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Subproject 2: 39 therapeutic processes. Subprojects 3 and 4: 1 individual therapy
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Subproject 2: Individual psychodynamic and gestalt, family social-constructionist, couples humanistic and group CBT. Subprojects 3 and 4: Individual short-term Psychodynamic focal therapy. =&12-(&2! Outcome Questionnaire (OQ-45.2), Working Alliance Inventory (WAI), Rupture Resolution Rating System (3RS), Facial Action Coding System (FACS), Generic Change Indicators (GCI). ;&2-5.2! During the momentary deterioration of the alliance –expressed in rupture episodes–, patient facially expresses negative affect and attempts to regulate her emotional arousal, and the degree of affective contact and involvement with the therapist, while therapist attempts to down-regulate his own emotional expressions. Simultaneously, at the verbal level, therapist attempts relational offers such as proposing, questioning and being conciliator, while patient offers a receptive stance. Meanwhile, during therapist’s reparatory attempts, patient nonverbally re-establishes contact and emotional involvement with the therapist, while therapist verbally offers the patient a friendly and validating attitude, at the same time that facially expresses patient’s dissociated negative affects based on an active assessment of the patient’s internal affective state. Finally, participants’ synchronic smiles were observed in rupture and resolution strategies episodes, indicating a positive affective attunement and attempts to preserve the bond in the presence of relational conflict. All studies indicate that clinical significant change is related to high-stage transformations of representations in the patient, particularly those referred to the construction and consolidation of new meanings, and a synergic relationship between initial-stage representational changes and higher- ordered ones was observed in these therapies. @)15-1.*$#! Future studies require an accumulation of more in-session episodes and therapies, for the confirmation of the micro-facial affective patterns observed in the present study, and their evolution and change along the therapy process. Future studies should also attempt measuring the therapeutic alliance at the episode level, so that more clear associations can be made between the oscillations of the alliance and that of the facial-affective regulatory patterns, the ruptures and resolution strategies, and the process outcome indicators. G$#.1/.\!!
Carolina Altimir - caltimir.colao@gmail.com
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