The effect of therapists' enactment interventions in promoting vulnerability sharing in emotion focused couple therapy.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2024-07-01 Epub Date: 2023-08-23 DOI:10.1080/10503307.2023.2245961

Ofra Kula, Reut Machluf, Ben Shahar, Leslie S Greenberg, Eran Bar-Kalifa

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引用次数: 0

Abstract

Objective: The primary purported change process in emotion-focused therapy for couples (EFT-C) involves partners accessing and revealing their underlying vulnerable emotions and responding empathically when their partners disclose their vulnerable emotions. One main intervention to facilitate vulnerability sharing is enactment - guiding partners to interact directly with each other. The objective of the current study was to identify interventions therapists can use to help partners share vulnerability in the context of enactment. The primary hypothesis of this study was that promoting these interventions would lead to more vulnerability expressions during enactments.

Method: One hundred and five vulnerability enactment events were identified from videod therapy sessions of 33 couples dealing with a significant emotional injury who received 12 sessions of EFT-C. Four therapists' interventions were coded: setting a meaningful systemic context, promoting the revealing partner's emotional engagement, preparing the revealing partner for enactment, and promoting the listening partner's emotional engagement in the enactment. In addition, vulnerability expression was coded.

Results: Multilevel regression models showed that two interventions were significantly associated with greater levels of expressed vulnerability: setting a meaningful systemic context, and preparing the revealing partner for enactment.

Conclusion: These findings suggest that therapists can facilitated vulnerability sharing using specific preparatory interventions.

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在以情感为重点的夫妻治疗中，治疗师的行为干预对促进分享脆弱性的影响。

目的：夫妻情感焦点疗法（EFT-C）所宣称的主要改变过程涉及伴侣获取和揭示其潜在的脆弱情绪，并在伴侣揭示其脆弱情绪时做出共情回应。促进脆弱情绪分享的一项主要干预措施是 "颁布"--引导伴侣直接与对方互动。本研究的目的是确定治疗师可以使用哪些干预措施，以帮助伴侣在 "行为 "的背景下分享脆弱情绪。本研究的主要假设是，推广这些干预措施将导致更多的脆弱表现：从 33 对接受了 12 次 EFT-C 治疗的夫妻的视频治疗过程中，确定了 105 个脆弱表现事件。对治疗师的四项干预进行了编码：设置有意义的系统情境、促进揭示伴侣的情感参与、为揭示伴侣的表露做准备，以及促进倾听伴侣在表露中的情感参与。此外，还对脆弱性表达进行了编码：多层次回归模型显示，有两项干预措施与脆弱性表达水平的提高有显著相关性：设置有意义的系统背景，以及为揭示伙伴的表演做准备：这些研究结果表明，治疗师可以通过特定的准备性干预来促进脆弱性的分享。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.