Psychotherapy Research最新文献_第5页

First impressions matter: The influence of initial assessments on psychological treatment initiation and subsequent dropout. 第一印象很重要：初步评估对开始心理治疗和随后放弃治疗的影响。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-03-01 Epub Date: 2024-01-30 DOI: 10.1080/10503307.2024.2308164

Hannah Bowker, David Saxon, Jaime Delgadillo

{"title":"First impressions matter: The influence of initial assessments on psychological treatment initiation and subsequent dropout.","authors":"Hannah Bowker, David Saxon, Jaime Delgadillo","doi":"10.1080/10503307.2024.2308164","DOIUrl":"10.1080/10503307.2024.2308164","url":null,"abstract":"Objective: This study investigated if patients' experience of an initial assessment may be associated with outcome expectations, and with subsequent treatment attendance.Method: The sample comprised n = 6051 patients with depression/anxiety disorders, nested within k = 148 assessing therapists. Multilevel modelling (MLM) was used to examine therapist effects on treatment initiation and subsequent dropout, adjusting for patient-level characteristics. We tested associations between early outcome expectancy measured at an initial assessment with attendance at a first therapy session, and with dropout after initiation. Variability in mean expectancy ratings in the caseloads of assessing therapists was examined using the intracluster correlation coefficient (ICC).Results: Therapist effects partly explained the variance in treatment initiation and dropout. Pre-treatment outcome expectations significantly predicted treatment initiation but not dropout for the subgroup of patients who started treatment. Approximately 16% of variability in mean expectancy ratings was explained by therapist effects (ICC = 0.159) after controlling for patient-level covariates.Conclusions: Patients assessed by some therapists are more likely to have higher outcome expectations, which influences their decision to initiate treatment thereafter. Once patients start therapy, early expectancy measured at assessment no longer influences their attendance, but the \"first impression\" from an initial assessment does influence their subsequent likelihood of dropout.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"368-378"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The development of the Broaching Assessment Scale: A client-rated measure of therapists' broaching behaviour in clinical counselling. 开发 "撩拨评估量表"：对治疗师在临床咨询中的 "搭讪 "行为进行客户评分的测量方法。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-03-01 Epub Date: 2024-01-24 DOI: 10.1080/10503307.2024.2301948

Hilde Depauw, Alain Van Hiel, Hafsa Talal, Kim Dierckx, Fien Geenen, Barbara Valcke, Barbara De Clercq

{"title":"The development of the Broaching Assessment Scale: A client-rated measure of therapists' broaching behaviour in clinical counselling.","authors":"Hilde Depauw, Alain Van Hiel, Hafsa Talal, Kim Dierckx, Fien Geenen, Barbara Valcke, Barbara De Clercq","doi":"10.1080/10503307.2024.2301948","DOIUrl":"10.1080/10503307.2024.2301948","url":null,"abstract":"Objective: Addressing ethnic-cultural topics during the process of psychotherapy, i.e. broaching, is considered highly important for ethnic minority clients who consult mental health care services. Surprisingly little is known, however, about clients' perception of a therapist's broaching qualities, and how clients' mental construction of broaching translates into behavioural broaching acts a therapist may display.Method: Based on previous work and nine in-depth interviews with ethnic minority clients, a client-rated measure of therapists' broaching behaviour was developed and psychometrically evaluated in two samples. Sample 1 (N = 252 UK ethnic minority clients) was used to empirically delineate the factor structure of an initial item set. Participants were then resolicited to complete a revised item pool.Results: The empirical structure resulted in a final 25-item broaching instrument with five subscales probing into therapists' broaching behaviour. This Broaching Assessment Scale (BrAS) was validated in Sample 2 (N = 239 US ethnic minority clients). Strict measurement invariance of the factor structure was observed across the two samples and distinctive correlational patterns with therapeutic process measures were found.Conclusion: The BrAS provides new insights on how sensitivity to ethnic-cultural topics can be targeted along its concrete features, and is a promising tool for conceptualizing culturally sensitive mental healthcare assessment.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"424-440"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139547470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Emotional arousal and reflective functioning among parents participating in attachment-based family therapy for LGBTQ+ young adults and their nonaccepting parents. 参与为 LGBTQ+ 年轻人及其不接受他们的父母提供的基于依恋的家庭疗法的父母的情绪唤醒和反思功能。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-03-01 Epub Date: 2024-02-06 DOI: 10.1080/10503307.2024.2309285

Yotam Strifler, Gary M Diamond

{"title":"Emotional arousal and reflective functioning among parents participating in attachment-based family therapy for LGBTQ+ young adults and their nonaccepting parents.","authors":"Yotam Strifler, Gary M Diamond","doi":"10.1080/10503307.2024.2309285","DOIUrl":"10.1080/10503307.2024.2309285","url":null,"abstract":"Objective: Parents' rejection of their LGBTQ + young adults can have a negative impact on their young adult's psychological welfare, and on the young adult-parent relationship. Parents' ability to reflect on their child's pain and unmet needs is thought to evoke empathy and compassion, and reduce rejection. Empirical and clinical evidence suggest that parents' level of reflective functioning (RF) is impacted by their level of emotional arousal (EA). This study examined the association between parents' EA and RF within the context of attachment-based family therapy for nonaccepting parents and their LGBTQ+ young adults.Methods: 43 therapy sessions drawn from six different cases were coded for parental RF and EA, based on 30-second segments. This generated a total of 343 observations for analyses.Results: Hierarchal linear modeling revealed that parents' level of RF was a function of their concomitant EA, with moderate levels of arousal predicting the highest RF levels.Conclusion: Moderate EA may facilitate optimal parental reflective functioning. With nonaccepting parents, who typically present for treatment with high levels of maladaptive fear and shame, therapists would do well to assess their level of arousal and, when indicated, employ downregulating interventions before inviting them to reflect on their young adult's experience and needs.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"441-453"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development and validation of an 8-item version of the Real Relationship Inventory-Client form. 开发并验证 8 个项目的真实关系量表--客户表。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-03-01 Epub Date: 2024-03-18 DOI: 10.1080/10503307.2024.2320331

Alberto Stefana, Paolo Fusar-Poli, Eduard Vieta, Charles J Gelso, Eric A Youngstrom

{"title":"Development and validation of an 8-item version of the Real Relationship Inventory-Client form.","authors":"Alberto Stefana, Paolo Fusar-Poli, Eduard Vieta, Charles J Gelso, Eric A Youngstrom","doi":"10.1080/10503307.2024.2320331","DOIUrl":"10.1080/10503307.2024.2320331","url":null,"abstract":"Objective: To develop and validate a very brief version of the 24-item Real Relationship Inventory-Client (RRI-C) form.Method: Two independent samples of individual psychotherapy patients (Nsample1 = 700, Nsample2 = 434) completed the RRI-C along with other measures. Psychometric scale shortening involved exploratory factor analysis, item response theory analysis, confirmatory factor analysis (CFA), and multigroup CFA. Reliability and convergent and discriminant validity of the scale and subscales were also assessed.Results: The 8-item RRI-C (RRI-C-SF) preserves the two-factor structure: Genuineness (k = 4, α = .86) and Realism (k = 4, α = .87), which were correlated at r = .74. CFA provided the following fit indices for the bifactor model: X2/df = 2.16, CFI = .99, TLI = .96, RMSEA = .07, and SRMR = .03. Multigroup CFA showed that the RRI-C-SF was invariant across in-person and remote session formats. The RRI-C-SF demonstrated high reliability (α = .91); high correlation with the full-length scale (r = .96); and excellent convergent and discriminant validity with measures of other elements of the therapeutic relationship, personality characteristics, current mental health state, and demographic-clinical variables. Clinical change benchmarks were calculated to serve as valuable tools for both research and clinical practice.Conclusion: The RRI-C-SF is a reliable measure that can be used for both research and clinical purposes. It enables a nuanced assessment of the genuineness and the realism dimensions of the real relationship.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"395-411"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An examination of therapists' professional characteristics as moderators of the effect of feedback on psychological treatment outcomes. 研究治疗师的专业特点对反馈对心理治疗结果影响的调节作用。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-03-01 Epub Date: 2024-02-13 DOI: 10.1080/10503307.2024.2310635

Jaime Delgadillo, Helene A Nissen-Lie, Kim De Jong, Thomas A Schröder, Michael Barkham

{"title":"An examination of therapists' professional characteristics as moderators of the effect of feedback on psychological treatment outcomes.","authors":"Jaime Delgadillo, Helene A Nissen-Lie, Kim De Jong, Thomas A Schröder, Michael Barkham","doi":"10.1080/10503307.2024.2310635","DOIUrl":"10.1080/10503307.2024.2310635","url":null,"abstract":"Feedback-informed treatment (FIT) has been shown to reduce the gap between more and less effective therapists. This study aimed to examine therapists' professional characteristics as potential moderators of the effect of feedback on treatment outcomes.The IAPT-FIT Trial was a clinical trial where therapists were randomly assigned to a FIT group or a usual care control group. Treatment response was monitored using measures of depression (PHQ-9), anxiety (GAD-7) and functional impairment (WSAS). In a secondary analysis of this trial (n = 1,835 patients; t = 67 therapists), we used multilevel modelling to examine interactions between therapists' professional characteristics (e.g., attitude towards and self-efficacy regarding feedback utilization, decision-making style, job satisfaction, burnout, difficulties in practice, coping styles, caseload size) with random allocation (FIT vs. controls) to identify moderators of the effects of feedback.Between 9.6% and 10.8% of variability in treatment outcomes was attributable to therapist effects. Therapist-level caseload sizes and external feedback propensity (EFP) moderated the effect of feedback on depression outcomes. No statistically significant main effects were found for any of the included therapist characteristics.FIT reduced variability in outcomes between therapists and was particularly effective for therapists with high EFP and larger caseloads.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"501-511"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of an online dialectical behavior therapy skills training in adults with attention-deficit/hyperactivity disorder: A randomized controlled trial. 在线辩证行为疗法技能培训对注意力缺陷/多动障碍成人患者的疗效：随机对照试验。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-03-01 Epub Date: 2024-02-15 DOI: 10.1080/10503307.2024.2311773

Vahide Ulusoy, Işıl Bilican, Aynur Gormez

{"title":"Effectiveness of an online dialectical behavior therapy skills training in adults with attention-deficit/hyperactivity disorder: A randomized controlled trial.","authors":"Vahide Ulusoy, Işıl Bilican, Aynur Gormez","doi":"10.1080/10503307.2024.2311773","DOIUrl":"10.1080/10503307.2024.2311773","url":null,"abstract":"Objective: The current study aims to examine the efficacy of an add-on dialectical behavior therapy skills training (DBT-ST) on adult attention-deficit/hyperactivity disorder (ADHD). The DBT-ST was applied online under the pandemic conditions that occurred after the study had started.Methods: The current randomized controlled trial consists of an intervention group to whom the DBT-ST was applied in online setting and a waitlist control group who received treatment as usual (TAU). Data were collected pre-, post-, and mid-treatment. ADHD symptoms (with the sub-dimensions of inattention and hyperactivity), impulsivity, mindfulness, difficulty with emotion regulation, interpersonal effectiveness, distress tolerance, life satisfaction, functionality in daily life, and general psychological symptom levels were measured with self-report scales. The data were analyzed using mixed-design ANOVA.Results: The global ADHD, inattention, and hyperactivity symptoms of the DBT-ST group significantly decreased more than those in the TAU control group. The DBT-ST group also showed a significant decrease regarding difficulty with emotion regulation and increases in life satisfaction and functionality, though the group × time effect was not significant.Conclusion: DBT-ST was found effective against the participants' ADHD symptoms. The treatment was additionally found to improve their emotion regulation and quality of life. Further investigation is needed to investigate DBT-ST in an online setting.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"469-485"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139742361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The influence of deliberate practice on skill performance in therapeutic practice: A systematic review of early studies. 刻意练习对治疗实践中技能表现的影响：早期研究的系统回顾。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-03-01 Epub Date: 2024-01-31 DOI: 10.1080/10503307.2024.2308159

Karina Nurse, Melissa O'Shea, Mathew Ling, Nathan Castle, Jade Sheen

{"title":"The influence of deliberate practice on skill performance in therapeutic practice: A systematic review of early studies.","authors":"Karina Nurse, Melissa O'Shea, Mathew Ling, Nathan Castle, Jade Sheen","doi":"10.1080/10503307.2024.2308159","DOIUrl":"10.1080/10503307.2024.2308159","url":null,"abstract":"Objective: Deliberate practice (DP) is recommended as a new approach to facilitate the acquisition of discrete therapeutic skills, however, its implementation and effectiveness in psychotherapy remains unclear.Method: A systematic search on DP for therapeutic skills among psychotherapy trainees and psychotherapists yielded eleven studies for inclusion. Nine were randomized controlled studies (RCTs), including seven unique RCTs, and two were within-group studies.Results: Risk of bias was assessed as \"high\" for one RCT, \"some concerns\" for the remaining RCTs, and \"serious\" for within-group studies. All RCTs found the DP group performed better than the control group. All studies involved efforts to improve performance based on learning objectives and iterative practice but varied in the source of expert guidance and feedback. The included studies provide limited insight into best practice for delivering DP.Conclusion: The results highlight the paucity of research in this field; however they offer insight into current applications of DP and provide preliminary empirical support DP for as a model for promoting the development of discrete therapeutic skills. Given the rapid dissemination of DP publications and manuals in psychotherapy, future research is strongly encouraged.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"353-367"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139651897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding "patient deterioration" in psychotherapy from depressed patients' perspectives: A mixed methods multiple case study. 从抑郁症患者的角度理解心理治疗中的 "患者恶化"：混合方法多案例研究。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-03-01 Epub Date: 2024-02-06 DOI: 10.1080/10503307.2024.2309286

Melissa Miléna De Smet, Emma Acke, Shana Cornelis, Femke Truijens, Liza Notaerts, Reitske Meganck, Mattias Desmet

{"title":"Understanding \"patient deterioration\" in psychotherapy from depressed patients' perspectives: A mixed methods multiple case study.","authors":"Melissa Miléna De Smet, Emma Acke, Shana Cornelis, Femke Truijens, Liza Notaerts, Reitske Meganck, Mattias Desmet","doi":"10.1080/10503307.2024.2309286","DOIUrl":"10.1080/10503307.2024.2309286","url":null,"abstract":"Objective: This study scrutinizes the meaning of deterioration in psychotherapy beyond the widely used statistical definition of reliable symptom increase pre-to-post treatment.Method: An explanatory sequential mixed-methods multiple case study was conducted, combining quantitative pre-post outcome evaluation of self-reported depression symptoms and qualitative analysis of patients' interviews. In a Randomized Controlled Study on the treatment of Major Depression, three patients showing reliable increase in symptom severity on the BDI-II pre-to-post therapy were selected. An interpretative phenomenological analysis (IPA) was performed on individual interviews conducted pre-, peri- and post-treatment.Results: Cross-case outcome experiences were: (1) uncontrollable complaints; (2) remaining questions and uninternalized insights and (3) persisting interpersonal difficulties. Within-case idiosyncratic differences revealed that the statistical classification of \"deterioration\" not necessarily corresponds to a \"deteriorated experience,\" nor univocally indicates unwanted therapy effects. Our findings point at the influences of the patient's (lack of) agency in the process, a discrepancy between patients' expectations and the therapy offer, the therapeutic relationship, interpersonal difficulties, and contextual influences.Conclusion: The meaning of symptomatic deterioration should be interpreted within a patient's idiosyncratic context. The multi-faceted nature of deterioration requires further research to rely on multiple perspectives and mixed methods.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"486-500"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessing the psychotherapist's affective reactions toward their patient: validation of the Clinician Affective REsponse (CARE) scales. 评估心理治疗师对病人的情感反应：临床医生情感反应（CARE）量表的验证。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-02-25 DOI: 10.1080/10503307.2025.2465432

Alberto Stefana, Eduard Vieta, Paolo Fusar-Poli, Eric A Youngstrom

{"title":"Assessing the psychotherapist's affective reactions toward their patient: validation of the Clinician Affective REsponse (CARE) scales.","authors":"Alberto Stefana, Eduard Vieta, Paolo Fusar-Poli, Eric A Youngstrom","doi":"10.1080/10503307.2025.2465432","DOIUrl":"https://doi.org/10.1080/10503307.2025.2465432","url":null,"abstract":"Background: This study aims to evaluate the factor structure, reliability, and validity of the Clinician Affective REsponse (CARE) scales, a 15-item self-report measure designed for practical use in psychotherapy settings. Methods: Validation data were gathered from 151 mental health clinicians. These clinicians completed the CARE scales alongside measures capturing sociodemographic and professional details, patient demographics and clinical details, therapeutic intervention characteristics, therapeutic relationship elements, and session outcomes. Results: The CARE scales had a three-factor structure: positive engagement (k = 5, ω = .78), enmeshed (k = 5, ω = .72), and stuck (k = 5, ω = .71). Confirmatory factor analysis (CFA) yielded the following fit indices for the three-factor model: χ2(87) = 120.41, CFI = .94; TLI = .93, RMSEA = .05, and SRMR = .08. Multigroup CFA (which pooled two samples for a total of 607 subjects) showed that the CARE scales were invariant across remote and in-person session formats. The scales showed meaningful correlations with concurrent measures of working alliance, real relationship, countertransference, patient's experience of the therapeutic relationship, and session outcome. Discussion: The CARE scales are a valuable instrument in clinical, training, and research contexts, adept at capturing clinicians' session-level affective responses and perceptions of the therapeutic relationship. Quantifying these reactions facilitates statistical analysis and empirical research, while their monitoring can guide therapeutic interventions and inform clinical supervision.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-17"},"PeriodicalIF":2.6,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"I know that all this is me" Pathways of change in complex dissociative disorder. “我知道这一切都是我”复杂分离性障碍的变化途径。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-02-19 DOI: 10.1080/10503307.2025.2457402

Ingunn Holbæk, Karianne Vrabel, Margrethe Seeger Halvorsen

{"title":"\"I know that all this is me\" Pathways of change in complex dissociative disorder.","authors":"Ingunn Holbæk, Karianne Vrabel, Margrethe Seeger Halvorsen","doi":"10.1080/10503307.2025.2457402","DOIUrl":"https://doi.org/10.1080/10503307.2025.2457402","url":null,"abstract":"Objectives: This qualitative study explored changes described by individuals with complex dissociative disorders (CDDs) 2 years after participating in a psychoeducative group. Few recent studies have examined the early changes from incomprehensible reactions to the integration of traumatic events.Methods: Interviews were conducted with 25 participants with CDD 2 years after completing a 20-week psychoeducative skills training group. Transcripts were analysed using an interpretive phenomenological framework.Results: Three pathways of change were identified: (1) the ability to be present in life, (2) ways of approaching internal conflicts and (3) the degree of ownership of the self. These pathways illustrate the initial steps towards integration, in which participants start recognizing and confronting previously avoided emotions and experiences. This allows them to better tolerate and accept more of themselves. Processes varied among the participants, with some achieving cohesive integration of challenging memories.Conclusion: Traditionally, there has been little treatment optimism for individuals with CDD. This study highlights the potential for comprehensive change within 2 years. It contributes to the debate on whether focusing on coping strategies delays trauma memory integration, emphasizing the need for a balance between exposure and coping based on the patient's capacity.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":2.6,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0