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! F0*07M0!_!8>!G!I%2B60_!5>![+,,.^>!L27$2! '(A?-",-%#@:A&3%(%@#? #_!-._!-db!h-bd>!! ! F0*07M0_!8>!G!I%2B60_!5>![+,,.^>!;*$($2! i%),(?-#)!,&!j#&'(A?-"("$@,)(?-%&Z%*)f)+&c&'(A?-",-%#@:)% _!! .-_!P]gEP.\>! >-001(3! The affective facial behavior of patients with anxiety-disorders and that of their psychotherapists was analyzed following specific hypothesis about the domination of dependency autonomy conflicts of these patients including an ambivalent need for a positive relationship toward a significant object and an incapacity to express negative feelings because of fear of losing this relationship. The authors investigated facial indicators of this conflict in 20 women with panic disorder in the first psychotherapy session. A preponderance of facial smile and a lack of negative affective facial signals were expected. This was not confirmed for the total sample. A cluster analysis identified two subgroups of panic patients. One group confirmed the assumptions precisely. The other did as well but only insofar as the patients smiled more often than a sample of a mixed clinical control group that excluded panic disorders. In addition, the panic patients of this cluster showed much negative affect. The patients of the two panic clusters did not differ in panic and other symptoms but did so in their descriptions of their interpersonal behavior. Additionally the data of facial behaviour was correlated with outcome ratings at the end of the treatment. Therapists show less affective facial behaviour than panic patients; particularly, they smile less frequently. The frequency of smiling in the first session correlated negatively with outcome ratings. Therapists adapted their interactive behaviour to the relationship offers of their patients. G$#.1/.!
Prof. C. Benecke, University of Kassel. E-mail: benecke@uni-kassel.de
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