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Is affect experiencing therapeutic in major depressive disorder? Examining associations between affect experiencing and changes to the alliance and outcome in intensive short-term dynamic psychotherapy.

机译:影响是否在重度抑郁症中经历治疗?检查情感体验与强化短期动态心理治疗中联盟和结果变化之间的关联。

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摘要

Affect experiencing (AE), defined as the facilitation of client in-session bodily arousal and visceral experiencing of affect, is a distinct theoretical process presumed to contribute to therapeutic improvement. This study examined the role of AE in the treatment of major depressive disorder by exploring its association to client distress and therapeutic alliance on a session-by-session basis. A case series design was used to conduct an intensive analysis of the treatment process of 4 clients who received time-limited intensive short-term dynamic psychotherapy, 2 of whom were considered "recovered" and 2 who showed "no change" based upon posttreatment outcomes. Consistent with our hypothesis, we found that cross-correlations between AE and client distress discriminated between "recovered" and "no change" clients. In "recovered" clients, there was evidence that higher in-session peak affect experience was associated with reduced distress 7 days later. The results did not provide consistent evidence for a reverse effect, showing that lower distress during the preceding week predicted higher AE in that session. Finally, there was evidence that AE is an in-session activity that can promote the strengthening of the therapeutic alliance. These collective findings suggest that AE is an important treatment process that contributes to alliance formation and psychotherapeutic improvement. Clinical implications include further evidence that psychodynamic therapists can utilize AE as an active change ingredient for depression.
机译:情感体验(AE)定义为促进会话中身体唤醒和内脏的情感体验,是一个独特的理论过程,被认为有助于改善治疗效果。这项研究通过逐阶段探讨AE与客户困扰和治疗联盟的关系,探讨了AE在重症抑郁症治疗中的作用。使用病例系列设计对4名接受限时强化短期动态心理治疗的客户的治疗过程进行了深入分析,其中2名被视为“康复”,2名根据治疗后结果显示“无变化” 。与我们的假设一致,我们发现AE和客户困扰之间的相互关系在“已恢复”和“无变化”客户之间进行了区分。在“康复”的客户中,有证据表明,在会话中达到更高的峰值影响体验与7天后的困扰减少有关。结果并没有提供一致的证据证明其逆转作用,表明在前一周较低的困扰预示了该时段的AE升高。最后,有证据表明,AE是一种会期活动,可以促进治疗联盟的加强。这些共同的发现表明,AE是一种重要的治疗过程,有助于联盟的形成和心理治疗的改善。临床意义包括进一步的证据表明,心理动力治疗师可以利用AE作为抑郁症的有效改变成分。

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