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Therapist response modes in prescriptive vs. exploratory psychotherapy.

G E Hardy, D A Shapiro

    The British Journal of Clinical Psychology
    |November 1, 1985
    PubMed
    Summary
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    Therapists adapt their verbal responses based on therapy type. Cognitive behavioral therapy involves more questions and information, while relationship-oriented therapy uses more interpretation and exploration.

    Area of Science:

    • Psychology
    • Psychotherapy Research

    Background:

    • Therapist verbal response modes are crucial in psychotherapy.
    • Understanding how different therapeutic approaches influence therapist behavior is essential for effective treatment.

    Purpose of the Study:

    • To compare therapists' verbal response modes across two distinct psychotherapy types: exploratory, relationship-oriented therapy and prescriptive, cognitive/behavioral therapy.
    • To determine if observed differences are attributable to treatment techniques rather than therapist or client characteristics.

    Main Methods:

    • A crossover design was employed with 27 clients, each receiving both therapy types from the same therapist.
    • Therapist verbal responses were systematically analyzed and compared between the two treatment conditions.

    Related Experiment Videos

    Main Results:

    • Therapists used significantly more interpretation and exploration in relationship-oriented therapy.
    • Therapists asked more closed and open questions, and provided more advisements and information during cognitive/behavioral therapy.
    • Therapists were more verbally active overall in the prescriptive, cognitive/behavioral therapy, with differences ranging from twofold to sixfold for specific response modes.

    Conclusions:

    • Therapist verbal behavior is significantly influenced by the specific psychotherapy modality being practiced.
    • Observed differences in therapist verbal response modes are attributable to the treatment techniques prescribed by the therapy manuals, not to individual therapist or client differences.