Comparative exploration of narrative processes for better and poorer outcomes for depression

Banham, James & Schweitzer, Robert (2015) Comparative exploration of narrative processes for better and poorer outcomes for depression. Counselling and Psychotherapy Research, 15(3), pp. 228-238.

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Contemporary psychotherapy research demonstrates that whilst most clients respond positively to psychological interventions, a small, but significant proportion of clients fail to experience the expected benefits of therapy. Although methodologies exist that enable the identification of successful and unsuccessful therapy, we have a limited understanding of the processes associated with these outcomes.


The current study sought to examine the relationship between therapeutic outcome and therapeutic language.
Methodology: The therapeutic outcomes of 42 trainee-therapists who provided psychotherapy to 173 clients were tracked with the OQ-45.2 over a 5 year period with the view of identifying the client/ trainee-therapist dyads with the best and poorest outcomes. The 6 best outcome and 6 poorest outcome client/ trainee-therapist dyads were identified in order to examine the characteristics of therapeutic conversations associated with better and poorer therapy outcomes. Therapeutic conversations were analysed with the Narrative Process Coding System.


The best outcome client/ trainee-therapist dyads demonstrated significant increases in reflexive conversation over the course of psychotherapy.


Examining the practices of the best and poorest outcome client/ trainee-therapist dyads with objective measures of therapy outcome provides an important first step in understanding how therapeutic language may contribute to the greatest therapeutic improvement or deterioration.

Impact and interest:

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ID Code: 84103
Item Type: Journal Article
Refereed: Yes
Keywords: trainee-therapists, client-therapist dyad, narrative process mode, reflexivity, Narrative Process Coding System, oq-45.2
DOI: 10.1002/capr.12032
ISSN: 1746-1405
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Psychology & Counselling
Copyright Owner: Copyright 2015 British Association for Counselling and Psychotherapy
Deposited On: 14 May 2015 05:34
Last Modified: 22 Jul 2015 01:05

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