How Do Time Limits Affect Our Psychotherapies? A Literature Review
Rosa Maria De Geest1, Reitske Meganck1
1Ghent University, BE.
Psychologica Belgica
|July 23, 2019
Summary
Time-limited psychotherapy, restricted by session count, significantly impacts the therapeutic process. It creates pressure and expectancy effects, influencing therapist roles and therapy dynamics, rather than being a neutral intervention.
Area of Science:
- Psychology
- Psychotherapy Research
Background:
- Time limits in psychotherapy are common due to pragmatic and economic factors.
- The precise impact of time limits on the psychotherapeutic process remains unclear.
- Existing research on the mechanisms of time-limited therapy is fragmented.
Purpose of the Study:
- To investigate whether time limits alter the psychotherapeutic process.
- To understand the specific ways in which time limits influence therapy.
- To provide insight into the dynamics of time-restricted psychotherapy.
Main Methods:
- Systematic review of empirical studies.
- Searched databases including Web of Science and PubMed.
- Identified 28 studies examining processes within time-limited psychotherapy.
Main Results:
- Time limits exert pressure on the therapy process.
- An expectancy effect is created, with both positive and negative consequences.
- Therapists may adopt a more directive role in time-limited therapy.
- Time limits are not neutral but interact complexly with therapy processes.
Conclusions:
- Time-limited psychotherapy is an active intervention that significantly influences therapeutic dynamics.
- Further research is needed to identify optimal contexts for applying time limits.
- Understanding these mechanisms is crucial for effective psychotherapy practice.
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