Patient Perspectives on Working with Preferences in Psychotherapy: A Consensual Qualitative Research Study

Authors

Mick Cooper, University of Roehampton
Gina Di Malta, University of Roehampton
Sarah Knox, Marquette UniversityFollow
Hanne Oddli, University of Oslo
Joshua K. Swift, Idaho State University

Document Type

Article

Publication Date

2023

Publisher

Taylor & Francis

Source Publication

Psychotherapy Research

Source ISSN

1050-3307

Original Item ID

DOI: 10.1080/10503307.2022.2161967

Abstract

Objective

Assessing and accommodating patient preferences is integral to evidence-based practice. This qualitative study sought to explore patient perspectives and experiences of preference work in psychotherapy.

Methods

Participants were 13 UK-based patients who had completed up to 24 sessions of a collaborative–integrative psychotherapy. Ten participants identified as female and three as male. Interviews were conducted at endpoint and analyzed using a team-based, consensual qualitative research approach.

Results

Three superordinate domains were developed: Preferences Themselves, Process of Working with Preferences in Psychotherapy, and Effect of Preference Work (or its Absence). Patients typically wanted leadership, challenge, and input from their psychotherapist, and an affirming style. Patients attributed the origin of their preferences to personal history, characteristics, or circumstances; the present psychotherapy; or past episodes of psychotherapy. Some preferences changed over time. Preference work was described as having positive effects on the therapeutic relationship and patients’ intrapersonal worlds; however, variantly, non-accommodation of preferences was also experienced as beneficial.

Conclusion

Our findings provide in-depth answers to a range of novel questions on preference work—potential mechanisms by which preference work impacts outcomes, factors that may facilitate preference work, and origins of preferences—as well as nuancing previously-established quantitative findings. Implications for clinical training and practice are discussed.

Comments

Accepted version. Psychotherapy Research, Vol. 33, No. 8 (2023): 1117-1131. DOI. © 2023 Taylor & Francis (Routledge). Used with permission.

Recommended Citation

Cooper, Mick; Di Malta, Gina; Knox, Sarah; Oddli, Hanne; and Swift, Joshua K., "Patient Perspectives on Working with Preferences in Psychotherapy: A Consensual Qualitative Research Study" (2023). College of Education Faculty Research and Publications. 615.
https://epublications.marquette.edu/edu_fac/615