Identification and clarification of sudden gains and sudden losses in individual psychotherapy courses
ZEITSCHRIFT FUR KLINISCHE PSYCHOLOGIE UND PSYCHOTHERAPIE. Bd. 38. H. 1. 2009 S. 13 - 23
Erscheinungsjahr: 2009
Publikationstyp: Zeitschriftenaufsatz
Doi/URN: 10.1026/1616-3443.38.1.13
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Inhaltszusammenfassung
Theoretical background: The identification and prediction of individual discontinuous paths of change is of the highest importance in psychotherapy research which aims at following patient-oriented research and evaluating treatment success. Objective: The aim of the study is the exposure of possible causes of sudden gains and sudden losses as well as their relation to therapy outcome. Method: 128 sudden gain, sudden loss as well as neutral sessions were analysed using a microprocess strategy....Theoretical background: The identification and prediction of individual discontinuous paths of change is of the highest importance in psychotherapy research which aims at following patient-oriented research and evaluating treatment success. Objective: The aim of the study is the exposure of possible causes of sudden gains and sudden losses as well as their relation to therapy outcome. Method: 128 sudden gain, sudden loss as well as neutral sessions were analysed using a microprocess strategy. Therapy sessions were analysed in respect of identifying specific factors and common factors as well as extratherapeutic influences. Results: Sudden gain and sudden loss sessions differ qualitatively as regards cognitive changes, interpersonal aspects of the therapists, therapeutic relationship, emotional status of the client, and extratherapeutic factors. Discussion: The implication of discontinuous, especially negative, therapy courses can be uncovered sucessfully by microprocess analysis and is discussed regarding specific and unspecific process variables. » weiterlesen» einklappen