Cross-sectional and longitudinal studies on psychotherapy termination

• Project/Area Number: 16K04387
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Clinical psychology
• Research Institution: Meiji Gakuin University
• Principal Investigator: KANAZAWA Yoshinobu 明治学院大学, 心理学部, 教授 (10152779)
• Co-Investigator(Kenkyū-buntansha): 岩壁 茂 お茶の水女子大学, 基幹研究院, 准教授 (10326522)
• Project Period (FY): 2016-04-01 – 2019-03-31
• Project Status: Completed (Fiscal Year 2018)
• Budget Amount: ¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000); Fiscal Year 2018: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000); Fiscal Year 2017: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000); Fiscal Year 2016: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
• Keywords: 心理療法 / スーパービジョン / 終結 / 質問紙調査 / インタビュー調査 / 心理面接過程

Outline of Final Research Achievements

A questionnaire study indicated that more termination behaviors were observed in mutual terminations. Longitudinal studies suggested that change in clients' presenting problems was significantly correlated with therapists’ therapeutic alliance and self-efficacy scores. Case studies of long-term therapy clients suggested that they had experienced positive emotions as well as loss and sadness. For supervisees, supervision process on the whole appeared to impact upon their experiences in supervision sessions on termination.

Academic Significance and Societal Importance of the Research Achievements

今後の心理療法実践ならびにセラピスト教育・訓練について、以下の点が示唆される。まず、セラピスト・クライエント双方が合意した終結の場合は適切な終結行動が行われやすいことから、心理療法開始時点から、目標を明確に設定し、終結について両者の間で合意しやすいように心理療法を進めていくことが求められる。またセラピストは、面接において治療同盟を明確に確立していくことが必要と言える。スーパービジョンにおいては、心理療法プロセス全体を通じたスーパービジョンが、終結に関する指導に対しても影響を与えていることを踏まえ、心理療法プロセス全体を通して、セラピストによる治療同盟の確立の程度に対して留意する必要がある。

Research Products

• [Presentation] カウンセリングの終結に関する調査 (2018)
  • Author(s): 金沢吉展
  • Organizer: 日本カウンセリング学会第51回大会
• [Presentation] Termination of psychotherapy: A questionnaire study of Japanese therapists. (2018)
  • Author(s): Yoshinobu Kanazawa, Madoka Ueno, Sawako Sakakibara, Wataru Ishida, Naofumi Yokozawa, Akie Shindo, and Miki Azuma
  • Organizer: Society for Psychotherapy Research 49th Annual International Meeting
  • Int'l Joint Research
• [Presentation] How do therapist and client meet (or not meet) each other? (2017)
  • Author(s): Yoshinobu Kanazawa, Madoka Ueno, and Megumi Nakayama
  • Organizer: Society for Psychotherapy Research 48th International Annual Meeting
  • Int'l Joint Research
• [Presentation] Novice therapists’ views and clients’ views: Commonalities and differences. (2017)
  • Author(s): Megumi Nakayama, Madoka Ueno, and Yoshinobu Kanazawa
  • Organizer: Society for Psychotherapy Research 48th International Annual Meeting
  • Int'l Joint Research
• [Presentation] Cultural factors in building and repairing the working alliance. A structured discussion group conducted at the annual meeting of the Society for Psychotherapy Research (2017)
  • Author(s): Shigeru Iwakabe (Moderator).
  • Organizer: Society for Psychotherapy Research 48th International Annual Meeting
  • Int'l Joint Research