Exploring trajectories and predictors of perceived session speed in psychodynamic psychotherapy: A multilevel analysis of client and therapist perspectives

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dc.contributor.authorÖzekinci, Ayşe Sena
dc.date.accessioned2025-10-13T08:25:28Z
dc.date.available2025-10-13T08:25:28Z
dc.date.issued20/06/2025
dc.departmentEnstitüler, Lisansüstü Programlar Enstitüsü, Klinik Psikoloji Ana Bilim Dalı
dc.description.abstractThis study investigated how both clients and therapists perceive the speed of therapy sessions in psychodynamic psychotherapy, how these perceptions evolve over time, and which factors influence them. Using multilevel modeling, data from 1640 sessions conducted with 71 clients and 21 therapists were analyzed to explore trajectories and predictors at the client, therapist, and session levels. Clients’ perception of session speed followed a U-shaped course: fast at the beginning, slower in the middle, and fast again towards the end. Therapists showed two distinct patterns: one group followed a reverse bell (U-shaped) curve, while the other displayed a bell-shaped pattern. At the individual level, clients' age, sex, type of diagnosis, application reason, and pre-treatment symptom levels did not show significant effects. Similarly, at the therapist level, most of the fixed variables were found to have no effect; only some pre-treatment symptoms were found to have significant effects in interaction with the process. At the session level, sessions were experienced as faster when clients reported positive emotions, and slower when they reported negative or aversive feelings. For therapists, feelings of relief and surprise were associated with faster sessions, while anger led to a sense of deceleration. Clients’ expressions of sadness were also associated with therapists perceiving the session as faster. Finally, although therapists and clients tended to report similar perceptions of session speed within the same session, the therapist’s perception of the previous session did not predict the client’s perception in the following session, and vice versa. Findings are discussed in relation to time perception and psychotherapy, with clinical implications and directions for future research.
dc.identifier.urihttps://hdl.handle.net/11411/9720
dc.institutionauthorÖzekinci, Ayşe Sena
dc.language.isoen
dc.publisherİstanbul Bilgi Üniversitesi, Lisansüstü Eğitim Enstitüsü
dc.relation.publicationcategoryTez
dc.rightsinfo:eu-repo/semantics/openAccess
dc.titleExploring trajectories and predictors of perceived session speed in psychodynamic psychotherapy: A multilevel analysis of client and therapist perspectives
dc.typeMaster Thesis

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