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City University of New York - City College

Therapist Feelings of Incompetence: Their relationship to the Working Alliance and Treatment Outcome.

Abstract

dc:description.abstract

<p>This study set out to explore therapist feelings of incompetence (FOI) in the therapeutic process from both a quantitative and qualitative perspective. While previous studies have explored therapist descriptions of such feelings, this is among the first attempts to look at the role of these specific feelings in an individual therapy session using therapist and patient data. The results revealed that therapist feelings of incompetence impact the working alliance directly and outcome change indirectly, through the working alliance. Furthermore, qualitative analysis suggested that therapist feelings of incompetence might be associated with specific avoidant behaviors which may negatively impact the working alliance. Next, this study proposed possible remedies for these avoidant behaviors, from training in reflective listening to deliberate practice focused on tolerating unpleasant emotions. Future directions for research might focus on looking at FOI across whole treatments and the role of these feelings in alliance rupture and repair.</p>

Degree

thesis:*
Name thesis:degree_name
Doctor of Philosophy (Ph.D.)
Level thesis:degree_level
Dissertation
Discipline thesis:degree_discipline
Psychology
Year dc:date.available
2021

Author and committee

dc:creator, dc:contributor.*
Author dc:creator
  • Bernstein, Benjamin
Contributors dc:contributor
  • Sasha Rudenstine
  • Paul Wachtel
  • Benjamin Harris

Subjects

dc:subject × 3

Identifiers

dc:identifier.*
Repository record dc:identifier
https://academicworks.cuny.edu/cc_etds_theses/1023
OAI identifier oai:identifier
oai:academicworks.cuny.edu:cc_etds_theses-2039

Chain of custody

source
Harvested from
City University of New York - City College
Base URL
academicworks.cuny.edu/do/oai/
Last updated
2026-07-24
Source record
OAI-PMH GetRecord
citation

Bernstein, Benjamin. Therapist Feelings of Incompetence: Their relationship to the Working Alliance and Treatment Outcome.. Dissertation thesis, 2021. https://academicworks.cuny.edu/cc_etds_theses/1023