., Coleman, V. D., & Smith, M. C. (1995). Issues and strategies in leading culturally diverse counseling groups. The Journal for Specialists in Group Work, 20, 143–150.

    Article  Google Scholar 

  • Kail, R. V., & Cavanaugh, J. C. (2010). Human development—a life-span view. Wadsworth: Belmont.

    Google Scholar 

  • Kellerman, P. F. (1987). Psychodrama participants’ perception of therapeutic factors. Small Group Behavior, 18, 408–419.

    Article  Google Scholar 

  • Lambert, M. J., & Barley, D. E. (2001). Research summary on the therapeutic relationship and psychotherapy outcome. Psychotherapy, 38(4), 357–361.

    Article  Google Scholar 

  • Lingiardi, V., Filippucci, L., & Baiocco, R. (2005). Therapeutic alliance evaluation in personality disorders psychotherapy. Psychotherapy Research, 15(1–2), 45–53. https://doi.org/10.1080/10503300512331327047.

    Article  Google Scholar 

  • Luborsky, L. (1976). Helping alliances in psychotherapy: the groundwork for a study of their relationship to its outcome. In J. L. Cleghorn (Ed.), Successful psychotherapy (pp. 92–116). New York: Brunner/Mazel.

    Google Scholar 

  • Marcovitz, R. J., & Smith, J. E. (1983). Patients’ perceptions of curative factors in short-term group psychotherapy. International Journal of Group Psychotherapy, 33, 21–39.

    Article  Google Scholar 

  • McLeod, J., & Ryan, A. (1993). Therapeutic factors experienced by members of an outpatient therapy group for older women. British Journal of Guidance & Counselling, 21, 64–72.

    Article  Google Scholar 

  • Meillo, J. (1991). Issues of milieu therapy: psychodrama as a contribution to the treatment of a case of anorexia nervosa. In P. Holmes & M. Karp (Eds.), Psychodrama: Inspiration and technique (pp. 137–153). London: Tavistock/Routledge.

    Google Scholar 

  • Moreno, J. L. (1983). The theatre of spontaneity. Ambler: Beacon House.

    Google Scholar 

  • Norberg, M. M., Wetterneck, C. T., Sass, D. A., & Kanter, J. W. (2011). Development and psychometric evaluation of the Milwaukee Psychotherapy Expectations Questionnaire. Journal of Clinical Psychology, 67(6), 574–590. https://doi.org/10.1002/jclp.20781.

    Article  PubMed  Google Scholar 

  • Pinsof, W. M., & Catherall, D. R. (1986). The integrative psychotherapy alliance: family, couple and individual therapy scales. Journal of Marital and Family Therapy, 12, 137–151.

    Article  Google Scholar 

  • Porges, S. W. (2007). The polyvagal perspective. Biological Psychology, 74(2), 116–143. https://doi.org/10.1016/j.biopsycho.2006.06.009.

    Article  PubMed  Google Scholar 

  • Prosen, S. (2016). Psychodrama in the group of patients diagnosed with eating disorders. Zeitschrift für Psychodrama und Soziometrie, 15(1), 131–141. https://doi.org/10.1007/s11620-015-0305-x.

    Article  Google Scholar 

  • Prosen, S., & Jendričko, T. (2014). Psychodrama Specificities Questionnaire. unpublished material.

  • Safran, J. D., & McMain, S. (1990). Therapeutic alliance rupture as therapy event for empirical investigation. Psychotherapy Theory Research & Practice, 27(2), 154–165.

    Article  Google Scholar 

  • Siegel, D. J. (1999). The developing mind. New York, London: Guilford.

    Google Scholar 

  • Strupp, H. H. (2001). Implications of the empirically supported treatment movement for psychoanalysis. Psychoanal. Dialogues, 11, 605–619.

    Article  Google Scholar 

  • Strupp, H. H., & Hadley, S. W. (1979). Specific versus non-specific factors in psychotherapy: a controlled study of outcome. Archives in General Psychiatry, 36, 1125–1136.

    Article  Google Scholar 

  • Yalom, I., & Leszcz, M. (2005). The theory and practice of group psychotherapy (5th edn.). New York: Basic Books.

    Google Scholar 

  • Zilcha-Mano, Z., Roose, S. P., Brown, P. J., & Rutherford, B. R. (2019). Not just nonspecific factors: the roles of alliance and expectancy in treatment, and their neurobiological underpinnings. Frontiers of Behavioral Neuroscience, 12, 293.

    Article  Google Scholar 

  • Zupančič, M., Komidar, L., & Levpušček, P. M. (2014). Individuation in Slovene emerging adults: Its associations with demographics, transitional markers, achieved criteria for adulthood, and life satisfaction. Journal of Adolescence, 37(8), 1421–1433. https://doi.org/10.1016/j.adolescence.2014.03.014.

    Article  PubMed  Google Scholar 

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Correspondence to Tihana Jendričko M.D., PhD.

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Jendričko, T., Prosen, S. Expectations and perception of the psychotherapy process and outcome. Psychotherapeutic factors and the psychodrama specificities in psychodrama group participants at a psychiatric hospital. Z Psychodrama Soziom 19 (Suppl 1), 101–115 (2020). https://doi.org/10.1007/s11620-020-00565-x

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