Jeffrey A. Hayes

What are the benefits of mindfulness? A practice review of psychotherapy-related research.

Research suggests that mindfulness practices offer psychotherapists a way to positively affect aspects of therapy that account for successful treatment. This paper provides psychotherapists with a synthesis of the empirically supported advantages of mindfulness. Definitions of mindfulness and evidence-based interpersonal, affective, and intrapersonal benefits of mindfulness are presented. Research on therapists who meditate and client outcomes of therapists who meditate are reviewed. Implications for practice, research, and training are discussed.

Troubled spirits: Prevalence and predictors of religious and spiritual concerns among university students and counseling center clients

The authors conducted a study of 5,472 university students to identify the prevalence and predictors of religious and spiritual concerns. Approximately 25% of the sample reported considerable distress related to such concerns. Logistic regression analyses revealed that students with considerable distress related to religious or spiritual concerns also tended to be distressed about the loss of a relationship, sexual assault, confusion about values. homesickness, and suicidal ideation. These students were especially likely to seek psychological help when they also had problematic relationships with peers. Among all students who sought help, considerable distress about religious or spiritual concerns was predicted by confusion about values, problematic relationships with peers. sexual concerns, and thoughts of being punished for ones sins.

Therapist perspectives on countertransference: Qualitative data in search of a theory.

A consensual qualitative research strategy was used to examine data from 127 interviews conducted with 8 psychologists immediately following their sessions of brief therapy with 8 clients. Analyses revealed 3 domains relevant to countertransference: origins (including categories of family issues, needs and values, therapy specific issues, and cultural issues), triggers (including categories of content of client material, therapist comparing client with others, change in therapy structure or procedures, therapist assessing progress of therapy, therapist perception of client, and emotions), and manifestations (including categories of approach, avoidance, negative feelings, and treatment planning). The frequency of categories within and across cases was classified, and relationships among categories from the 3 domains were detected, generating hypotheses for future empirical research. Implications for practice, training, and continued research are discussed.

Therapist effectiveness: implications for accountability and patient care.

Abstract Significant therapist variability has been demonstrated in both psychotherapy outcomes and process (e.g., the working alliance). In an attempt to provide prevalence estimates of “effective” and “harmful” therapists, the outcomes of 6960 patients seen by 696 therapists in the context of naturalistic treatment were analyzed across multiple symptom and functioning domains. Therapists were defined based on whether their average client reliably improved, worsened, or neither improved nor worsened. Results varied by domain with the widespread pervasiveness of unclassifiable/ineffective and harmful therapists ranging from 33 to 65%. Harmful therapists demonstrated large, negative treatment effect sizes (d=−0.91 to −1.49) while effective therapists demonstrated large, positive treatment effect sizes (d=1.00 to 1.52). Therapist domain-specific effectiveness correlated poorly across domains, suggesting that therapist competencies may be domain or disorder specific, rather than reflecting a core attribute or underlying therapeutic skill construct. Public policy and clinical implications of these findings are discussed, including the importance of integrating benchmarked outcome measurement into both routine care and training.

Countertransference and the reputedly excellent therapist.

STEVEN L. VAN WAGONER CHARLES J. GELSOJEFFREY A. HAYES ROBERTA A. DIEMERUniversity of MarylandThe extent to which therapists whowere reputed to be excellent differ fromthe therapists in general is examined,with respect to five qualities theorizedto be important in the management ofcountertransference feelings—self-insight, integration, empathy, anxietymanagement, and conceptualizingability. A sample of experiencedpsychotherapists (n = 122) evaluatedtherapists they selected as excellentsignificantly more positively thantherapists in general on all five of thetheorized qualities. Contrary toexpectation, reputedly excellentpsychodynamic, learning, andhumanistic therapists were generallyrated as equivalent on these theorizedqualities. Reputedly excellentpsychodynamic therapists, however,were rated more favorably thanexcellent humanistic therapists onconceptualizing ability.

The impact of gender role conflict and counseling technique on psychological help seeking in men

We hypothesized that mens gender role conflict would predict attitudes towards psychological help-seeking after viewing counseling that focused on either client feelings or client cognitions. The sample was made up of 164 male undergraduates: 115 White, 13 African-American, 13 Hispanic, 18 Asian, 2 Portuguese, and 3 of unspecified ethnicity. Participants completed the Gender Role Conflict Scale (GRCS), viewed a videotape of a 10-minute counseling session that used interventions that were either emotion-focused or cognition-focused, and completed a measure of their attitudes towards seeking psychological help. Results indicated that men scoring high on gender role conflict who viewed the session that focused on feelings were least likely to indicate a willingness to seek psychological help compared to men in each of the three other conditions. We discuss implications for counseling interventions for men who adopt the traditional male gender role.

Why Do Individuals Seek Conversion Therapy? The Role of Religiosity, Internalized Homonegativity, and Identity Development

This study examined the potential influence of religiosity, sexual orientation identity development, and internalized homonegativity on the propensity to seek conversion therapy to change one’s sexual orientation. An Internet sample of 76 women and 130 men who were gay-identified, lesbian-identified, same-sex attracted, and “questioning” was studied. Results indicated that two types of religious orientations, intrinsic and quest, predicted a propensity to seek conversion therapy, although in different directions. Further more, internalized homonegativity fully mediated the relationships between religious orientation and propensity to seek conversion therapy. Additionally, there was a significant inverse relationship between sexual orientation identity development and propensity to seek conversion therapy. Implications for practice and research are discussed.

The inner world of the psychotherapist: A program of research on countertransference

The author reviews findings from his research to date on countertransference. Particular attention is paid to the succession of ideas underlying this program of research, and the author highlights measurement and other methodological challenges inherent to empirical work on countertransference. A theoretical framework for integrating countertransference research is presented, as are clinical implications and directions for future research.

Managing Countertransference: What the Experts Think:

The present study attempted to assess the importance of five factors theorized to play a central role in managing countertransference: Self-integration, Anxiety Management, Conceptualizing Skills, Empathy, and Self-insight. 33 experts provided ratings of 50 characteristics of therapists as to the importance of each in managing countertransference. Analysis indicated that each factor is at least somewhat important to management of countertransference, with two of the factors, Self-integration and Self-insight, rated as playing a particularly important role. Clinical implications are discussed.

EFFECTS OF THERAPIST GENERAL SELF-DISCLOSURE AND COUNTERTRANSFERENCE DISCLOSURE ON RATINGS OF THE THERAPIST AND SESSION

Therapist decisions about self-disclosure depend theoretically upon both content and context, such as the quality of the therapeutic relationship. In this analogue study, 224 undergraduates viewed 1 of 3 videos for which the working alliance was described as positive or negative and in which a therapist made general self-disclosures, countertransference disclosures, or no disclosures. Interaction effects indicated that participants rated sessions as deeper and the therapist as more expert when the therapist made general disclosures compared to no disclosures, but only when the alliance was positive. When the alliance was negative, participants perceived sessions as shallower and the therapist as less expert when the therapist made either general or countertransference disclosures compared to no disclosures. (PsycINFO Database Record (c) 2010 APA, all rights reserved).