Many clients drop out of therapy before reaching their goals, (Bohart & Wade, 2013) though resear... more Many clients drop out of therapy before reaching their goals, (Bohart & Wade, 2013) though research shows that being in therapy is more effective in producing change than not being in therapy, (Lambert, 1992). Little is known about what makes therapy effective (Davis & Piercy, 2007a, b; Pinsof & Wynne, 2000). The purpose of the present study was to understand what clients believe is productive about therapy, and how clients’ assessment of therapy productiveness impacts their decision to remain in therapy or to drop out of therapy. For the qualitative strand of this simultaneous convergent mixed methods study, grounded theory was used to inductively develop a common-factors informed model describing how productive change processes influence intended retention. The convenience sample consisted of 19 current clients in therapy with a marriage and family therapist. For the quantitative strand, participation involved completing a semi-structured interview and quantitative survey. Direct,...
Premature discontinuation presents challenges to couple clients and therapists alike. Although co... more Premature discontinuation presents challenges to couple clients and therapists alike. Although couple therapy has demonstrated efficacy and effectiveness, little is known about the mechanisms that contribute to couple therapy completion. This study presents the results of an observational inquiry into the psychotherapeutic processes associated with treatment discontinuance using clinical data. Using observational coding of the Rapid Marital Interaction Coding System (RMICS) researchers sought to examine differences in in-session interactions between couple members in a matched sample of therapy continuers and discontinuers. Results indicate that specifically for female partners, the absence of positive interactions is linked to therapy discontinuation. Clinical implications of these findings are presented and discussed.
When a young adult develops a substance use disorder (SUD), a mother often assumes a caregiving r... more When a young adult develops a substance use disorder (SUD), a mother often assumes a caregiving role and experiences strain associated with providing off-time caregiving. The purpose of this paper ...
ABSTRACT Substance use, specifically, alcohol use, among college students is concerning. Despite ... more ABSTRACT Substance use, specifically, alcohol use, among college students is concerning. Despite the pervasive influence of a peer culture that promotes and supports drinking, young adults are also connected to other sources of socialization that inform their risk behaviors, including parents. Family dynamics have an appreciable influence on risk behaviors like substance use. The purpose of the present study was to further examine the degree of effect a parent has on the stability or change in college students’ substance use behavior. Using a non-clinical convenience sample of college students (n = 649), binary logistic regression was used to identify the factors that contributed to whether participants believed that their parents’ concern about their substance use would motivate them to change their substance use behavior. Substance use, consequences of drinking, and parental attachment significantly predicted propensity to change behavior.
When a young adult develops a substance use disorder (SUD), a parent often assumes a caregiving r... more When a young adult develops a substance use disorder (SUD), a parent often assumes a caregiving role, and experiences burdens associated with this off-time life event (Kaur et al., 2018). Mothers and children reciprocally influence one another's emotional processes, impacting proximal process (Bronfenbrenner & Evans, 2000; Bronfenbrenner & Morris, 1998). The study purpose was to develop a theory of mothers' experiences of having a young adult child with a SUD. We conducted 14 semi-structured interviews with mothers who sought support from an online forum for parents of individuals with a SUD. We analyzed responses using Strauss and Corbin's (1990) grounded theory and identified three core categories that focused on participants' shift from approaching their child from a stance of anxiety and attempts to control their substance use, to anger, and, finally, acceptance of their loved one's autonomy. Findings imply the importance of mothers' treatment involvement, and specialized services for mothers.
Many clients drop out of therapy before reaching their goals, (Bohart & Wade, 2013) though resear... more Many clients drop out of therapy before reaching their goals, (Bohart & Wade, 2013) though research shows that being in therapy is more effective in producing change than not being in therapy, (Lambert, 1992). Little is known about what makes therapy effective (Davis & Piercy, 2007a, b; Pinsof & Wynne, 2000). The purpose of the present study was to understand what clients believe is productive about therapy, and how clients’ assessment of therapy productiveness impacts their decision to remain in therapy or to drop out of therapy. For the qualitative strand of this simultaneous convergent mixed methods study, grounded theory was used to inductively develop a common-factors informed model describing how productive change processes influence intended retention. The convenience sample consisted of 19 current clients in therapy with a marriage and family therapist. For the quantitative strand, participation involved completing a semi-structured interview and quantitative survey. Direct,...
Premature discontinuation presents challenges to couple clients and therapists alike. Although co... more Premature discontinuation presents challenges to couple clients and therapists alike. Although couple therapy has demonstrated efficacy and effectiveness, little is known about the mechanisms that contribute to couple therapy completion. This study presents the results of an observational inquiry into the psychotherapeutic processes associated with treatment discontinuance using clinical data. Using observational coding of the Rapid Marital Interaction Coding System (RMICS) researchers sought to examine differences in in-session interactions between couple members in a matched sample of therapy continuers and discontinuers. Results indicate that specifically for female partners, the absence of positive interactions is linked to therapy discontinuation. Clinical implications of these findings are presented and discussed.
When a young adult develops a substance use disorder (SUD), a mother often assumes a caregiving r... more When a young adult develops a substance use disorder (SUD), a mother often assumes a caregiving role and experiences strain associated with providing off-time caregiving. The purpose of this paper ...
ABSTRACT Substance use, specifically, alcohol use, among college students is concerning. Despite ... more ABSTRACT Substance use, specifically, alcohol use, among college students is concerning. Despite the pervasive influence of a peer culture that promotes and supports drinking, young adults are also connected to other sources of socialization that inform their risk behaviors, including parents. Family dynamics have an appreciable influence on risk behaviors like substance use. The purpose of the present study was to further examine the degree of effect a parent has on the stability or change in college students’ substance use behavior. Using a non-clinical convenience sample of college students (n = 649), binary logistic regression was used to identify the factors that contributed to whether participants believed that their parents’ concern about their substance use would motivate them to change their substance use behavior. Substance use, consequences of drinking, and parental attachment significantly predicted propensity to change behavior.
When a young adult develops a substance use disorder (SUD), a parent often assumes a caregiving r... more When a young adult develops a substance use disorder (SUD), a parent often assumes a caregiving role, and experiences burdens associated with this off-time life event (Kaur et al., 2018). Mothers and children reciprocally influence one another's emotional processes, impacting proximal process (Bronfenbrenner & Evans, 2000; Bronfenbrenner & Morris, 1998). The study purpose was to develop a theory of mothers' experiences of having a young adult child with a SUD. We conducted 14 semi-structured interviews with mothers who sought support from an online forum for parents of individuals with a SUD. We analyzed responses using Strauss and Corbin's (1990) grounded theory and identified three core categories that focused on participants' shift from approaching their child from a stance of anxiety and attempts to control their substance use, to anger, and, finally, acceptance of their loved one's autonomy. Findings imply the importance of mothers' treatment involvement, and specialized services for mothers.
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Papers by Carissa D'Aniello