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Erschienen in: Journal of Contemporary Psychotherapy 4/2019

11.06.2019 | Original Paper

Therapist Experience, Personal Therapy, and Distressing States of Mind: Regulation and Resonance as Dialectics of Therapeutic Empathy

verfasst von: Shannon L. McIntyre, Lisa Wallner Samstag, Sara C. Haden, Joan W. Duncan

Erschienen in: Journal of Contemporary Psychotherapy | Ausgabe 4/2019

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Abstract

The current study is based on the notion of an empathic dialectic, marked by states of emotional resonance and regulation, which has been described by contemporary theories of therapeutic empathy and empirically supported by research on non-therapists. We operationalized emotional resonance as personal distress empathy, and we sought to examine how activities promoting self-regulation impact the association between personal distress empathy, and other facets of poor self-regulation. This was accomplished through an online study, which administered several self-report instruments to a sample of 158 non-therapists and 139 therapists of various levels of experience, collecting participants’ demographic information, attachment status, level of shame-proneness, the fear of invalidity, and personal distress empathy. We examined the impact of several moderators on the paths from attachment anxiety, shame-proneness, and the fear of invalidity to personal distress empathy; and, thus, on the indirect effect between attachment anxiety and personal distress empathy. For our first hypothesis, we expected therapist status to significantly moderate the paths in this proposed meditation. For our second hypothesis, we anticipated personal therapy sessions would significantly moderate this meditation. For our third hypothesis, we expected that both personal therapy and therapist experience level would moderate this mediation. Most notably, our results indicated that the fear of invalidity explained the association between attachment anxiety and personal distress empathy, and this mediation was stronger among non-therapists when compared to therapists. Yet, personal therapy did not similarly impact the relationships among these variables. Implications for future research are discussed.
Literatur
Zurück zum Zitat Badenoch, B. (2018). Safety is the treatment. In S. W. Porges & D. Dana (Eds.), Clinical applications of polyvagal theory. New York: W.W. Norton Company Inc. Badenoch, B. (2018). Safety is the treatment. In S. W. Porges & D. Dana (Eds.), Clinical applications of polyvagal theory. New York: W.W. Norton Company Inc.
Zurück zum Zitat Batson, D. C., Fultz, P., & Schoenrade, P. A. (1987). Distress and empathy: two qualitatively distinct vicarious emotions with different motivational consequences. Journal of Personality, 55(1), 19–39.PubMedCrossRef Batson, D. C., Fultz, P., & Schoenrade, P. A. (1987). Distress and empathy: two qualitatively distinct vicarious emotions with different motivational consequences. Journal of Personality, 55(1), 19–39.PubMedCrossRef
Zurück zum Zitat Britton, P. C., & Fuendeling, J. M. (2005). The relation among varieties of adult attachment and the components of empathy. Journal of Social Psychology, 145(5), 519–530.PubMedCrossRef Britton, P. C., & Fuendeling, J. M. (2005). The relation among varieties of adult attachment and the components of empathy. Journal of Social Psychology, 145(5), 519–530.PubMedCrossRef
Zurück zum Zitat Buechler, S. (2008). Making a difference in patients’ lives. New York: Routledge.CrossRef Buechler, S. (2008). Making a difference in patients’ lives. New York: Routledge.CrossRef
Zurück zum Zitat Davis, M. (1983). Measuring individual differences in empathy: Evidence for a multidimensional approach. Journal of Personality and Social Psychology, 44(1), 113–126.CrossRef Davis, M. (1983). Measuring individual differences in empathy: Evidence for a multidimensional approach. Journal of Personality and Social Psychology, 44(1), 113–126.CrossRef
Zurück zum Zitat Davis, D. M., & Hayes, J. A. (2011). What are the benefits of mindfulness? A practice review of psychotherapy-related research. Psychotherapy, 48(2), 198–208.PubMedCrossRef Davis, D. M., & Hayes, J. A. (2011). What are the benefits of mindfulness? A practice review of psychotherapy-related research. Psychotherapy, 48(2), 198–208.PubMedCrossRef
Zurück zum Zitat Decety, J., & Lamm, C. (2009). Empathy versus personal distress: Recent evidence from social neuroscience. In J. Decety & W. Ickes (Eds.), The social neuroscience of empathy (pp. 199–213). Cambridge, MA: MIT Press.CrossRef Decety, J., & Lamm, C. (2009). Empathy versus personal distress: Recent evidence from social neuroscience. In J. Decety & W. Ickes (Eds.), The social neuroscience of empathy (pp. 199–213). Cambridge, MA: MIT Press.CrossRef
Zurück zum Zitat Dozier, M., Cue, K., & Barnett, L. (1994). Clinicians as caregivers: Role of attachment organization in treatment. Journal of Consulting and Clinical Psychology, 62(4), 793–800.PubMedCrossRef Dozier, M., Cue, K., & Barnett, L. (1994). Clinicians as caregivers: Role of attachment organization in treatment. Journal of Consulting and Clinical Psychology, 62(4), 793–800.PubMedCrossRef
Zurück zum Zitat Ehrenberg, D. B. (1992). The intimate edge: Extending the reach of psychoanalytic interaction. New York: W.W. Norton & Company. Ehrenberg, D. B. (1992). The intimate edge: Extending the reach of psychoanalytic interaction. New York: W.W. Norton & Company.
Zurück zum Zitat Elliot, R., Bohart, A. C., Watson, J. C., & Murphy, D. (2018). Therapist empathy and client outcome: An updated meta-analysis. Psychotherapy, 55(4), 399–410.CrossRef Elliot, R., Bohart, A. C., Watson, J. C., & Murphy, D. (2018). Therapist empathy and client outcome: An updated meta-analysis. Psychotherapy, 55(4), 399–410.CrossRef
Zurück zum Zitat Fülöp, E., Devecsery, A., Hausz, K., Kovács, Z., & Csabai, M. (2011). Relationship between empathy and burnout among psychiatric residents. New Medicine, 4(1), 143–147. Fülöp, E., Devecsery, A., Hausz, K., Kovács, Z., & Csabai, M. (2011). Relationship between empathy and burnout among psychiatric residents. New Medicine, 4(1), 143–147.
Zurück zum Zitat Gosling, S. D., Vazire, S., Srivastava, S., & John, O. P. (2004). Should we trust web-based studies? A comparative analysis of six pre-conceptions about internet questionnaires. American Psychologist, 59(2), 93–104.PubMedCrossRef Gosling, S. D., Vazire, S., Srivastava, S., & John, O. P. (2004). Should we trust web-based studies? A comparative analysis of six pre-conceptions about internet questionnaires. American Psychologist, 59(2), 93–104.PubMedCrossRef
Zurück zum Zitat Goubert, L., Craig, K. D., & Buysse, A. (2009). Perceiving others in pain: Experimental and clinical; evidence on the role of empathy. In J. Decety & W. Ickes (Eds.), The social neuroscience of empathy (pp. 153–165). Cambridge, MA: MIT Press.CrossRef Goubert, L., Craig, K. D., & Buysse, A. (2009). Perceiving others in pain: Experimental and clinical; evidence on the role of empathy. In J. Decety & W. Ickes (Eds.), The social neuroscience of empathy (pp. 153–165). Cambridge, MA: MIT Press.CrossRef
Zurück zum Zitat Griffin, D. W., & Bartholomew, K. (1994). Metaphysics of measurement: The case of adult attachment. In K. Bartholomew & D. Perlman (Eds.), Advances in personal relationships (Vol. 5, pp. 17–52)., Attachment processes in adulthood London: Jessica Kingsley Publishers. Griffin, D. W., & Bartholomew, K. (1994). Metaphysics of measurement: The case of adult attachment. In K. Bartholomew & D. Perlman (Eds.), Advances in personal relationships (Vol. 5, pp. 17–52)., Attachment processes in adulthood London: Jessica Kingsley Publishers.
Zurück zum Zitat Hall, J. A., Davis, M. H., & Connelly, M. (2012). Dispositional empathy in scientist and practitioner psychologists: Group differences and relationship to self-reported effectiveness. Psychotherapy, 37(1), 45–56.CrossRef Hall, J. A., Davis, M. H., & Connelly, M. (2012). Dispositional empathy in scientist and practitioner psychologists: Group differences and relationship to self-reported effectiveness. Psychotherapy, 37(1), 45–56.CrossRef
Zurück zum Zitat Hassenstab, J., Dziobek, K., Rogers, K., Wolf, O. T., & Convit, A. (2007). Knowing what others know, feeling what others feel: A controlled study of empathy in psychotherapists. Journal of Nervous and Mental Disease, 195(4), 277–281.PubMedCrossRef Hassenstab, J., Dziobek, K., Rogers, K., Wolf, O. T., & Convit, A. (2007). Knowing what others know, feeling what others feel: A controlled study of empathy in psychotherapists. Journal of Nervous and Mental Disease, 195(4), 277–281.PubMedCrossRef
Zurück zum Zitat Hatcher, S. L., Favorite, T. K., Hardy, E. A., Goode, R. L., Deshetler, L. A., & Thomas, R. M. (2005). An analogue study of therapist empathic process: Working with difference. Psychotherapy: Theory, Research, Practice, Training, 42(1), 198–201. Hatcher, S. L., Favorite, T. K., Hardy, E. A., Goode, R. L., Deshetler, L. A., & Thomas, R. M. (2005). An analogue study of therapist empathic process: Working with difference. Psychotherapy: Theory, Research, Practice, Training, 42(1), 198–201.
Zurück zum Zitat Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press. Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press.
Zurück zum Zitat Holmes, J., & Slade, A. (2018). Attachment in therapeutic practice. Thousand Oaks, CA: Sage Publications Inc. Holmes, J., & Slade, A. (2018). Attachment in therapeutic practice. Thousand Oaks, CA: Sage Publications Inc.
Zurück zum Zitat Joireman, J. A., Needham, T. L., & Cummings, A.-L. (2002). Relationships between dimensions of attachment and empathy. North American Journal of Psychology, 4(1), 63–80. Joireman, J. A., Needham, T. L., & Cummings, A.-L. (2002). Relationships between dimensions of attachment and empathy. North American Journal of Psychology, 4(1), 63–80.
Zurück zum Zitat Karyagina, T. D., Kukhtova, N. V., Olifirovich, N. I., & Shermazanyan, L. G. (2017). Professionalization of empathy and predictors of helping professionals burnout. Konsul’tativnaia Psikhologiia i Psikhoterapiia, 25(2), 39–58. Karyagina, T. D., Kukhtova, N. V., Olifirovich, N. I., & Shermazanyan, L. G. (2017). Professionalization of empathy and predictors of helping professionals burnout. Konsul’tativnaia Psikhologiia i Psikhoterapiia, 25(2), 39–58.
Zurück zum Zitat Kline, R. B. (1998). Principles and practice of structural equation modeling. New York: Guilford Press. Kline, R. B. (1998). Principles and practice of structural equation modeling. New York: Guilford Press.
Zurück zum Zitat Kohut, H. (1959). Introspection, empathy, and psychoanalysis: An examination of the relationship between mode of observation and theory. Journal of the American Psychoanalytic Association, 7(1), 459–483.PubMedCrossRef Kohut, H. (1959). Introspection, empathy, and psychoanalysis: An examination of the relationship between mode of observation and theory. Journal of the American Psychoanalytic Association, 7(1), 459–483.PubMedCrossRef
Zurück zum Zitat Kurdek, L. A. (2002). On being insecure about the assessment of attachment styles. Journal of Social and Personal Relationships, 19(6), 811–834.CrossRef Kurdek, L. A. (2002). On being insecure about the assessment of attachment styles. Journal of Social and Personal Relationships, 19(6), 811–834.CrossRef
Zurück zum Zitat Levy, K. N., Meehan, K. B., Kelly, K. M., Reynoso, J. S., Weber, M., Clarkin, J. F., et al. (2006). Change in attachment patterns and reflective function in a randomized control trial of transference-focused psychotherapy for borderline personality disorder. Journal of Consulting and Clinical Psychology, 74(6), 1027–1040.PubMedCrossRef Levy, K. N., Meehan, K. B., Kelly, K. M., Reynoso, J. S., Weber, M., Clarkin, J. F., et al. (2006). Change in attachment patterns and reflective function in a randomized control trial of transference-focused psychotherapy for borderline personality disorder. Journal of Consulting and Clinical Psychology, 74(6), 1027–1040.PubMedCrossRef
Zurück zum Zitat Lopez, F. G. (2001). Adult attachment orientations, self-other boundary regulation, and splitting tendencies in a college sample. Journal of Counseling Psychology, 48(4), 440–446.CrossRef Lopez, F. G. (2001). Adult attachment orientations, self-other boundary regulation, and splitting tendencies in a college sample. Journal of Counseling Psychology, 48(4), 440–446.CrossRef
Zurück zum Zitat Lopez, F. G., Gover, M. R., Leskela, J., Sauer, E. M., Schirmer, L., & Wyssmann, J. (1997). Attachment styles, shame, guilt, and collaborative problem-solving orientations. Personal Relationships, 4(2), 187–199.CrossRef Lopez, F. G., Gover, M. R., Leskela, J., Sauer, E. M., Schirmer, L., & Wyssmann, J. (1997). Attachment styles, shame, guilt, and collaborative problem-solving orientations. Personal Relationships, 4(2), 187–199.CrossRef
Zurück zum Zitat Lynch, J. S., Hill, E. D., Nagoshi, J. L., & Nagoshi, C. T. (2012). Mediators of the shame-guilt- psychological adjustment relationship. Scandinavian Journal of Psychology, 53(5), 437–443.PubMedCrossRef Lynch, J. S., Hill, E. D., Nagoshi, J. L., & Nagoshi, C. T. (2012). Mediators of the shame-guilt- psychological adjustment relationship. Scandinavian Journal of Psychology, 53(5), 437–443.PubMedCrossRef
Zurück zum Zitat Main, M., Hesse, E., & Kaplan, N. (2005). Predictability of attachment behavior and representational processes at 1, 6, and 19 years of age: The Berkeley longitudinal study. In K. E. Grossmann, K. Grossmann, & E. Waters (Eds.), Attachment from infancy to adulthood: The major longitudinal studies (pp. 245–304). New York: Guilford Press. Main, M., Hesse, E., & Kaplan, N. (2005). Predictability of attachment behavior and representational processes at 1, 6, and 19 years of age: The Berkeley longitudinal study. In K. E. Grossmann, K. Grossmann, & E. Waters (Eds.), Attachment from infancy to adulthood: The major longitudinal studies (pp. 245–304). New York: Guilford Press.
Zurück zum Zitat Marmarosh, C. L., Schmidt, E., Pembleton, J., Rotbart, E., Muzyk, N., Liner, A., et al. (2015). Novice therapist attachment and perceived ruptures and repairs: A pilot study. Psychotherapy, 52(1), 140–144.PubMedCrossRef Marmarosh, C. L., Schmidt, E., Pembleton, J., Rotbart, E., Muzyk, N., Liner, A., et al. (2015). Novice therapist attachment and perceived ruptures and repairs: A pilot study. Psychotherapy, 52(1), 140–144.PubMedCrossRef
Zurück zum Zitat Maxwell, S. E., & Cole, D. A. (2007). Bias in cross-sectional analyses of longitudinal mediation. Psychological Methods, 12(1), 23–44.PubMedCrossRef Maxwell, S. E., & Cole, D. A. (2007). Bias in cross-sectional analyses of longitudinal mediation. Psychological Methods, 12(1), 23–44.PubMedCrossRef
Zurück zum Zitat McClintock, A. S., Anderson, T., Patterson, C. L., & Wing, E. H. (2018). Early psychotherapeutic empathy, alliance, and client outcome: Preliminary evidence of indirect effects. Journal of Clinical Psychology, 74(6), 839–848.PubMedCrossRef McClintock, A. S., Anderson, T., Patterson, C. L., & Wing, E. H. (2018). Early psychotherapeutic empathy, alliance, and client outcome: Preliminary evidence of indirect effects. Journal of Clinical Psychology, 74(6), 839–848.PubMedCrossRef
Zurück zum Zitat Mehrabian, A., & Epstein, N. (1972). A measure of emotional empathy. Journal of Personality, 40(4), 525–543.PubMedCrossRef Mehrabian, A., & Epstein, N. (1972). A measure of emotional empathy. Journal of Personality, 40(4), 525–543.PubMedCrossRef
Zurück zum Zitat Mikulincer, M., Gillath, O., Halevy, V., Avihou, N., Avidan, S., & Eshkoli, N. (2001). Attachment theory and reactions to others’ needs: Evidence that activation of the sense of attachment security promotes empathic responses. Journal of Personality and Social Psychology, 81(6), 1205–1224.PubMedCrossRef Mikulincer, M., Gillath, O., Halevy, V., Avihou, N., Avidan, S., & Eshkoli, N. (2001). Attachment theory and reactions to others’ needs: Evidence that activation of the sense of attachment security promotes empathic responses. Journal of Personality and Social Psychology, 81(6), 1205–1224.PubMedCrossRef
Zurück zum Zitat Mikulincer, M., Shaver, P. R., Bar-On, N., & Ein-Dor, T. (2010). The pushes and pulls of close relationships: Attachment insecurities and relational ambivalence. Journal of Personality and Social Psychology, 98(3), 450–468.PubMedCrossRef Mikulincer, M., Shaver, P. R., Bar-On, N., & Ein-Dor, T. (2010). The pushes and pulls of close relationships: Attachment insecurities and relational ambivalence. Journal of Personality and Social Psychology, 98(3), 450–468.PubMedCrossRef
Zurück zum Zitat Norcross, J. C. (2005). The psychotherapist’s own psychotherapy: Educating and developing psychologists. American Psychologist, 60(8), 840–850.PubMedCrossRef Norcross, J. C. (2005). The psychotherapist’s own psychotherapy: Educating and developing psychologists. American Psychologist, 60(8), 840–850.PubMedCrossRef
Zurück zum Zitat Obegi, J. H., & Berant, E. (2009). Attachment-informed psychotherapy research with adults. In J. H. Obegi & E. Berant (Eds.), Attachment theory and research in clinical work with adults (pp. 461–489). New York: Guilford Press. Obegi, J. H., & Berant, E. (2009). Attachment-informed psychotherapy research with adults. In J. H. Obegi & E. Berant (Eds.), Attachment theory and research in clinical work with adults (pp. 461–489). New York: Guilford Press.
Zurück zum Zitat Pletzer, J. L., Sanchez, X., & Scheibe, S. (2015). Practicing psychotherapists are more skilled at downregulating negative emotions than other professionals. Psychotherapy, 52(3), 346–350.PubMedCrossRef Pletzer, J. L., Sanchez, X., & Scheibe, S. (2015). Practicing psychotherapists are more skilled at downregulating negative emotions than other professionals. Psychotherapy, 52(3), 346–350.PubMedCrossRef
Zurück zum Zitat Porges, S. W. (2011). The polyvagal theory: Neurophysiological foundations of emotions, attachment, communication, and self-regulation. New York: W.W. Norton & Co. Porges, S. W. (2011). The polyvagal theory: Neurophysiological foundations of emotions, attachment, communication, and self-regulation. New York: W.W. Norton & Co.
Zurück zum Zitat Rangganadhan, A. R., & Todorov, N. (2010). Personality and self-forgiveness: The roles of shame, guilt, empathy and conciliatory behavior. Journal of Social and Clinical Psychology, 29(1), 1–22.CrossRef Rangganadhan, A. R., & Todorov, N. (2010). Personality and self-forgiveness: The roles of shame, guilt, empathy and conciliatory behavior. Journal of Social and Clinical Psychology, 29(1), 1–22.CrossRef
Zurück zum Zitat Rogers, C. R. (1959). A theory of therapy, personality, and interpersonal relationships: As developed in the patient-centered framework. In J. S. Koch (Ed.), Psychology: A study of a science (Vol. 3, pp. 184–526)., Formulations of the person in the social context New York: McGraw-Hill. Rogers, C. R. (1959). A theory of therapy, personality, and interpersonal relationships: As developed in the patient-centered framework. In J. S. Koch (Ed.), Psychology: A study of a science (Vol. 3, pp. 184–526)., Formulations of the person in the social context New York: McGraw-Hill.
Zurück zum Zitat Rogers, C. R. (1975). Empathic: An unappreciated way of being. The Counseling Psychologist, 5(2), 2–10.CrossRef Rogers, C. R. (1975). Empathic: An unappreciated way of being. The Counseling Psychologist, 5(2), 2–10.CrossRef
Zurück zum Zitat Roisman, G. I., Padrón, E., Sroufe, L., & Egeland, B. (2002). Earned-secure attachment status in retrospect and prospect. Child Development, 73(4), 1204–1219.PubMedCrossRef Roisman, G. I., Padrón, E., Sroufe, L., & Egeland, B. (2002). Earned-secure attachment status in retrospect and prospect. Child Development, 73(4), 1204–1219.PubMedCrossRef
Zurück zum Zitat Rønnestad, M. H., & Skovholt, T. M. (2003). The journey of the counselor and therapist: Research findings and perspectives on professional development. Journal of Career Development, 30(1), 5–44. Rønnestad, M. H., & Skovholt, T. M. (2003). The journey of the counselor and therapist: Research findings and perspectives on professional development. Journal of Career Development, 30(1), 5–44.
Zurück zum Zitat Rubino, G., Barker, C., Roth, T., & Fearon, P. (2000). Therapist empathy and depth of interpretation in response to alliance ruptures: The role of therapist and patient attachment styles. Psychotherapy Research, 10(4), 408–420.PubMedCrossRef Rubino, G., Barker, C., Roth, T., & Fearon, P. (2000). Therapist empathy and depth of interpretation in response to alliance ruptures: The role of therapist and patient attachment styles. Psychotherapy Research, 10(4), 408–420.PubMedCrossRef
Zurück zum Zitat Safran, J. D. (1993). Breaches in the therapeutic alliance: An arena for negotiating authentic relatedness. Psychotherapy, 30(1), 11–24.CrossRef Safran, J. D. (1993). Breaches in the therapeutic alliance: An arena for negotiating authentic relatedness. Psychotherapy, 30(1), 11–24.CrossRef
Zurück zum Zitat Simpson, J. A., Rholes, W. S., & Nelligan, J. S. (1992). Support seeking and support giving within couples in an anxiety-provoking situation: The role of attachment styles. Journal of Personality and Social Psychology, 62(3), 434–446.CrossRef Simpson, J. A., Rholes, W. S., & Nelligan, J. S. (1992). Support seeking and support giving within couples in an anxiety-provoking situation: The role of attachment styles. Journal of Personality and Social Psychology, 62(3), 434–446.CrossRef
Zurück zum Zitat Sze, J. A., Gyurak, A., Goodkind, M. S., & Levenson, R. A. (2012). Greater emotional empathy and prosocial behavior in late life. Emotion, 12(5), 1129–1140.PubMedCrossRef Sze, J. A., Gyurak, A., Goodkind, M. S., & Levenson, R. A. (2012). Greater emotional empathy and prosocial behavior in late life. Emotion, 12(5), 1129–1140.PubMedCrossRef
Zurück zum Zitat Tangney, J. P., Dearing, R. L., Wagner, P. E., & Gramzow, R. (2000). Test of self-conscious affect-3 (TOSCA-3). Fairfax, VA: George Mason University. Tangney, J. P., Dearing, R. L., Wagner, P. E., & Gramzow, R. (2000). Test of self-conscious affect-3 (TOSCA-3). Fairfax, VA: George Mason University.
Zurück zum Zitat Thompson, M. M., & Zanna, M. P. (1995). The conflicted individual: Personality-based and domain-specific antecedents of ambivalent social attitudes. Journal of Personality, 63(2), 259–288.PubMedCrossRef Thompson, M. M., & Zanna, M. P. (1995). The conflicted individual: Personality-based and domain-specific antecedents of ambivalent social attitudes. Journal of Personality, 63(2), 259–288.PubMedCrossRef
Zurück zum Zitat Trusty, J., Ng, K.-M., & Watts, R. E. (2005). Model of effects of adult attachment on emotional empathy of counseling students. Journal of Counseling & Development, 83(1), 66–77.CrossRef Trusty, J., Ng, K.-M., & Watts, R. E. (2005). Model of effects of adult attachment on emotional empathy of counseling students. Journal of Counseling & Development, 83(1), 66–77.CrossRef
Zurück zum Zitat Tucker, D. M., Luu, P., & Derryberry, D. (2005). Love hurts: The evolution of empathic concern through the encephalization of nociceptive capacity. Development and Psychopathology, 17(3), 699–713.PubMedCrossRef Tucker, D. M., Luu, P., & Derryberry, D. (2005). Love hurts: The evolution of empathic concern through the encephalization of nociceptive capacity. Development and Psychopathology, 17(3), 699–713.PubMedCrossRef
Zurück zum Zitat Van de Mortel, T. F. (2008). Faking it: Social desirability response bias in self-report research. Australian Journal of Advanced Nursing, 25(4), 40–48. Van de Mortel, T. F. (2008). Faking it: Social desirability response bias in self-report research. Australian Journal of Advanced Nursing, 25(4), 40–48.
Zurück zum Zitat Wampold, B. E., & Imel, Z. E. (2015). The great psychotherapy debate: The evidence for what makes psychotherapy work. New York: Routledge.CrossRef Wampold, B. E., & Imel, Z. E. (2015). The great psychotherapy debate: The evidence for what makes psychotherapy work. New York: Routledge.CrossRef
Metadaten
Titel
Therapist Experience, Personal Therapy, and Distressing States of Mind: Regulation and Resonance as Dialectics of Therapeutic Empathy
verfasst von
Shannon L. McIntyre
Lisa Wallner Samstag
Sara C. Haden
Joan W. Duncan
Publikationsdatum
11.06.2019
Verlag
Springer US
Erschienen in
Journal of Contemporary Psychotherapy / Ausgabe 4/2019
Print ISSN: 0022-0116
Elektronische ISSN: 1573-3564
DOI
https://doi.org/10.1007/s10879-019-09431-w

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