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首页> 外文期刊>Psychotherapy research: journal of the Society for Psychotherapy Research >The Narrative-Emotion Process Coding System 2.0: A multi-methodological approach to identifying and assessing narrative-emotion process markers in psychotherapy
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The Narrative-Emotion Process Coding System 2.0: A multi-methodological approach to identifying and assessing narrative-emotion process markers in psychotherapy

机译：叙事情绪过程编码系统2.0：一种多种方法论方法，可以在心理治疗中识别和评估叙事情绪过程标志物

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Objective: Recent studies suggest that it is not simply the expression of emotion or emotional arousal in session that is important, but rather it is the reflective processing of emergent, adaptive emotions, arising in the context of personal storytelling and/or Emotion-Focused Therapy (EFT) interventions, that is associated with change. Method: To enhance narrative-emotion integration specifically in EFT, Angus and Greenberg originally identified a set of eight clinically derived narrative-emotion integration markers were originally identified for the implementation of process-guiding therapeutic responses. Further evaluation and testing by the Angus Narrative-Emotion Marker Lab resulted in the identification of 10 empirically validated Narrative-Emotion Process (N-EP) markers that are included in the Narrative-Emotion Process Coding System Version 2.0 (NEPCS 2.0). Results: Based on empirical research findings, individual markers are clustered into Problem (e.g., stuckness in repetitive story patterns, over-controlled or dysregulated emotion, lack of reflectivity), Transition (e.g., reflective, access to adaptive emotions and new emotional plotlines, heightened narrative and emotion integration), and Change (e.g., new story outcomes and self-narrative discovery, and co-construction and re-conceptualization) subgroups. To date, research using the NEPCS 2.0 has investigated the proportion and pattern of narrative-emotion markers in Emotion-Focused, Client-Centered, and Cognitive Therapy for Major Depression, Motivational Interviewing plus Cognitive Behavioral Therapy for Generalized Anxiety Disorder, and EFT for Complex Trauma. Results have consistently identified significantly higher proportions of N-EP Transition and Change markers, and productive shifts, in mid- and late phase sessions, for clients who achieved recovery by treatment termination. Conclusions: Recovery is consistently associated with client storytelling that is emotionally engaged, reflective, and evidencing new story outcomes and self-narrative change. Implications for future research, practice and training are discussed.
机译：目的：最近的研究表明，它不仅仅是在会话中表达情感或情绪唤醒，而是在个人讲故事和/或情感疗法的背景下产生的紧急，适应情绪的反思处理（EFT）干预措施，与变更有关。方法：为了增强专门在EFT中的叙事情绪整合，Angus和Greenberg最初确定了一组临床源性叙事情绪整合标记最初确定用于实施过程引导治疗反应。 Angus叙事情感标记实验室的进一步评估和测试导致识别包含在叙事情绪过程编码系统版本2.0（NEPCS 2.0）中的10个经验验证的叙事情绪过程（N-EP）标记。结果：基于实证研究结果，个别标记被聚集到问题（例如，重复的故事模式，过度控制或失调的情绪，缺乏反射率），过渡（例如，反思，进入适应性情绪和新的情感情绪和新的情感情绪。叙事和情感整合提高），改变（例如，新的故事结果和自我叙事发现，以及共同建设和再概念化）子组。迄今为止，使用Nepcs 2.0研究已经调查了情绪为中心，以客户为中心的叙事情感标记的比例和模式，为主要抑郁症，励志面试加上认知性行为治疗，以及复杂的EFT创伤。结果一致地确定了N-EP过渡和变化标记的比例显着更高，中期和后期会话中的效率变化，为通过治疗终止恢复的客户。结论：恢复与客户讲故事，反思和证明新故事结果和自我叙事变革的客户讲故事始终如一。讨论了对未来的研究，实践和培训的影响。

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