One minute of grief: Emotional processing in short-term dynamic psychotherapy for adjustment disorder.

Détails

Ressource 1Télécharger: 25244391.pdf (211.96 [Ko])
Etat: Public
Version: Author's accepted manuscript
ID Serval
serval:BIB_920A4CC9E5F9
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
One minute of grief: Emotional processing in short-term dynamic psychotherapy for adjustment disorder.
Périodique
Journal of Consulting and Clinical Psychology
Auteur(s)
Kramer U., Pascual-Leone A., Despland J.N., de Roten Y.
ISSN
1939-2117 (Electronic)
ISSN-L
0022-006X
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
83
Numéro
1
Pages
187-198
Langue
anglais
Notes
Publication types: Journal ArticlePublication Status: ppublish
Résumé
OBJECTIVE: Depth of emotional processing has shown to be related to outcome across approaches to psychotherapy. Moreover, a specific emotional sequence has been postulated and tested in several studies on experiential psychotherapy (Pascual-Leone & Greenberg, 2007). This process-outcome study aims at reproducing the sequential model of emotional processing in psychodynamic psychotherapy for adjustment disorder and linking these variables with ultimate therapeutic outcome.
METHOD: In this study, 32 patients underwent short-term dynamic psychotherapy. On the basis of reliable clinical change statistics, a subgroup (n = 16) presented with good outcome and another subgroup (n = 16) had a poor outcome in the end of treatment. The strongest alliance session of each case was rated using the observer-rated system Classification of Affective Meaning States. Reliability coefficients for the measure were excellent (κ = .82).
RESULTS: Using 1 min as the fine-grained unit of analysis, results showed that the experience of fundamentally adaptive grief was more common in the in-session process of patients with good outcome, compared with those with poor outcomes (χ2 = 6.56, p = .01, d = 1.23). This variable alone predicted 19% of the change in depressive symptoms as measured by the Beck Depression Inventory at the end of treatment. Moreover, sequences of the original model were supported and related to outcome.
CONCLUSIONS: These results are discussed within the framework of the sequential model of emotional processing and its possible relevance for psychodynamic psychotherapy. (PsycINFO Database Record (c) 2015 APA, all rights reserved).
Pubmed
Web of science
Open Access
Oui
Création de la notice
16/02/2015 9:58
Dernière modification de la notice
20/08/2019 14:55
Données d'usage