Psychotherapy Research最新文献_第9页

Mapping the growth of the CORE system tools in psychotherapy research from 1998 to 2021: Learning from historical evidence. 描绘1998年至2021年心理治疗研究中CORE系统工具的增长：从历史证据中学习。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-02-03 DOI: 10.1080/10503307.2025.2457389

Clara Paz, Alejandro Unda-López, Jorge Valdiviezo-Oña, Juan Fernando Chávez, Jonathan Elias Herrera Criollo, Lizbeth Toscano-Molina, Chris Evans

{"title":"Mapping the growth of the CORE system tools in psychotherapy research from 1998 to 2021: Learning from historical evidence.","authors":"Clara Paz, Alejandro Unda-López, Jorge Valdiviezo-Oña, Juan Fernando Chávez, Jonathan Elias Herrera Criollo, Lizbeth Toscano-Molina, Chris Evans","doi":"10.1080/10503307.2025.2457389","DOIUrl":"https://doi.org/10.1080/10503307.2025.2457389","url":null,"abstract":"Background: The Clinical Outcomes in Routine Evaluation (CORE) system was launched in 1998 intended to support the development of practice-based evidence and to reduce the research/practice gap. Since then, CORE instruments have been widely used.Aims: To map the utilization of the CORE system as reflected in peer-reviewed literature.Methods: We followed the guidelines for conducting a scoping review.Results: We identified 721 papers from 1998 to 2021 citing the CORE system, with 636 of them referencing its use in clinical settings. There has been a marked increase in use of the system over that period. All CORE instruments were used at least once, spanning 39 countries and 24 languages. Papers had a broad spectrum of objectives and populations across diagnoses and settings, aligning with the authors' planned versatility for the CORE system.Conclusions: In the light of the findings, we present a guide to enhance the reporting of work utilizing the CORE system. This could be applied to all practice-based evidence data collection, CORE or otherwise.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123815","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

Moderators of short- and long-term outcomes in panic control treatment and panic-focused psychodynamic psychotherapy. 恐慌控制治疗和以恐慌为重点的心理动力学心理治疗短期和长期疗效的调节因素。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-02-01 Epub Date: 2024-01-30 DOI: 10.1080/10503307.2023.2294888

Rolf Sandell Fredrik Falkenström Martin Svensson Thomas Nilsson Håkan Johansson Gardar Viborg Sean Perrin

{"title":"Moderators of short- and long-term outcomes in panic control treatment and panic-focused psychodynamic psychotherapy.","authors":"Rolf Sandell, Fredrik Falkenström, Martin Svensson, Thomas Nilsson, Håkan Johansson, Gardar Viborg, Sean Perrin","doi":"10.1080/10503307.2023.2294888","DOIUrl":"10.1080/10503307.2023.2294888","url":null,"abstract":"Objective: The objective was to test the hypothesis that externalizing and internalizing helpfulness beliefs and learning styles at baseline moderate panic severity and overall mental illness as short-term and long-term outcomes of two panic-focused psychotherapies, Panic Control Treatment (PCT) and Panic-Focused Psychodynamic Psychotherapy (PFPP).Method: Participants were 108 adults with DSM-IV Panic Disorder with or without Agoraphobia (PD/A) who were randomized to treatment in a trial of PCT and PFPP. Piece-wise/segmented multilevel modeling was used to test three-way interactions (Treatments × Moderator × Time), with participants and therapists as random factors. Outcome variables were clinician-rated panic severity and self-rated mental illness post-treatment and during follow-up.Results: Patients' externalizing (but not internalizing) helpfulness beliefs moderated mental illness outcomes during follow-up (but not during treatment); low levels of Externalization were facilitative for PFPP but not PCT. Internalizing and externalizing helpfulness beliefs and learning style did not moderate clinician-rated panic severity, whether short- or long-term.Conclusions: These results suggest that helpfulness beliefs and learning style have limited use in assignment to either PCT or PFPP for PD/A. Although further research is needed, low levels of helpfulness beliefs about externalizing coping may play a role in mental illness outcomes for PFPP.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"271-281"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643148","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

Physiological synchronization and innovative moments in psychotherapy: A single-case study of micro-process. 心理治疗中的生理同步和创新时刻：微观过程的单例研究。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-02-01 Epub Date: 2024-05-16 DOI: 10.1080/10503307.2024.2352752

Johann R Kleinbub Giovanna Esposito Anna S Cutolo Miguel M Gonçalves Arianna Palmieri

{"title":"Physiological synchronization and innovative moments in psychotherapy: A single-case study of micro-process.","authors":"Johann R Kleinbub, Giovanna Esposito, Anna S Cutolo, Arianna Palmieri, Miguel M Gonçalves","doi":"10.1080/10503307.2024.2352752","DOIUrl":"10.1080/10503307.2024.2352752","url":null,"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.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"223-238"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960150","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

Predicting working alliance in psychotherapy: A multi-modal machine learning approach. 预测心理治疗中的工作联盟：一种多模式机器学习方法。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-02-01 Epub Date: 2025-01-01 DOI: 10.1080/10503307.2024.2428702

Katie Aafjes-van Doorn, Marcelo Cicconet, Jeffrey F Cohn, Marc Aafjes

{"title":"Predicting working alliance in psychotherapy: A multi-modal machine learning approach.","authors":"Katie Aafjes-van Doorn, Marcelo Cicconet, Jeffrey F Cohn, Marc Aafjes","doi":"10.1080/10503307.2024.2428702","DOIUrl":"10.1080/10503307.2024.2428702","url":null,"abstract":"Objective: Session-by-session tracking of the working alliance enables clinicians to detect alliance deterioration and intervene accordingly, which has shown to improve treatment outcome, and reduce dropout. Despite this, regular use of alliance self-report measures has failed to gain widespread implementation. We aimed to develop an automated alliance prediction using behavioral features obtained from video-recorded therapy sessions.Method: A naturalistic dataset of session recordings with patient-ratings of working alliance was available for 252 in-person and teletherapy sessions from 47 patients treated by 10 clinicians. Text and audio-based features were extracted from all 252 sessions. Additional video-based feature extraction was possible for a subsample of 80 sessions. We developed a modeling pipeline for audio and text and for audio, text and video to train machine learning regression models that fuse multimodal features.Results: Best results were achieved with a Gradient Boosting architecture, when using audio, text, and video features extracted from the patient (ICC = 0.66, Pearson r = 0.70, MAE = 0.33).Conclusion: Automated alliance prediction from video-recorded therapy sessions is feasible with high accuracy. A data-driven multimodal approach to feature extraction and selection enables powerful models, outperforming previous work.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"256-270"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915979","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

A comparison of the effect of two types of brief psychodynamic group therapy on perfectionism-related attitudes, self-relatedness, and self-esteem. 比较两种简短心理动力小组疗法对完美主义相关态度、自我相关性和自尊的影响。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-02-01 Epub Date: 2024-02-01 DOI: 10.1080/10503307.2024.2308141

Gordon L Flett Samuel F Mikail Zarina Giannone Sabrina Ge Paul L Hewitt Martin M Smith David Kealy Ingrid Söchting Anna Kristen

{"title":"A comparison of the effect of two types of brief psychodynamic group therapy on perfectionism-related attitudes, self-relatedness, and self-esteem.","authors":"David Kealy, Paul L Hewitt, Ingrid Söchting, Samuel F Mikail, Martin M Smith, Gordon L Flett, Sabrina Ge, Anna Kristen, Zarina Giannone","doi":"10.1080/10503307.2024.2308141","DOIUrl":"10.1080/10503307.2024.2308141","url":null,"abstract":"Objective: This randomized controlled trial investigated the efficacy of dynamic relational group therapy (DRT) relative to group psychodynamic supportive therapy (PST) in improving perfectionism-related attitudes and components of the perfectionistic self-relationship. Method: Based on a comprehensive conceptualization of perfectionism, 80 community-recruited, highly perfectionistic individuals were randomly allocated to 12 sessions of group DRT (n = 41; 5 groups) or group PST (n = 39; 5 groups). Patients completed measures of dysfunctional attitudes, self-criticism, self-esteem, and self-reassurance at pre-, mid-, and post-treatment, and six months post-treatment. Results: Multigroup latent growth curve modeling revealed significant (p < .05) decreases in dysfunctional attitudes, concern over mistakes, two types of self-criticism, and self-esteem problems, along with a significant increase in self-reassurance, from pre-treatment to six-month follow-up in both DRT and PST. Moderate-to-large between-group differences favoring DRT over PST were found for dysfunctional attitudes and self-reassurance. A majority of patients in both conditions maintained reliable improvement at six-month follow-up in dysfunctional attitudes, concern over mistakes, and self-criticism focused on inadequacy. Conclusion: Findings provide evidence for the use of psychodynamic group therapy approaches in treating perfectionism-related attitudes and self-relational elements of perfectionism, and support the relative efficacy of DRT for dysfunctional attitudes and self-reassurance.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"319-336"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139673311","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

A multi-modality and multi-dyad approach to measuring flexibility in psychotherapy. 采用多模式和多学派方法测量心理疗法的灵活性。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-02-01 Epub Date: 2024-01-22 DOI: 10.1080/10503307.2023.2292746

Sigal Zilcha-Mano Timur Guralnik Daniel Merom Robert G Moulder

{"title":"A multi-modality and multi-dyad approach to measuring flexibility in psychotherapy.","authors":"Timur Guralnik, Robert G Moulder, Daniel Merom, Sigal Zilcha-Mano","doi":"10.1080/10503307.2023.2292746","DOIUrl":"10.1080/10503307.2023.2292746","url":null,"abstract":"Introduction: Flexibility, the ability of an individual to adapt to environmental changes in ways that facilitate goal attainment, has been proposed as a potential mechanism underlying psychopathology and psychotherapy. In psychotherapy, most findings are based on self-report measures that have important limitations. We propose a multimodal, multi-dyad approach based on a nonlinear dynamical systems framework to capture the complexity of this concept.Method: A new research paradigm was designed to explore the validity of the proposed conceptual model. The paradigm includes a psychotherapy-like social interaction, during which body movement and facial expressiveness data were collected. We analyzed the data using Hankel Alternative View of Koopmann analysis to reconstruct attractors of the observed behaviors and compare them.Results: The patterns of behavior in the two cases differ, and differences in the reconstructed attractors correspond with differences in self-report measures and behavior in the interactions.Conclusions: The case studies show that information provided by a single modality is not enough to provide the full picture, and multiple modalities are needed. These observations can serve as an initial support for our claims that a multi-modal and multi-dyad approach to flexibility can address some of the issues of measurement in the field.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"239-255"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139521738","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

Is respiratory sinus arrhythmia a modifiable index of symptom change in cognitive behavioral therapy for youth? A pooled-data analysis of a randomized trial. 呼吸性窦性心律失常是青少年认知行为疗法中症状变化的可调节指标吗？一项随机试验的汇总数据分析。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-02-01 Epub Date: 2024-01-29 DOI: 10.1080/10503307.2024.2308149

Kristel Thomassin Eli S Susman Spencer C Evans John R Weisz Katie A McLaughlin Patrick Coulombe

{"title":"Is respiratory sinus arrhythmia a modifiable index of symptom change in cognitive behavioral therapy for youth? A pooled-data analysis of a randomized trial.","authors":"Eli S Susman, John R Weisz, Katie A McLaughlin, Patrick Coulombe, Spencer C Evans, Kristel Thomassin","doi":"10.1080/10503307.2024.2308149","DOIUrl":"10.1080/10503307.2024.2308149","url":null,"abstract":"Objective: We evaluated whether respiratory sinus arrhythmia (RSA) reactivity and resting RSA-physiological markers reflecting the increase in heart rate with inspiration and decrease during expiration related to parasympathetic influence on the heart-are modifiable and predict symptom change during youth psychotherapy. Methods: Diverse youth (N = 158; ages 7-15; 48.1% female) received the Modular Approach to Therapy for Children and completed pre-treatment (pre), post-treatment (post), and 18-months postbaseline (18Mo) assessments. We measured resting RSA, RSA reactivity during stress induction, and psychopathology symptoms. Results: Pre-to-post and pre-to-18Mo, reactivity decreased, and resting RSA increased. Changes in reactivity and resting RSA, separately, did not predict reduced psychopathology. Yet, decreased reactivity combined with increased resting RSA predicted reduced psychopathology over time, suggesting that observed RSA changes were beneficial for some. Higher dosage of a module utilizing slow-breathing, muscle-relaxation, and imagery predicted greater pre-to-18Mo changes in reactivity and resting RSA, whereas a similar module with less emphasis on slow-breathing did not. Conclusions: Findings raise the possibility that youth reactivity and resting RSA could be modifiable during cognitive behavioral therapy and contribute to the amelioration of psychopathology. More studies are needed to determine whether resting RSA and RSA reactivity are modifiable indices of symptom change in slow-breathing practices and psychotherapy.Clinicaltrials.gov identifier: NCT03153904, registered May 15, 2017.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"337-351"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11284247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139571778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of emotion-focused therapy: Main results of a practice-research network study. 情绪聚焦治疗的有效性：一项实践-研究网络研究的主要结果。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-27 DOI: 10.1080/10503307.2025.2454455

Ueli Kramer, Marielle Sutter, Julian Rubel, José Blanco Machinea, Catalina Woldarsky, Lars Auszra, Imke Herrmann, Martin Grosse Holtforth

{"title":"Effectiveness of emotion-focused therapy: Main results of a practice-research network study.","authors":"Ueli Kramer, Marielle Sutter, Julian Rubel, José Blanco Machinea, Catalina Woldarsky, Lars Auszra, Imke Herrmann, Martin Grosse Holtforth","doi":"10.1080/10503307.2025.2454455","DOIUrl":"https://doi.org/10.1080/10503307.2025.2454455","url":null,"abstract":"Background: Emotion-Focused Therapy is one of the evidence-based psychotherapies for a range of psychological problems. While most evidence was gained from randomized controlled studies or process research at university settings, there is a need for more outcome research conducted within practitioner-researcher networks assessing the effectiveness of Emotion-Focused Therapy in private practice.Methods: A total of N = 70 clients with a variety of psychiatric disorders have been included in the bi-national practitioner researcher network for Emotion-focused Therapy Switzerland-Germany. Symptom change was assessed using CORE-OM, BDI-II, IIP and WSAS. Therapist adherence was assessed by the self-reported version of the PCEPS. Pre-post-follow-up analyses were conducted using paired sample t-tests and hierarchical linear modeling.Results: Pre-post-assessment shows small to medium effect sizes for all outcome measures (except for interpersonal problems which did not change). Symptom reduction is maintained for CORE, BDI and WSAS, and increased for IIP at 3 and 6 months follow-up. Therapist adherence is good to excellent in this sample.Conclusions: Emotion-Focused Therapy is effective in the real-world practice, as suggested by the small to moderate effect sizes. The smaller effects found in the current study as compared to randomized controlled trials are consistent with the literature and suggest that EFT remains moderately effective when applied in a naturalistic context.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-9"},"PeriodicalIF":2.6,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053828","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 therapist skills in teletherapy: the development and validation of the tele-facilitative interpersonal skills task. 评估远程治疗中的治疗师技能：远程促进人际技能任务的发展和验证。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-23 DOI: 10.1080/10503307.2025.2451329

Eva Antebi-Lerman, Tao Lin, Timothy Anderson, Katie Aafjes-van Doorn

{"title":"Assessing therapist skills in teletherapy: the development and validation of the tele-facilitative interpersonal skills task.","authors":"Eva Antebi-Lerman, Tao Lin, Timothy Anderson, Katie Aafjes-van Doorn","doi":"10.1080/10503307.2025.2451329","DOIUrl":"10.1080/10503307.2025.2451329","url":null,"abstract":"Objective: Teletherapy via videoconferencing has become common practice but has unique challenges. We aimed to develop and validate the first performance-based observer-rated measure of teletherapy skills: The Teletherapy Facilitative Interpersonal Skills Performance Task (Tele-FIS). Methods: We developed a set of 12 Tele-FIS video stimulus clips as simulations of four research-informed common therapeutic challenges in teletherapy: technology, distraction, boundaries and privacy, and emotional disconnection. A total of 153 therapists recorded interventions to the clips which were later rated on interpersonal skills. Results: The Tele-FIS performance task demonstrated good interrater reliability, internal consistency, test-retest reliability, and convergent validity. The Tele-FIS was positively associated with self-reported facilitative interpersonal skills, self-efficacy, attitudes towards technology, and observer-rated skills on a version of the FIS task that simulates in-person therapy. Therapists performed similarly on teletherapy clips of emotional disconnection and privacy issues compared to clips of in-person therapy. Therapists performed worse on Tele-FIS clips of technology and distraction challenges than in-person therapy clips. Conclusions: The Tele-FIS has potential as an assessment tool in skills training for trainees and licensed clinicians as well as future research about therapeutic work via teletherapy. Results are discussed to consider therapist skill and the use of practice-relevant materials in training.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-12"},"PeriodicalIF":2.6,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030157","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

Flexibility between immersion and distancing: Relationship with depressive symptoms and therapeutic alliance. 沉浸和距离的灵活性：与抑郁症状的关系和治疗联盟。

IF 2.6 1区心理学

Psychotherapy Research Pub Date : 2025-01-23 DOI: 10.1080/10503307.2025.2451330

Ricardo Lisboa, Eunice Barbosa, Inês Moura, João Salgado, Marlene Sousa

{"title":"Flexibility between immersion and distancing: Relationship with depressive symptoms and therapeutic alliance.","authors":"Ricardo Lisboa, Eunice Barbosa, Inês Moura, João Salgado, Marlene Sousa","doi":"10.1080/10503307.2025.2451330","DOIUrl":"10.1080/10503307.2025.2451330","url":null,"abstract":"Objectives: High levels of change are linked to the flexibility between immersion and distancing, as well as to higher levels of therapeutic alliance. This study aims to explore the evolution of flexibility between immersion and distancing throughout the entire therapeutic process and its relationship with therapeutic alliance and depressive symptoms in a clinical case.Method: We analyzed five sessions of a good outcome case of depression undergoing cognitive-behavioral therapy. We assessed the distancing/immersion of these sessions using the Measure of Immersed and Distanced Speech, and therapeutic alliance with the Working Alliance Inventory-Short Form. The depressive symptoms were assessed from the Beck Depression Inventory-II.Results: Flexibility and therapeutic alliance from both client's and therapist's perspectives increased throughout the therapeutic process. A strong negative correlation was found between flexibility and depressive symptoms.Conclusions: The increase in flexibility can be an adaptive pattern associated with the decrease in depressive symptoms, the increase in therapeutic alliance (from both the client's and the therapist's perspective), and therapeutic success.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-13"},"PeriodicalIF":2.6,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025186","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