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The role of pre-treatment interpersonal problems for in-session emotional processing and long-term outcome in emotion-focused psychotherapy

机译:在情绪为中心的心理治疗中,在会间情绪加工和长期结果中的核心核心处理和长期结果的作用

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Objective: Interpersonal problems may lead to, uphold, or follow from depression. However, we know little of how depressed patients' different interpersonal problems are associated with patients' emotional processing during psychotherapy and whether distinct processes are helpful for their long-term reduction. Method: 23 adult outpatients who received emotion-focused therapies lasting 16-20 sessions filled the Inventory of Interpersonal Problems at pre- and post-treatment and 18-month follow-up. These problems were related to emotional processing in two mid-therapy sessions, rated by observers with the Classification of Affective-Meaning States. Results: All pre-treatment interpersonal problems were clearly associated with patients' negative evaluations of themselves during therapy. Self-experiences of vindictiveness were most pronouncedly linked to in-session emotional expressions of rejecting anger, and self-experiences of social inhibition to expressions of fear and shame, following a circumplex model. In the long-term reduction of interpersonal problems, especially reaching emotional states of hurt and grief seemed beneficial for patients who experienced themselves as socially inhibited, non-assertive, self-sacrificing, or overly accommodating. Conclusions: For clients suffering from particular interpersonal problems, accessing particularly beneficial emotional processes, such as hurt and grief, may form specific therapeutic process goals. Further studies should verify these findings, which link interpersonal theory with research on emotional processing in psychotherapy.
机译:目的:人际关系问题可能导致抑郁症的,秉承或遵循。然而,我们对患者不同的人际关系问题很少有与心理治疗期间的患者的情绪加工有关,以及独特的过程是否有助于他们的长期减少。方法:23名以持续的16-20个会议接受了情感疗法的成人门诊病人填补了在治疗前和后期后的人际关系和18个月的随访中。这些问题与两个中期疗法的情绪处理有关,由观察者评定有情感意义国家的分类。结果:所有预处理的人际关系都明显与治疗过程中的患者的阴性评估相关。追随潮流和羞耻表达的侵犯愤怒和社会抑制的表达的社会抑制和社会抑制的自我经验的诉讼情感表达最宣布的自我体验。在长期减少人际关系的情况下,特别是达到伤害和悲伤的情绪状态似乎有益于经历自己作为社会抑制,非自由度,自我牺牲或过于互动的患者。结论:对于患有特定人际关系的客户,获得特别有益的情绪过程,例如伤害和悲伤,可能形成特定的治疗过程目标。进一步的研究应该验证这些发现,这些结果将人际理论与心理治疗中的情绪加工进行了研究。

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