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Gepubliceerd in:

01-04-2009 | Original Article

The Effects of Inaccurate Expectations on Experiences with Psychotherapy

Auteurs: Laura D. Seligman, Lisa A. Wuyek, Andrew L. Geers, Joseph D. Hovey, Rebecca L. Motley

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 2/2009

Abstract

Inaccurate expectations have been shown to negatively affect patients’ experiences with medical treatments; however, much less is known about the effects of inaccurate expectations on patients’ experiences with psychotherapy. This may be particularly important at the current time because, while many cultural outlets depict either nondirective or psychodynamic therapy, the majority of empirically supported treatments are guided by cognitive behavioral theory. Two studies examined (1) current expectations for psychological treatment and (2) the effects of accurate versus inaccurate expectations on students undergoing either cognitive behavioral therapy (CBT) or nondirective therapy for nonclinical academic problems. Results from Study 1 suggest that people presenting for psychotherapy may be unlikely to expect the specific tasks and goals common to many CBTs. Results from Study 2 demonstrate negative effects of inaccurate expectations on affective reactions to treatment regardless of the type of treatment received. The implications for dissemination of empirically supported CBTs are discussed.

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Responses given by those who had previous therapy experience (and those who did not indicate whether they had previous therapy experience) were duplicated in responses given by the treatment naive students; therefore, no distinction is made between these groups when reporting results.

The Welch-Satterthwaite solution, with adjusted degrees of freedom, is reported because the variances for the two groups were determined to be significantly different. This is due to the influence of two outliers in the group of participants who did not attend the first therapy session.

Session one attendance was not included in these analyses because only participants who attended session one were exposed to the full manipulation (i.e., a match or mismatch between expectations and treatment).

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Titel: The Effects of Inaccurate Expectations on Experiences with Psychotherapy
Auteurs: Laura D. Seligman
Lisa A. Wuyek
Andrew L. Geers
Joseph D. Hovey
Rebecca L. Motley
Publicatiedatum: 01-04-2009
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 2/2009
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-007-9174-6

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