{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T19:02:22Z","timestamp":1791054142885,"version":"4.1.0"},"reference-count":65,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,10,9]],"date-time":"2015-10-09T00:00:00Z","timestamp":1444348800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      There are reasons to suggest that the therapist effect lies at the intersection between psychotherapists' professional and personal functioning. The current study investigated if and how the interplay between therapists' (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200970) professional self\u2010reports (e.g., of their difficulties in practice in the form of \u2018professional self\u2010doubt\u2019 and coping strategies when faced with difficulties) and presumably more global, personal self\u2010concepts, not restricted to the professional treatment setting (i.e., the level of self\u2010affiliation measured by the Structural Analysis of Social Behaviour (SASB) Intrex, Benjamin,\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"#cpp1977-bib-0007\"\/>\n                      ), relate to patient (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009255) outcome in public outpatient care.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Multilevel growth curve analyses were performed on patient interpersonal and symptomatic distress rated at pre\u2010, post\u2010 and three times during follow\u2010up to examine whether change in patient outcome was influenced by the interaction between their therapists' level of \u2018professional self\u2010doubt\u2019 and self\u2010affiliation as well as between their therapists' use of coping when faced with difficulties, and the interaction between type of coping strategies and self\u2010affiliation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A significant interaction between therapist \u2018professional self\u2010doubt\u2019 (PSD) and self\u2010affiliation on change in interpersonal distress was observed. Therapists who reported higher PSD seemed to evoke more change if they also had a self\u2010affiliative introject. Therapists' use of coping strategies also affected therapeutic outcome, but therapists' self\u2010affiliation was not a moderator in the interplay between therapist coping and patient outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A tentative take\u2010home message from this study could be: \u2018Love yourself as a person, doubt yourself as a therapist\u2019. Copyright \u00a9 2015 John Wiley &amp; Sons, Ltd.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Key Practitioner Messages<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>The findings of this study suggest that the nature of therapists' self\u2010concepts as a person and as a therapist influences their patients' change in psychotherapy.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>These self\u2010concept states are presumably communicated through the therapists' in\u2010session behaviour.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>The study noted that a combination of self\u2010doubt as a therapist with a high degree of self\u2010affiliation as a person is particularly fruitful, while the combination of little professional self\u2010doubt and much positive self\u2010affiliation is not.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>This finding, reflected in the study title, \u2018Love yourself as a person, doubt yourself as a therapist\u2019, indicates that exaggerated self\u2010confidence does not create a healthy therapeutic attitude.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Therapist way of coping with difficulties in practice seems to influence patient outcome.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>\n                            Constructive coping characterized by dealing\n                            <jats:italic>actively<\/jats:italic>\n                            with a clinical problem, in terms of exercising reflexive control, seeking consultation and problem\u2010solving together with the patient seems to help patients while coping by avoiding the problem, withdrawing from therapeutic engagement or acting out one's frustrations in the therapeutic relationship is associated with less patient change.\n                          <\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cpp.1977","type":"journal-article","created":{"date-parts":[[2015,10,9]],"date-time":"2015-10-09T05:24:39Z","timestamp":1444368279000},"page":"48-60","source":"Crossref","is-referenced-by-count":147,"title":["Love Yourself as a Person, Doubt Yourself as a Therapist?"],"prefix":"10.1002","volume":"24","author":[{"given":"Helene A.","family":"Nissen\u2010Lie","sequence":"first","affiliation":[{"name":"Department of Psychology University of Oslo  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael Helge","family":"R\u00f8nnestad","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Oslo  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Per A.","family":"H\u00f8glend","sequence":"additional","affiliation":[{"name":"Institute of Clinical Medicine University of Oslo  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Odd E.","family":"Havik","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology University of Bergen  Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ole Andr\u00e8","family":"Solbakken","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Oslo  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tore C.","family":"Stiles","sequence":"additional","affiliation":[{"name":"Department of Psychology NTNU  Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon T.","family":"Monsen","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Oslo  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,10,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.20583"},{"key":"e_1_2_8_3_1","first-page":"258","volume-title":"Bergin and Garfield's handbook of psychotherapy and behavior change","author":"Baldwin S. 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