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The nature of client agency prior to therapy : a qualitative study on clients’ narratives

Emma Acke (UGent) , Melissa De Smet (UGent) , Kimberly Van Nieuwenhove (UGent) and Reitske Meganck (UGent)
(2022) PSYCHOLOGICA BELGICA. 62(1). p.17-28
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Abstract
Client agency is considered a crucial contributor to good treatment outcome. Recent studies, however, differ strongly in how they conceptualise and investigate agency. The current study explores the nature of client agency in ten clients' pre-treatment interviews. Applying Consensual Qualitative Research, we constructed three overarching categories, subdivided into 14 sub-categories capturing both between and within-person differences in agency before therapy. We found that all participants oscillated between the experience of a lack of grip on problems on the one hand and noticing their involvement in the problem and taking action on the other. These results present a dynamic conceptualisation of client agency. This allows us to ask pertinent questions for both future research and clinical practice.
Keywords
General Psychology, client characteristics, client agency, qualitative research methods, PSYCHOTHERAPY, ISSUES, DEPRESSION, IDENTITY, SELF

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MLA
Acke, Emma, et al. “The Nature of Client Agency Prior to Therapy : A Qualitative Study on Clients’ Narratives.” PSYCHOLOGICA BELGICA, vol. 62, no. 1, 2022, pp. 17–28, doi:10.5334/pb.1104.
APA
Acke, E., De Smet, M., Van Nieuwenhove, K., & Meganck, R. (2022). The nature of client agency prior to therapy : a qualitative study on clients’ narratives. PSYCHOLOGICA BELGICA, 62(1), 17–28. https://doi.org/10.5334/pb.1104
Chicago author-date
Acke, Emma, Melissa De Smet, Kimberly Van Nieuwenhove, and Reitske Meganck. 2022. “The Nature of Client Agency Prior to Therapy : A Qualitative Study on Clients’ Narratives.” PSYCHOLOGICA BELGICA 62 (1): 17–28. https://doi.org/10.5334/pb.1104.
Chicago author-date (all authors)
Acke, Emma, Melissa De Smet, Kimberly Van Nieuwenhove, and Reitske Meganck. 2022. “The Nature of Client Agency Prior to Therapy : A Qualitative Study on Clients’ Narratives.” PSYCHOLOGICA BELGICA 62 (1): 17–28. doi:10.5334/pb.1104.
Vancouver
1.
Acke E, De Smet M, Van Nieuwenhove K, Meganck R. The nature of client agency prior to therapy : a qualitative study on clients’ narratives. PSYCHOLOGICA BELGICA. 2022;62(1):17–28.
IEEE
[1]
E. Acke, M. De Smet, K. Van Nieuwenhove, and R. Meganck, “The nature of client agency prior to therapy : a qualitative study on clients’ narratives,” PSYCHOLOGICA BELGICA, vol. 62, no. 1, pp. 17–28, 2022.
@article{8734365,
  abstract     = {{Client agency is considered a crucial contributor to good treatment outcome. Recent studies, however, differ strongly in how they conceptualise and investigate agency. The current study explores the nature of client agency in ten clients' pre-treatment interviews. Applying Consensual Qualitative Research, we constructed three overarching categories, subdivided into 14 sub-categories capturing both between and within-person differences in agency before therapy. We found that all participants oscillated between the experience of a lack of grip on problems on the one hand and noticing their involvement in the problem and taking action on the other. These results present a dynamic conceptualisation of client agency. This allows us to ask pertinent questions for both future research and clinical practice.}},
  author       = {{Acke, Emma and De Smet, Melissa and Van Nieuwenhove, Kimberly and Meganck, Reitske}},
  issn         = {{0033-2879}},
  journal      = {{PSYCHOLOGICA BELGICA}},
  keywords     = {{General Psychology,client characteristics,client agency,qualitative research methods,PSYCHOTHERAPY,ISSUES,DEPRESSION,IDENTITY,SELF}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{17--28}},
  title        = {{The nature of client agency prior to therapy : a qualitative study on clients’ narratives}},
  url          = {{http://doi.org/10.5334/pb.1104}},
  volume       = {{62}},
  year         = {{2022}},
}

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