Physiological regulation processes differentiate the experience of ruptures between patient and therapist.

IF 2.6 2区 心理学 Q2 PSYCHOLOGY, CLINICAL
Psychotherapy Pub Date : 2024-12-01 Epub Date: 2024-10-24 DOI:10.1037/pst0000543
Amit Tchizick, Johann Roland Kleinbub, Shahar Bittan, Tal Bitton, Sigal Zilcha-Mano
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引用次数: 0

Abstract

The empirical and clinical literature emphasizes the importance of alliance ruptures, signaling therapeutic processes occurring within and between the partners of the therapeutic dyad. However, knowledge about the underlying regulatory processes that occur amid ruptures is scarce. Identifying the underlying physiological markers may shed light on these regulatory processes. The overarching goal of the present study was to explore physiological markers of withdrawal and confrontation ruptures, within the patient and the therapist. Given the little known on the subject, we used a single-case design (94 episodic segments) to explore biologically based regulatory processes in the face of a rupture, contrasting confrontation ruptures versus withdrawal ruptures versus control episodes (emotional and neutral episodes). Findings showed that the patient and the therapist had contrasting physiological responses to the ruptures, depending on the type. During withdrawal ruptures, the patient exhibited high regulation, while the therapist did not show a clear physiological reaction. During confrontation ruptures, the patient exhibited low regulation, while the therapist exhibited high regulation. The different physiological regulation processes at times of ruptures suggest that, in withdrawal, the patient relied on intrapersonal regulation, contrasting with the interpersonal regulation observed in confrontation ruptures. Findings remained robust after controlling for speech turns and 10,000 Monte Carlo permutations to assess chance-level results. These findings provide initial evidence for the link between arousal and behavior in ruptures, offering valuable psychoeducational material for therapists to improve their handling of these challenging moments. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

生理调节过程区分了患者和治疗师之间的破裂体验。
实证和临床文献强调了联盟破裂的重要性,它是治疗二人组伙伴内部和之间发生的治疗过程的信号。然而,关于破裂中发生的潜在调节过程的知识却很少。确定潜在的生理标记可能会揭示这些调节过程。本研究的首要目标是探索患者和治疗师在退缩和对抗破裂时的生理标记。鉴于对这一主题知之甚少,我们采用了单例设计(94 个情节片段)来探索面对破裂时的生物调节过程,将对抗破裂与退缩破裂与对照情节(情感和中性情节)进行对比。研究结果表明,根据不同的破裂类型,患者和治疗师对破裂的生理反应截然不同。在退缩破裂时,患者表现出高度调节,而治疗师则没有明显的生理反应。在对抗破裂时,患者表现出低调节,而治疗师则表现出高调节。破裂时不同的生理调节过程表明,在退缩时,患者依靠的是人内调节,而在对抗破裂时观察到的是人际调节。在控制了言语转向和 10,000 次蒙特卡洛排列以评估偶然性结果后,研究结果仍然很稳健。这些发现为破裂中的唤醒和行为之间的联系提供了初步证据,为治疗师提供了宝贵的心理教育材料,以改善他们对这些挑战性时刻的处理。(PsycInfo 数据库记录 (c) 2024 APA,保留所有权利)。
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
Psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
4.60
自引率
12.00%
发文量
93
期刊介绍: Psychotherapy Theory, Research, Practice, Training publishes a wide variety of articles relevant to the field of psychotherapy. The journal strives to foster interactions among individuals involved with training, practice theory, and research since all areas are essential to psychotherapy. This journal is an invaluable resource for practicing clinical and counseling psychologists, social workers, and mental health professionals.
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