Dissertation
Parent receptivity to therapist feedback: an exploratory change event study of the MacArthur Story Stem Battery feedback session
Doctor of Philosophy (Ph.D.), Drexel University
Jun 2023
DOI:
https://doi.org/10.17918/00001781
Abstract
Aims. This study aims to investigate the feedback session within the Listen and Lead Protocol Approach, specifically focusing on the mechanisms that influence parents' receptivity to therapeutic feedback. The MacArthur Story Stem Battery (MSSB) is used during the feedback session to assess a child's perception of themselves, family relationships, and the world. The study aims to explore clinical trends and change mechanisms related to parent receptiveness, including therapist interventions and parent responses. Research Questions. What key change mechanisms contribute to parent receptiveness in the feedback session? 2. How do therapist interventions and parent responses during the feedback session contribute to successful therapeutic outcomes? Methods. The Therapeutic Collaborative Coding System (TCCS) analyzes therapist operations and parent behaviors during the feedback session. The study follows a change event research methodology and conducts a microanalysis of video recordings of clinical sessions. Results. The results show the operationalization of the feedback session into sub-phases and micro-phases, with variations in therapist interventions and parent responses. Promoting collaboration and goal setting with parents was repeated across families, indicating the importance of these behaviors in facilitating positive therapeutic change. Implications. The findings have implications for the intentional and organized structure of the feedback session, highlighting the significance of promoting collaboration and goal setting with the parent. By identifying specific behavioral change mechanisms contributing to positive therapeutic change, this study provides a more profound understanding for clinicians aiming to optimize the feedback session. Conclusion. The study concludes that the structured approach to the feedback session allows for replicability by other clinicians and contributes to filling a research gap in using the MSSB in clinical interventions with families. The findings shed light on the therapeutic processes within the feedback session and guide clinicians to enhance treatment outcomes for families in need of family and mental health services.
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Details
- Title
- Parent receptivity to therapist feedback
- Creators
- Nerlie Clark
- Contributors
- Rikki Patton (Advisor)James Muruthi (Advisor)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Philosophy (Ph.D.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Number of pages
- xvi, 349 pages
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Counseling and Family Therapy; College of Nursing and Health Professions; Drexel University
- Other Identifier
- 991021212214404721