Theses and Dissertations from UMD

Permanent URI for this communityhttp://hdl.handle.net/1903/2

New submissions to the thesis/dissertation collections are added automatically as they are received from the Graduate School. Currently, the Graduate School deposits all theses and dissertations from a given semester after the official graduation date. This means that there may be up to a 4 month delay in the appearance of a give thesis/dissertation in DRUM

More information is available at Theses and Dissertations at University of Maryland Libraries.

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    THE TERMINATION PHASE: THERAPISTS’ PERSPECTIVE ON THE THERAPEUTIC RELATIONSHIP AND OUTCOME
    (2016) Bhatia, Avantika; Gelso, Charles J; Psychology; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)
    The termination phase of treatment is recognized as a significant aspect of the therapy process and yet remains vastly understudied in psychotherapy literature. In the present study, therapists’ perspectives were used to examine how three elements of the therapy relationship (working alliance, real relationship and transference) during the termination phase relate to perceived client sensitivity to loss, termination phase evaluation and overall treatment outcome. Self-report data was gathered from 233 therapists, recruited from two Divisions of the American Psychological Association. Therapists completed measures for their work with a client with whom they could identify a termination phase of treatment. Results revealed that the working alliance and real relationship during the termination phase related positively to termination phase evaluation and overall treatment outcome, whereas negative transference during the termination phase related negatively to overall treatment outcome. Therapists’ perceptions of client sensitivity to loss related positively to both negative and positive transference during the termination phase. Post-hoc analyses revealed only the working alliance during the termination phase uniquely predicted overall treatment outcome in a model with the three therapy relationship elements examined together. On the other hand, all three therapy relationship variables during the termination phase uniquely predicted termination phase evaluation, when examined together. Limitations and implications of these findings are discussed, and recommendations for future study are suggested.
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    A TRIPARTITE MODEL OF THE THERAPEUTIC RELATIONSHIP: INTERRELATIONS AND SESSION OUTCOME
    (2013) Bhatia, Avantika; Gelso, Charles J; Psychology; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)
    The components of a tripartite model of the therapeutic relationship, namely the working alliance, the transference configuration, and the real relationship were examined in terms of how they relate to one another and to the outcome of a psychotherapy session. Licensed psychotherapists (n = 249) were recruited from two Divisions of the American Psychological Association. Therapists completed measures of the therapy relationship components and session outcome for the last session they had with a client. Results revealed that from the therapist's perspective the real relationship and working alliance related positively to session outcome, countertransference behavior related negatively to session outcome and transference did not relate to session outcome. The four components together contributed to 27 percent of the variance in session outcome. The components related to each other as predicted, and a principle components analysis revealed the presence of four distinct factors resembling the components of the tripartite model.