Therapist directives: Use and outcomes in China

We examined relationships among the use of therapist directives, client implementation of directives, and outcome for 43 Chinese therapists and their 96 Chinese clients at a university counseling center in mid-China. The results showed that most directives reported by both therapists and clients ask...

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Bibliographic Details
Published in:Psychotherapy research 2012-07, Vol.22 (4), p.442-457
Main Authors: Duan, Changming, Hill, Clara, Jiang, Guangrong, Hu, Bo, Chui, Harold, Hui, Kayi, Liu, Jingqing, Yu, Lixia
Format: Article
Language:English
Subjects:
acceptability of directives
aceitabilidade das directivas
Adolescent
Adult
Akzeptanz von Anweisungen
aliança terapêutica
China
directivas do terapeuta
Directive Counseling - methods
Directive Counseling - statistics & numerical data
Female
Humans
Male
Mental Disorders - therapy
Patient Compliance - statistics & numerical data
Patient Satisfaction
Process Assessment (Health Care)
Professional-Patient Relations
Psychotherapy - methods
Psychotherapy - statistics & numerical data
resultado terapêutico
terapia na China
therapeutic outcome
therapeutische Allianz
therapeutische Anweisungen
Therapie in China
Therapieergebnis
therapist directives
therapy in China
Treatment Outcome
working alliance
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Summary:We examined relationships among the use of therapist directives, client implementation of directives, and outcome for 43 Chinese therapists and their 96 Chinese clients at a university counseling center in mid-China. The results showed that most directives reported by both therapists and clients asked clients to act on or think about intrapersonal or interpersonal issues. Chinese therapists reported giving fewer, but clients reported receiving a similar number of directives than was found in Scheel et al.'s (1999) American sample. Client-rated fit, difficulty, and therapist influence did not predict client implementation directly, nor did implementation predict client-rated outcome directly. Instead, quantity and acceptability of directives interacted in influencing client implementation and use of directives facilitated client-rated outcome through strengthening working alliance.
ISSN:1050-3307
1468-4381
DOI:10.1080/10503307.2012.664292