Hope development in psychotherapy: a grounded theory analysis of client experiences

Client hope has long been considered one of the most potent common factors accounting for positive psychotherapy outcomes. Research on the relationship of hope to successful outcome has produced promising results indicating the need to discover the proces...

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Main Author: Chamodraka, Martha
Other Authors: Marilyn R Fitzpatrick (Internal/Supervisor)
Format: Others
Language:en
Published: McGill University 2009
Subjects:
Online Access:http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=32588
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spelling ndltd-LACETR-oai-collectionscanada.gc.ca-QMM.325882014-02-13T03:43:08ZHope development in psychotherapy: a grounded theory analysis of client experiencesChamodraka, MarthaEducation - Guidance and CounselingClient hope has long been considered one of the most potent common factors accounting for positive psychotherapy outcomes. Research on the relationship of hope to successful outcome has produced promising results indicating the need to discover the processes and conditions under which hope flourishes during therapy. The present study examined the trajectory of hope development in psychotherapy based on in-depth, semi-structured interviews with 17 counselling clients presenting at a university counselling center with various concerns. Clients completed a measure of state hope before the first and after every session, and were interviewed once their responses indicated significantly higher levels of hope. Client narratives were analyzed using grounded theory methodology. Findings were synthesized into a dynamic and multifaceted theory, the Hope as Empowerment Theory (HET), which adopts an integrative view of hope as both cognitive and affective, and conceptualizes increased client hopefulness as a higher sense of control over the problem and as an increased sense of direction toward positive change. The compatibility of client preferences with therapist input was observed to raise clients' faith in the process of counselling, which was in some cases the stepping-stone for gaining hope in the outcome. A number of conditions, including the adaptability of client role preferences and the directiveness of hope-inspiring therapeutic strategies, were found to produce different types and varying degrees of strength of client hope. Findings are discussed in terms of the need for therapists to inquire about and consider client wishes and expectations, as well as to promote clientL'espoir du client est depuis longtemps considéré comme l'un des facteurs couramment observé ayant le plus d'impact sur les résultats positifs en psychothérapie. La recherche sur la relation entre l'espoir et l'issue favorable de la thérapie a produit des résultats prometteurs indiquant le besoin de mieux comprendre les processus et les conditions selon lesquels l'espoir peut se développer pendant la thérapie. La présente étude a examiné la trajectoire du développement de l'espoir en fonction d'entrevues approfondies et semi-structurées auprès de 17 clients demandant une consultation relativement à diverses préoccupations dans un centre de counselling universitaire. Les clients ont complété une évaluation de leur degré d'espoir avant le premier et après chaque entretien, puis ont été interviewés lorsque leurs réponses indiquaient un niveau d'espoir significativement plus élevé. Le récit des clients a été analysé selon la méthode de théorie ancrée. Une synthèse des résultats fut effectuée de façon à produire une théorie dynamique à multiples facettes, la théorie de l'espoir redonnant le pouvoir (Hope as Empowerment Theory - HET), qui propose une vision intégrative de l'espoir comme étant à la fois cognitive et affective et conceptualise l'espoir accru en un plus grand contrôle du client sur le problème ainsi qu'une mise en direction vers le changement positif. La compatibilité des préférences du client avec les interventions du thérapeute fut observée comme augmentant la confiance du client dans le processus de « counselling », et dans certains cas fut le tremplin menant à la manifestation de l'espoir envers le réMcGill UniversityMarilyn R Fitzpatrick (Internal/Supervisor)2009Electronic Thesis or Dissertationapplication/pdfenElectronically-submitted theses.All items in eScholarship@McGill are protected by copyright with all rights reserved unless otherwise indicated.Doctor of Philosophy (Department of Educational and Counselling Psychology) http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=32588
collection NDLTD
language en
format Others
sources NDLTD
topic Education - Guidance and Counseling
spellingShingle Education - Guidance and Counseling
Chamodraka, Martha
Hope development in psychotherapy: a grounded theory analysis of client experiences
description Client hope has long been considered one of the most potent common factors accounting for positive psychotherapy outcomes. Research on the relationship of hope to successful outcome has produced promising results indicating the need to discover the processes and conditions under which hope flourishes during therapy. The present study examined the trajectory of hope development in psychotherapy based on in-depth, semi-structured interviews with 17 counselling clients presenting at a university counselling center with various concerns. Clients completed a measure of state hope before the first and after every session, and were interviewed once their responses indicated significantly higher levels of hope. Client narratives were analyzed using grounded theory methodology. Findings were synthesized into a dynamic and multifaceted theory, the Hope as Empowerment Theory (HET), which adopts an integrative view of hope as both cognitive and affective, and conceptualizes increased client hopefulness as a higher sense of control over the problem and as an increased sense of direction toward positive change. The compatibility of client preferences with therapist input was observed to raise clients' faith in the process of counselling, which was in some cases the stepping-stone for gaining hope in the outcome. A number of conditions, including the adaptability of client role preferences and the directiveness of hope-inspiring therapeutic strategies, were found to produce different types and varying degrees of strength of client hope. Findings are discussed in terms of the need for therapists to inquire about and consider client wishes and expectations, as well as to promote client === L'espoir du client est depuis longtemps considéré comme l'un des facteurs couramment observé ayant le plus d'impact sur les résultats positifs en psychothérapie. La recherche sur la relation entre l'espoir et l'issue favorable de la thérapie a produit des résultats prometteurs indiquant le besoin de mieux comprendre les processus et les conditions selon lesquels l'espoir peut se développer pendant la thérapie. La présente étude a examiné la trajectoire du développement de l'espoir en fonction d'entrevues approfondies et semi-structurées auprès de 17 clients demandant une consultation relativement à diverses préoccupations dans un centre de counselling universitaire. Les clients ont complété une évaluation de leur degré d'espoir avant le premier et après chaque entretien, puis ont été interviewés lorsque leurs réponses indiquaient un niveau d'espoir significativement plus élevé. Le récit des clients a été analysé selon la méthode de théorie ancrée. Une synthèse des résultats fut effectuée de façon à produire une théorie dynamique à multiples facettes, la théorie de l'espoir redonnant le pouvoir (Hope as Empowerment Theory - HET), qui propose une vision intégrative de l'espoir comme étant à la fois cognitive et affective et conceptualise l'espoir accru en un plus grand contrôle du client sur le problème ainsi qu'une mise en direction vers le changement positif. La compatibilité des préférences du client avec les interventions du thérapeute fut observée comme augmentant la confiance du client dans le processus de « counselling », et dans certains cas fut le tremplin menant à la manifestation de l'espoir envers le ré
author2 Marilyn R Fitzpatrick (Internal/Supervisor)
author_facet Marilyn R Fitzpatrick (Internal/Supervisor)
Chamodraka, Martha
author Chamodraka, Martha
author_sort Chamodraka, Martha
title Hope development in psychotherapy: a grounded theory analysis of client experiences
title_short Hope development in psychotherapy: a grounded theory analysis of client experiences
title_full Hope development in psychotherapy: a grounded theory analysis of client experiences
title_fullStr Hope development in psychotherapy: a grounded theory analysis of client experiences
title_full_unstemmed Hope development in psychotherapy: a grounded theory analysis of client experiences
title_sort hope development in psychotherapy: a grounded theory analysis of client experiences
publisher McGill University
publishDate 2009
url http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=32588
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