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Record identifier : 568869
Personal Name - Primary Intelectual Responsibility : Leibowitz, Amy
Title and statement of responsibility : Psychotherapists' reactions to clients who self-injure by cutting [Thesis]
Publication, Distribution,Etc. : Alliant International University, San Francisco Bay, 2009
Language of the Item : eng
Dissertation of thesis details and type of degree : Psy.D
Body granting the degree : , Alliant International University, San Francisco Bay
Summary or Abstract : Many psychotherapists encounter clients who self-injure, and the literature states that psychotherapists tend to have very negative emotional reactions to these clients. This research examines how therapists' emotional reactions to a client who self-injures vary depending on the therapist's diagnostic impression, view of the client's most challenging symptom, and other variables such as theoretical orientation and level of experience as a therapist. Participants were licensed clinical psychologists and clinical psychology graduate students ( N = 184). Their emotional reactions to a clinical vignette were measured using the Emotions Rating Scale (ERS).Analysis of variance (ANOVA) indicated that after reading a clinical vignette, participants who chose the diagnosis of Borderline Personality Disorder had significantly greater negative reactions than participants who chose Depression (Major or Dysthymic). Participants who diagnosed a client with BPD did not, however, have more negative reactions than those who diagnosed the same client with Post-Traumatic Stress Disorder. The research did not support the claim that therapists have particularly negative reactions to self-injury. Other significant factors associated with negative reactions included professional status (licensed psychologist versus psychology graduate student) and theoretical orientation.Limitations of this study include its questionable generalizability to other mental health professionals, the lack of diversity of the sample of participants, and the degree to which a vignette can capture the actual experience of working with a client who self-injures. Future research should examine the relationship between therapist reactions and the process and outcome of treatment..
Topical Name Used as Subject : Clinical psychology
Information of biblio record : TL
 
 
 
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