An exploration of therapist and patient factors and their relationship to outcome in "2+1" brief therapy

Rudkin, Angharad (2002). An exploration of therapist and patient factors and their relationship to outcome in "2+1" brief therapy. PhD thesis The Open University.

DOI: https://doi.org/10.21954/ou.ro.0000d387

Abstract

Introduction: the area of process research has identified differences in the process of CB and PI therapy and has highlighted factors which contribute to outcome. The present research aimed to explore three factors, therapist focus, client experiencing and client cognitive change, in very brief 2+1 therapy, and explore their relation to immediate outcome as measured by the assimilation scale.

Method: intensive quantitative analyses of eight cases receiving 2+1 therapy was carried out. Four cases received CB therapy, four received PI therapy. Two of each showed 'good' and 'poor' outcome. Ten excerpts, rated in a previous project as significant, were used as items of analysis.

Results: PI therapists focused more than CB therapists on 'Constructing Meaning' (CM). Good outcome PI therapy showed a greater emphasis than poor outcome PI therapy on CM. PI therapy clients had higher levels of experiencing, which increased over therapy. Good outcome PI therapy was associated with higher EXP levels, good outcome CB therapy with lower levels of EXP. Good outcome CB clients had fewer negative selfstatements. Movement on the assimilation model was associated with increased EXP levels in PI and fewer negative self-statements in CB therapy.

Discussion: results supported previous findings of differences in the process of CB and PI therapy. The mechanism of change in very brief CB and PI therapy are discussed, followed by implications for clinical practice and future research. Overall, findings suggest a picture of the process of therapy which may contribute to the clarification of the complex nature of change in psychotherapy and what is meant by therapeutic change.

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