Theses and Dissertations from UMD
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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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Item CLIENT ATTACHMENT AS A PREDICTOR OF THERAPIST INTERVENTIONS, THE WORKING ALLIANCE, AND THE REAL RELATIONSHIP IN THE INITIAL, MIDDLE, AND FINAL PHASES OF PSYCHOTHERAPY(2013) Jackson, John Lawrence; Hill, Clara E; Psychology; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)This study investigated client attachment style as a predictor of (a) therapist interventions in an early, middle, and late session of psychotherapy; (b) client and therapist post-session ratings of the working alliance over the course of therapy; and (c) client and therapist post-session ratings of the real relationship over the course of therapy. A total of 41 clients and 14 therapists completed measures prior to and throughout open-term courses of psychotherapy ranging from 8 to 106 sessions. Client attachment style was measured using the anxiety and avoidance subscale scores from the Experiences in Close Relationships scale (ECR; Brennan, Clark, & Shaver, 1998). Therapist interventions were coded by trained observers using the Psychotherapy Q-Set (PQS; Jones, 2000). A factor analysis of therapist interventions revealed four factors: Therapist Facilitative Approach (TFA), Therapist Psychodynamic versus Behavioral Interventions (TPB), Therapist Supportive Approach (TSA), and Therapist Process Comments (TPC). Client attachment avoidance was positively associated with Therapist Supportive Approach (TSA), such that therapists were more likely to use directly supportive interventions with clients who endorsed higher levels of attachment avoidance at the outset of therapy. Otherwise, client attachment ratings were not significantly associated to overall levels of therapist interventions or change in therapist interventions over the course of therapy. Neither client attachment anxiety nor avoidance significantly predicted initial levels, mean levels, or patterns of change in client or therapist ratings of the working alliance or the real relationship over the course of psychotherapy. The findings are discussed in the context of findings and methodological differences from other investigations of client attachment, therapist interventions, and client and therapist ratings of the working alliance and the real relationship. Implications for future research and clinical practice are also discussed.Item DISENTANGLING THE THERAPIST'S CONTRIBUTION TO THE THERAPEUTIC RELATIONSHIP: ATTACHMENT STYLE, COUNTERTRANSFERENCE, AND THE REAL RELATIONSHIP.(2012) Palma Orellana, Beatriz Isabel; Gelso, Charles J.; Psychology; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)The current study investigated the relations among therapists' attachment, therapists' countertransference behaviors, and the real relationship therapists established with a client, as perceived by the therapists and their supervisors. Data were gathered from 32 therapist-supervisor dyads. Therapists completed measures of attachment and of the real relationship. Supervisors completed measures on therapist's countertransference behaviors and the real relationship. Real relationship and countertransference measures were completed based on the work of the therapist with an identified client. Results showed that therapists' attachment security was positively and significantly related to therapists' ratings of the real relationship, but not to supervisors' ratings. Negative countertransference was related to supervisors' ratings of strength of the real relationship, but not to counselors' ratings. Contrary to expectations, positive countertransference was not related to supervisors' ratings of the real relationship. Finally, attachment security was not related to countertransference behaviors.Item Chipping Away at the Blank Screen: Therapist Self-Disclosure and the Real Relationship(2008-08-19) Ain, Stacie; Gelso, Charles; Psychology; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)The present study examined clients' perceptions of their real relationships with their therapists, the appropriateness of the amount of their therapists' self-disclosures, and their therapy outcomes. Ninety-four former clients completed measures of these variables. A positive correlation was found between the strength of their real relationships and their therapy outcomes. A positive correlation was also found between the relevance of the self-disclosures and their therapy outcomes. In addition, clients who felt that their therapists self disclosed an appropriate amount had stronger real relationships and better outcomes than clients who felt that their therapists did not disclose enough. Overall the results imply that therapists should self-disclose an appropriate amount of information that is relevant to their clients.