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Therapists' documentation of change in clients' problems and relationships in long-term psychotherapy

Stephane Isha Jacobus, University of Massachusetts Amherst

Abstract

Clinical reports about clients in psychotherapy have been greatly under-utilized as research data about the psychotherapy process. In this exploratory study, reports from a training clinic about clients in long-term therapy were studied to address two main topics: the nature and extent of descriptions of change in romantic relationships during therapy, and the documentation of problem reformulation over the course of therapy. Findings indicate that within the wealth of clinical material in such reports, specific documentation of these two main topics can be identified. Most cases did reveal changes or transition points in romantic relationships for the set of ninety-two cases analyzed. In addition, specific ways that clients' presenting problems changed over the course of therapy were detailed for a subset of cases. Gender differences in some areas, as well as overall implications for psychotherapy practice and research were discussed.

Subject Area

Psychotherapy

Recommended Citation

Jacobus, Stephane Isha, "Therapists' documentation of change in clients' problems and relationships in long-term psychotherapy" (1994). Doctoral Dissertations Available from Proquest. AAI9420635.
https://scholarworks.umass.edu/dissertations/AAI9420635

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