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Gepubliceerd in:

12-03-2018 | ORIGINAL PAPER

The Relationships among Clinician Self-Report of Empathy, Mindfulness, and Therapeutic Alliance

Auteurs: Hugh D. Leonard, Kendra Campbell, Vivian M. Gonzalez

Gepubliceerd in: Mindfulness | Uitgave 6/2018

Abstract

The current study explored the potential benefits of clinician mindfulness within the therapeutic relationship by investigating the mediating effects of self-reported empathy on the relationship between mindfulness and clinician-reported therapeutic alliance. This study sampled from licensed clinicians though professional psychology list serves (n = 96; 89% doctoral level psychologists) actively working in a clinician’s role. Participants completed an online survey battery assessing trait mindfulness, clinician empathy, and therapeutic alliance. A mediation model correlational analysis utilizing PROCESS bootstrapping analysis software macro was used. It was found that personal distress empathy partially mediated the relationship between clinician mindfulness and therapeutic alliance. Results indicated that clinicians who reported higher amounts of mindfulness are less likely to experience negative emotions when their clients experience negative emotions, thus potentially reducing the likelihood of experiencing emotional contagion, which in turn is related to higher levels of perceived therapeutic alliance. The findings of this study, if confirmed in future ecological research, may indicate that mindfulness may serve as a protective factor of experiencing client’s negative emotions, thus facilitating therapeutic alliance and effectiveness.

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Aiken, G. A. (2006). The potential effect of mindfulness meditation on the cultivation of empathy in psychotherapy: a qualitative inquiry. Dissertation Abstracts International, Section B: Sciences and Engineering, 67, 2212.

American Psychological Association. (2017). Ethical principles of psychologists and code of conduct (2002, Amended January 1, 2017). Retrieved from http://www.apa.org/ethics/code/

Astin, J. A. (1997). Stress reduction through mindfulness meditation: effects on psychological symptomatology, sense of control, and spiritual experiences. Psychotherapy and Psychosomatics, 66, 97–106. https://doi.org/10.1159/000289116. CrossRefPubMed

Baer, R. A., Smith, G. T., & Allen, K. B. (2004). Assessment of mindfulness by self-report: The Kentucky inventory of mindfulness skills. Assessment, 11, 191–206. https://doi.org/10.1177/1073191104268029. CrossRefPubMed

Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self- report assessment methods to explore facets of mindfulness. Assessment, 13, 27–45. https://doi.org/10.1177/1073191105283504. CrossRefPubMed

Beutler, L. E. (2004). The empirically supported treatments movement: a scientist-practitioner’s response. Clinical Psychology: Science and Practice, 11, 225–229. https://doi.org/10.1093/clipsy.bph076. CrossRef

Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research & Practice, 16, 252–260. CrossRef

Boswell, J. F., Nelson, D. L., Nordberg, S. S., McAleavey, A. A., & Castonguay, L. G. (2010). Competency in integrative psychotherapy: perspectives on training and supervision. Psychotherapy: Theory, Research, Practice, Training, 47, 3–11. https://doi.org/10.1037/a0018848. CrossRef

Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822–848. https://doi.org/10.1037/0022-3514.84.4.822. CrossRefPubMed

Bruce, N. G., Manber, R., Shapiro, S. L., & Constantino, M. J. (2010). Psychotherapist mindfulness and the psychotherapy process. Psychotherapy: Theory, Research, Practice, Training, 47, 83–97. https://doi.org/10.1037/a0018842. CrossRef

Campbell, J. C., & Christopher, J. C. (2012). Teaching mindfulness to create effective counselors. Journal of Mental Health Counseling, 34, 213–226. CrossRef

Castonguay, L. G., & Beutler, L. E. (Eds.). (2006). Principles of therapeutic change that work. New York: Oxford University Press.

Celen, C. (2014). Therapist characteristics as predictors of the working alliance: therapist trait empathy and therapist complex thinking. Dissertation Abstracts International: Section B: The Sciences and Engineering, 74 9-B(E).

Cigolla, F., & Brown, D. (2011). A way of being: bringing mindfulness into individual therapy. Psychotherapy Research, 21, 709–721. CrossRefPubMed

Cozolino, L. (2014). The neuroscience of human relationships: attachment and the developing social brain (2nd ed.). New York: W W Norton & Co..

Curtiss, J., & Klemanski, D. H. (2014). Factor analysis of the five facet mindfulness questionnaire in a heterogeneous clinical sample. Journal of Psychopathology and Behavioral Assessment, 36, 683–694. https://doi.org/10.1007/s10862-014-9429-y. CrossRef

Davis, M. H. (1983). Measuring individual differences in empathy: evidence for a multidimensional approach. Journal of Personality and Social Psychology, 44, 113–126. https://doi.org/10.1037/0022-3514.44.1.113. CrossRef

Davis, D. M., & Hayes, J. A. (2011). What are the benefits of mindfulness? A practice review of psychotherapy-related research. Psychotherapy, 48, 198–208. https://doi.org/10.1037/a0022062. CrossRefPubMed

Decker, S. E., Nich, C., Carroll, K. M., & Martino, S. (2014). Development of the therapist empathy scale. Behavioural and Cognitive Psychotherapy, 42, 339–354. https://doi.org/10.1017/S1352465813000039. CrossRefPubMed

Duncan, B. L., Miller, S. D., Wampold, B. E., & Hubble, M. A. (2010). The heart and soul of change: delivering what works in therapy (2nd ed.). Washington, DC: American Psychological Association. CrossRef

Dunn, R., Callahan, J. L., & Swift, J. K. (2013). Mindfulness as a transtheoretical clinical process. Psychotherapy, 50, 312–315. https://doi.org/10.1037/a0032153. CrossRefPubMed

Fenton, L. R., Cecero, J. J., Nich, C., Frankforter, T. L., & Carroll, K. M. (2001). Perspective is everything: the predictive validity working alliance instruments. Journal of Psychotherapy Practice & Research, 10, 262–268.

Goldstein, J. (2002). One dharma: the emerging western Buddhism. San Francisco: Harper Collins.

Greason, P. B., & Cashwell, C. S. (2009). Mindfulness and counseling self-efficacy: the mediating role of attention and empathy. Counselor Education and Supervision, 49, 2–19. https://doi.org/10.1002/j.1556-6978.2009.tb00083.x. CrossRef

Greenberg, L. S., Watson, J. C., Elliot, R., & Bohart, A. C. (2001). Empathy. Psychotherapy: Theory, Research, Practice, Training, 38, 380–384. https://doi.org/10.1037/0033-3204.38.4.380. CrossRef

Hayes, A. F. (2012). PROCESS: a versatile computational tool for observed variable mediation, moderation, and conditional process modeling. Retrieved from http://www.afhayes.com/public/process2012.pdf.

Hogan, R. (1969). Development of an empathy scale. Journal of Consulting and Clinical Psychology, 33, 307–316. https://doi.org/10.1037/h0027580. CrossRefPubMed

Hopkins, A., & Proeve, M. (2013). Teaching mindfulness-based cognitive therapy to trainee psychologists: qualitative and quantitative effects. Counseling Psychology Quarterly, 26, 115–130. https://doi.org/10.1080/09515070.2013.792998. CrossRef

Horvath, A. O., & Greenberg, L. S. (1989). Development and validation of the Working Alliance Inventory. Journal of Counseling Psychology, 36, 223–233. https://doi.org/10.1037/0022-0167.36.2.223. CrossRef

Kabat-Zinn, J. (2005). Full catastrophe living: using the wisdom of your body and mind to fact stress, pain, and illness (15th anniversary ed.). New York: Delta Trade Paperback/Bantam Dell.

Keane, A. (2014). The influence of therapist mindfulness practice on psychotherapeutic work: a mixed-methods study. Mindfulness, 5, 689–703. https://doi.org/10.1007/s12671-013-0223-9. CrossRef

Kutz, I., Leserman, J., Dorrington, C., Morrison, C. H., Borysenko, J. Z., & Benson, H. (1985). Meditation as an adjunct to psychotherapy: an outcome study. Psychotherapy and Psychosomatics, 43, 209–218. https://doi.org/10.1159/000287881. CrossRefPubMed

Lambert, M. J., & Barley, D. E. (2002). Research summary on the therapeutic relationship and psychotherapy outcome. In J. C. Norcross & J. C. Norcross (Eds.), Psychotherapy relationships that work: therapist contributions and responsiveness to patients (pp. 17–32). New York: Oxford University Press.

Linehan, M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press.

McCollum, E. E., & Gehart, D. R. (2010). Using mindfulness meditation to teach beginning therapists’ therapeutic presence: a qualitative study. Journal of Marital and Family Therapy, 36, 347–360. PubMed

Mehrabian, A., & Epstein, N. (1972). A measure of emotional empathy. Journal of Personality, 40, 525–543. https://doi.org/10.1111/j.1467-6494.1972.tb00078.x. CrossRefPubMed

Moon, T. K. (1996). The expectation-maximization algorithm. Signal Processing Magazine, IEEE, 13, 47–60. CrossRef

Oxman, D. K. (1995). Principal meditative projects in Theravada Buddhist thought and their psycho-therapeutic implications as experienced in the California Bay Area. Dissertation Abstracts International, 56, 2879.

Rogers, C. R. (1946). Significant aspects of client-centered therapy. American Psychologist, 1, 415–422. CrossRef

Rogers, C. R. (1951). A research program in client-centered therapy. Research Publications of The Association for Research in Nervous & Mental Disease, 31, 106–113.

Rogers, C. R. (1957). The necessary and sufficient conditions of therapeutic personality change. Journal of Consulting Psychology, 21, 95–103. https://doi.org/10.1037/h0045357. CrossRefPubMed

Ryan, A., Safran, J. D., Doran, J. M., & Moran, J. C. (2012). Therapist mindfulness, alliance and treatment outcome. Psychotherapy Research, 22, 289–297. https://doi.org/10.1080/10503307.2011.650653. CrossRefPubMed

Safran, J. D., & Kraus, J. (2014). Alliance ruptures, impasses, and enactments: a relational perspective. Psychotherapy, 51, 381–387. https://doi.org/10.1037/a0036815. CrossRefPubMed

Schomaker, S. A. (2013). The impact of mindfulness training on therapeutic alliance, empathy, and lived experience: a mixed methods study with counselor trainees (Unpublished doctoral dissertation.) Texas A&M University, Corpus Christi, TX.

Shapiro, S. L., Schwartz, G. E., & Bonner, G. (1998). Effects of mindfulness-based stress reduction on medical and premedical students. Journal of Behavioral Medicine, 21, 581–599. https://doi.org/10.1023/A:1018700829825. CrossRefPubMed

Shapiro, S. L., Brown, K. W., & Biegel, G. M. (2007). Teaching self-care to caregivers: effects of mindfulness-based stress reduction on the mental health of therapists in training. Training and Education in Professional Psychology, 1, 105–115. https://doi.org/10.1037/19313918.1.2.105. CrossRef

Shedler, J. (2010). The efficacy of psychodynamic psychotherapy. American Psychologist, 65, 98–109. https://doi.org/10.1037/a0018378. CrossRef

Sweet, M. J., & Johnson, C. G. (1990). Enhancing empathy: the interpersonal implications of a Buddhist meditation technique. Psychotherapy: Theory, Research, Practice, Training, 27, 19–29. https://doi.org/10.1037/0033-3204.27.1.19. CrossRef

Sze, J. A., Gyurak, A., Goodkind, M. S., & Levenson, R. W. (2012). Greater emotional empathy and prosocial behavior in late life. Emotion, 12, 1129–1140. https://doi.org/10.1037/a0025011. CrossRefPubMed

Thomas, J. T., & Otis, M. D. (2010). Intrapsychic correlates of professional quality of life: mindfulness, empathy, and emotional separation. Journal of The Society for Social Work and Research, 1, 83–98. https://doi.org/10.5243/jsswr.2010.7. CrossRef

Titel: The Relationships among Clinician Self-Report of Empathy, Mindfulness, and Therapeutic Alliance
Auteurs: Hugh D. Leonard
Kendra Campbell
Vivian M. Gonzalez
Publicatiedatum: 12-03-2018
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 6/2018
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-018-0926-z

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