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首页> 外文期刊>Psychotherapy research: journal of the Society for Psychotherapy Research >Narrative and emotion process in psychotherapy: An empirical test of the Narrative-Emotion Process Coding System (NEPCS)
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Narrative and emotion process in psychotherapy: An empirical test of the Narrative-Emotion Process Coding System (NEPCS)

机译：心理治疗中的叙事和情感过程：叙事-情感过程编码系统（NEPCS）的实证检验

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Objective: While the individual contributions of narrative and emotion processes to psychotherapy outcome have been the focus of recent interest in psychotherapy research literature, the empirical analysis of narrative and emotion integration has rarely been addressed. The Narrative-Emotion Processes Coding System (NEPCS) was developed to provide researchers with a systematic method for identifying specific narrative and emotion process markers, for application to therapy session videos. Method: The present study examined the relationship between NEPCS-derived problem markers (same old storytelling, empty storytelling, unstoried emotion, abstract storytelling) and change markers (competing plotlines storytelling, inchoate storytelling, unexpected outcome storytelling, and discovery storytelling), and treatment outcome (recovered versus unchanged at therapy termination) and stage of therapy (early, middle, late) in brief emotion-focused (EFT), client-centred (CCT), and cognitive (CT) therapies for depression. Results: Hierarchical linear modelling analyses demonstrated a significant Outcome effect for inchoate storytelling (p =.037) and discovery storytelling (p =.002), a Stage × Outcome effect for abstract storytelling (p =.05), and a Stage × Outcome × Treatment effect for competing plotlines storytelling (p =.001). There was also a significant Stage × Outcome effect for NEPCS problem markers (p =.007) and change markers (p =.03). Conclusion: The results provide preliminary support for the importance of assessing the contribution of narrative-emotion processes to efficacious treatment outcomes in EFT, CCT, and CT treatments of depression.
机译：目的：尽管叙事和情感过程对心理治疗结果的个人贡献已成为心理治疗研究文献的近期关注焦点，但对叙事和情感整合的实证分析却很少涉及。开发了叙事-情感过程编码系统（NEPCS），为研究人员提供了一种系统的方法，用于识别特定的叙事和情感过程标记，并将其应用于治疗会议视频。方法：本研究检查了NEPCS派生的问题标记（相同的旧故事，空故事，虚幻的情绪，抽象的故事）与变更标记（竞争情节故事，早期故事，意外结果故事和发现故事）之间的关系以及处理方法短暂的以情绪为重点（EFT），以客户为中心（CCT）和认知（CT）抑郁症治疗的结果（治疗终止后恢复与未改变）和治疗阶段（早期，中期，晚期）。结果：分层线性建模分析表明，对于早期讲故事（p = .037）和发现讲故事（p = .002）具有显着的成果效应，对于抽象讲故事的阶段×结果具有显着效果（p = .05），以及阶段×结果×竞争情节情节故事讲述的治疗效果（p = .001）。 NEPCS问题标记（p = .007）和变更标记（p = .03）也具有显着的阶段×结果效果。结论：结果为评估叙事情感过程对抑郁症的EFT，CCT和CT治疗有效治疗结果的贡献的重要性提供了初步的支持。

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