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Assessing client self-narrative change in emotion-focused therapy of depression: An intensive single case analysis

机译：评估情绪集中的抑郁症患者的自我叙事变化：深入的单例分析

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Personality researchers use the term self-narrative to refer to the development of an overall life story that places life events in a temporal sequence and organizes them in accordance to overarching themes. In turn, it is often the case that clients seek out psychotherapy when they can no longer make sense of their life experiences, as a coherent story. Angus and Greenberg (L. Angus and L. Greenberg, 2011, Working with narrative in emotion-focused therapy: Changing stories, healing lives. Washington, DC: American Psychological Association Press) view the articulation and consolidation of an emotionally integrated self-narrative account as an important part of the therapeutic change process that is essential for sustained change in emotion-focused therapy of depression. The purpose of the present study was to investigate client experiences of change, and self-narrative reconstruction, in the context of one good outcome emotion-focused therapy dyad drawn from the York II Depression Study. Using the Narrative Assessment Interview (NAI) method, client view of self and experiences of change were assessed at three points in time-after session one, at therapy termination, and at 6 months follow-up. Findings emerging from an intensive narrative theme analyses of the NAI transcripts-and 1 key therapy session identified by the client-are reported and evidence for the contributions of narrative and emotion processes to self-narrative change in emotion-focused therapy of depression are discussed. Finally, the implications of assessing clients' experiences of self-narrative change for psychotherapy research and practice are addressed.
机译：个性研究人员使用“自我叙事”一词来指代整个生活故事的发展，该故事将生活事件按时间顺序排列并根据总体主题进行组织。反过来，当客户不再能将自己的生活经历理解为一个连贯的故事时，常常会寻求心理治疗。安格斯和格林伯格（L. Angus和L. Greenberg，2011，在以情感为中心的治疗中使用叙事：改变故事，治愈生活。华盛顿特区：美国心理学会出版社）观察了情感整合的自我叙事的表达和巩固。这是治疗改变过程的重要组成部分，对于以情绪为中心的抑郁疗法的持续改变至关重要。本研究的目的是在从《约克二世》抑郁症研究中得出的一种以情绪为中心的良好治疗效果的研究成果的背景下，研究服务对象的变化和自我叙事的经历。使用叙事评估访谈（NAI）方法，在第一节治疗后，治疗终止和随访6个月的三个时间点评估了客户的自我和变化经历的观点。报告了从对NAI成绩单的密集叙事主题分析中发现的结果，以及客户确定的1个关键治疗会议，并讨论了叙事和情感过程对以情绪为重点的抑郁症治疗中自我叙事变化的贡献的证据。最后，讨论了评估客户的自我叙事变化对心理治疗研究和实践的意义。

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