Calidad de la sesión, ajuste en las tareas y efectividad de las sesiones psicoterapéuticas

  1. Ezama Coto, Esteban
  2. Fontanil Gómez, Yolanda 1
  3. Alonso, Yolanda
  1. 1 Universidad de Oviedo
    info

    Universidad de Oviedo

    Oviedo, España

    ROR https://ror.org/006gksa02

Revista:
International journal of psychology and psychological therapy

ISSN: 1577-7057

Año de publicación: 2012

Volumen: 12

Número: 2

Páginas: 245-260

Tipo: Artículo

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Otras publicaciones en: International journal of psychology and psychological therapy

Resumen

Against the backdrop of studies of therapeutic alliance and unspecific factors in psychotherapy, this paper explores the relationship between the kind of help that clients obtain in therapeutic sessions and its results. Data was obtained by means of a clinical questionnaire in which clients expressed, session by session, their priorities regarding therapeutic tasks, their satisfaction with each session and their assessment of the achieved outcomes. The statistical analysis of 679 questionnaires showed that, contrary to expectations, the therapist´s adjustment to the client´s requests improves neither satisfaction nor perceived outcome. The better predictor of both is the amount of help the client feels he or she has received during the session, regardless of the client´s priorities. Of the nine different kinds of therapeutic tasks considered in the study, help understanding what is happening correlates the most with both satisfaction and improvement, independently of whether the client prioritized this. This article discusses the kinds of assistance that achieve therapeutic goals and calls into question the value of adjusting sessions to the client´s demand. The concept of conformity instead of adjustment is proposed.

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