Volume 28, Issue 2
DOI: 10.24205/03276716.2019.1104
Therapeutic collaboration: a comparative study of two contrasting cases of constructivist therapy
Abstract
Keywords
This case study aimed to compare the therapeutic collaboration evolution in a good outcome and a poor outcome of constructivist therapy. 1973 therapeutic exchanges between the therapist and the clients were independently coded using the Therapeutic Collaboration Coding System throughout 21 sessions. The results show that non-collaborative exchanges were more frequent in the poor outcome case, and that the therapist used more challenging interventions as the therapy progressed. On the other hand, in the good outcome case, there was a higher prevalence of responses of novelty from the client, as well as a better balance between challenging and supporting interventions. Research and clinical implications will be discussed.