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Interpersonal guilt and the working alliance in psychotherapy: The moderating role of childhood experience.

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Title: Interpersonal guilt and the working alliance in psychotherapy: The moderating role of childhood experience.
Authors: Aafjes‐van Doorn, Katie (AUTHOR), Luo, Xiaochen (AUTHOR), Kealy, David (AUTHOR), McCollum, James (AUTHOR), Silberschatz, George (AUTHOR)
Source: Clinical Psychology & Psychotherapy. Jan2023, Vol. 30 Issue 1, p141-151. 11p. 1 Diagram, 3 Charts, 3 Graphs.
Subjects: Adverse childhood experiences, Key performance indicators (Management), Client relations, Guilt (Psychology), Patient satisfaction, Parenting, Interpersonal relations, Clinical medicine, Descriptive statistics, Therapeutic alliance, Psychotherapy, Outpatient services in hospitals, Psychological distress
Abstract: Interpersonal guilt often encompasses pathogenic beliefs that imply omnipotent responsibility for others and concerns about abandoning, humiliating or threatening others. This study sought to examine how interpersonal guilt may influence patients' and therapists' ratings of early working alliance and the potential moderating effect of perceived adverse parenting in childhood. Ninety‐five patients and their 19 therapists in an outpatient psychotherapy clinic rated their early working alliance after the first and the fifth session in treatment. We conducted separate moderation analyses for patient and therapist‐reported working alliance and controlled for psychological distress at baseline. Results suggest that perceived adverse parenting in childhood significantly moderated the effect of interpersonal guilt on the working alliance in such a way that for patients reporting very low levels of perceived adverse experiences, the interpersonal guilt beliefs had a positive effect on working alliance, whereas for those with very high levels of perceived adverse experiences, interpersonal guilt had a negative effect on working alliance. This same pattern of moderation was found for patient‐ and therapist‐reported working alliance at session 1 and therapist‐reported working alliance at session 5. Thus, although the effect of interpersonal guilt on the working alliance depends somewhat on the perspective of the working alliance rating (patient or therapist), it mainly depends on developmental experiences of the patient. [ABSTRACT FROM AUTHOR]
Copyright of Clinical Psychology & Psychotherapy is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Interpersonal guilt and the working alliance in psychotherapy: The moderating role of childhood experience.
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  Data: <searchLink fieldCode="JN" term="%22Clinical+Psychology+%26+Psychotherapy%22">Clinical Psychology & Psychotherapy</searchLink>. Jan2023, Vol. 30 Issue 1, p141-151. 11p. 1 Diagram, 3 Charts, 3 Graphs.
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  Data: <searchLink fieldCode="DE" term="%22Adverse+childhood+experiences%22">Adverse childhood experiences</searchLink><br /><searchLink fieldCode="DE" term="%22Key+performance+indicators+%28Management%29%22">Key performance indicators (Management)</searchLink><br /><searchLink fieldCode="DE" term="%22Client+relations%22">Client relations</searchLink><br /><searchLink fieldCode="DE" term="%22Guilt+%28Psychology%29%22">Guilt (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+satisfaction%22">Patient satisfaction</searchLink><br /><searchLink fieldCode="DE" term="%22Parenting%22">Parenting</searchLink><br /><searchLink fieldCode="DE" term="%22Interpersonal+relations%22">Interpersonal relations</searchLink><br /><searchLink fieldCode="DE" term="%22Clinical+medicine%22">Clinical medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Therapeutic+alliance%22">Therapeutic alliance</searchLink><br /><searchLink fieldCode="DE" term="%22Psychotherapy%22">Psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Outpatient+services+in+hospitals%22">Outpatient services in hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+distress%22">Psychological distress</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Interpersonal guilt often encompasses pathogenic beliefs that imply omnipotent responsibility for others and concerns about abandoning, humiliating or threatening others. This study sought to examine how interpersonal guilt may influence patients' and therapists' ratings of early working alliance and the potential moderating effect of perceived adverse parenting in childhood. Ninety‐five patients and their 19 therapists in an outpatient psychotherapy clinic rated their early working alliance after the first and the fifth session in treatment. We conducted separate moderation analyses for patient and therapist‐reported working alliance and controlled for psychological distress at baseline. Results suggest that perceived adverse parenting in childhood significantly moderated the effect of interpersonal guilt on the working alliance in such a way that for patients reporting very low levels of perceived adverse experiences, the interpersonal guilt beliefs had a positive effect on working alliance, whereas for those with very high levels of perceived adverse experiences, interpersonal guilt had a negative effect on working alliance. This same pattern of moderation was found for patient‐ and therapist‐reported working alliance at session 1 and therapist‐reported working alliance at session 5. Thus, although the effect of interpersonal guilt on the working alliance depends somewhat on the perspective of the working alliance rating (patient or therapist), it mainly depends on developmental experiences of the patient. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Clinical Psychology & Psychotherapy is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1002/cpp.2784
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      – Code: eng
        Text: English
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        PageCount: 11
        StartPage: 141
    Subjects:
      – SubjectFull: Adverse childhood experiences
        Type: general
      – SubjectFull: Key performance indicators (Management)
        Type: general
      – SubjectFull: Client relations
        Type: general
      – SubjectFull: Guilt (Psychology)
        Type: general
      – SubjectFull: Patient satisfaction
        Type: general
      – SubjectFull: Parenting
        Type: general
      – SubjectFull: Interpersonal relations
        Type: general
      – SubjectFull: Clinical medicine
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Therapeutic alliance
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      – SubjectFull: Psychotherapy
        Type: general
      – SubjectFull: Outpatient services in hospitals
        Type: general
      – SubjectFull: Psychological distress
        Type: general
    Titles:
      – TitleFull: Interpersonal guilt and the working alliance in psychotherapy: The moderating role of childhood experience.
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            NameFull: Aafjes‐van Doorn, Katie
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            – D: 01
              M: 01
              Text: Jan2023
              Type: published
              Y: 2023
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