Inhaltszusammenfassung

Change in psychotherapy is not always linear. Sudden gains and sudden losses are reliable, meaningful, and stable shifts from one therapy session to the next. Many studies suggest that the occurrence of sudden gains makes a considerable contribution to therapy outcome. In contrast sudden losses and the occurrence of both gains and losses are associated with a poor outcome. This article summarizes the research literature on sudden gains and losses. In addition, a study conducted at the Outpati...Change in psychotherapy is not always linear. Sudden gains and sudden losses are reliable, meaningful, and stable shifts from one therapy session to the next. Many studies suggest that the occurrence of sudden gains makes a considerable contribution to therapy outcome. In contrast sudden losses and the occurrence of both gains and losses are associated with a poor outcome. This article summarizes the research literature on sudden gains and losses. In addition, a study conducted at the Outpatient Center of the University of Trier, which investigated the relationship between sudden gains and losses and alliance ruptures is described. By continuously assessing data across the course of treatment, sudden gains and losses can be identified. Treatment videos (N = 82 videos, N = 53 patients) of a mixed patient group mostly with anxiety and depressive disorders were rated in order to identify alliance ruptures and resolution strategies used by the therapists. While withdrawal ruptures were found in more than 60 % of the sessions across all types (gains, losses and neutral sessions), open confrontation ruptures were very unlikely to occur in sudden gain sessions (12 %) but occurred in 42 % of sudden loss sessions. Also, therapists in sudden gain sessions responded to alliance ruptures in a manner that was significantly different from that of therapists in sudden loss sessions. The results provide approaches for the supervision of psychotherapists in therapies with difficult courses and for improvement of feedback on therapy courses with recommendations on action for therapists. » weiterlesen» einklappen

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