Physiological synchronization and innovative moments in psychotherapy: A single-case study of micro-process.

IF 2.6 1区 心理学 Q2 PSYCHOLOGY, CLINICAL
Johann R Kleinbub, Giovanna Esposito, Anna S Cutolo, Arianna Palmieri, Miguel M Gonçalves
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引用次数: 0

Abstract

Objective: Interpersonal synchronization is increasingly studied as a biomarker of empathy, therapeutic alliance, and treatment outcome. However, most studies average data over sessions, leaving associations between synchrony and actual interactions largely unexplored. We aim to showcase a novel approach examining synchronization during specific micro-processes: Innovative Moments (IM) as markers of exceptions to clients' problematic patterns of meaning.

Methods: Electrodermal activity was recorded over 15 sessions of a psychodynamic psychotherapy single case. Moment-to-moment patient-therapist synchrony was calculated using the Adaptive Matching Interpolated Correlations (AMICo) algorithm. The Innovative Moments Coding System was utilized to identify IMs within session transcripts with precise timing. Monte-Carlo permutation tests were conducted to examine the association between physiological synchrony and IM Levels of increasing complexity (Levels 1-3).

Results: Higher-than-random synchronization emerged during Level 3 IMs (p = 0.046; d = 0.21) but not in lower Levels. Post-hoc qualitative analyses linked high synchrony to sub-processes of Level 3 IMs, such as positive contrasts and attributions for change.

Conclusion: Our findings show it is possible to link moment-by-moment physiological co-regulation to theoretically identified meaning-making processes. While generalization of these observations is undue, this work demonstrates a robust and promising application of a multimodal approach to investigating psychotherapy, providing insights into both the clinical case and the theoretical model adopted.

心理治疗中的生理同步和创新时刻:微观过程的单例研究。
研究目的作为移情、治疗联盟和治疗效果的生物标志物,人际同步的研究越来越多。然而,大多数研究都是将疗程数据平均化,这在很大程度上忽略了同步性与实际互动之间的联系。我们旨在展示一种新颖的方法,研究特定微过程中的同步性:创新时刻(IM)作为客户问题意义模式例外情况的标记:方法:对一个心理动力学心理治疗个案的 15 个疗程的电热活动进行记录。使用自适应匹配插值相关性(AMICo)算法计算患者与治疗师之间的同步性。创新时刻编码系统用于识别疗程记录中具有精确时间的 IM。通过蒙特卡洛置换检验,研究了生理同步性与复杂程度不断增加的 IM 级别(1-3 级)之间的关联:结果:在第 3 级即时信息中(p = 0.046; d = 0.21)出现了高于随机的同步性,但在较低级别的即时信息中却没有出现。事后定性分析将高同步性与第 3 级即时信息的子过程联系起来,如积极对比和变化归因:我们的研究结果表明,可以将每时每刻的生理共同调节与理论上确定的意义生成过程联系起来。虽然将这些观察结果一概而论是不适当的,但这项工作展示了多模态方法在调查心理治疗方面的稳健而有前途的应用,为临床案例和所采用的理论模型提供了启示。
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来源期刊
Psychotherapy Research
Psychotherapy Research PSYCHOLOGY, CLINICAL-
CiteScore
7.80
自引率
10.30%
发文量
68
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.
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