Open Door Review III

V0%32

SB9C_!=>_!IJ6(*0%_!O>_!S040%_!@>_!KB(C<0%_!R>_!V$<<92**_!">_!G!F%J#<0%_!'>![+,-,^>!;*6(23$<$(4!2*&!&$67)*($*B)B6! 7#2*D0!$*!(#0!0c10%$0*70!):!(#0%210B($7!$*(0%27($)*?!=*!0c(0*&0&!6$*D<0E7260!6(B&4!):!1647#)&4*29$7!(#0%214! 1%)706606>! '(A?-",-%#@:A&3%(%@#?- _!+,![]^_!P\bE]-+>! >-001(3! The present study is intended to explore how change occurs in the psychotherapeutic processes. Even though current psychotherapy research has an important focus on this specific issue, there is a lack of studies that track the process if emotional change throughout therapy. In terms of making sense of the process of psychodynamic psychotherapy, it seems reasonable to place a primary focus on analysing mechanisms of change at the level of emotions, while recognising that other forms of change (e.g. cognitive, behavioural, physiological) are also important. Emotions are inextricably connected to psychopathological processes. Our aim in the present study was to build on the findings of previous research by assessing changes in the verbal expression of emotions within the therapeutic dialogue in a psychodynamic long-term therapy by means of continuous measuring throughout a long and complete therapy period.. We hypothesized that changes would occur in the form of transitions and discontinuous changes. A further aim was to verify and develop the applicability of the Clinical Emotions List (Leising et al., 2004) as a measuring instrument for use in this kind of research. Identifying changes at an emotional level opens up the possibility of using various quantitative and qualitative methods to investigate different sessions and therapy phases with regard to the relationship between emotional variables and factors that influence the development within the therapeutic process. ;&2-5.2! The number of verbalised emotions and the variability of the emotional profile increased during the course of the therapy. These developments occured in three distinct phases. The proportion of positive emotions varied across each stage although there was no linear increase across the case as a whole. The presented results show that the Clinical Emotions List (CEL) is a suitable instrument for assessing changes in emotional expression within the therapy process. G$#/5-2*$#2!! The findings of this study suggest that discontinuous transitions can be regarded as reflecting therapeutic progress (proximate outcomes) at an individual emotional level. Phases of therapy in which transitions occur can be systematically analysed in order to search for factors that influence the development of the therapeutic process. This methodological approach opens up a range of research issues of theoretical and practical importance. The rating instrument used in this study has the potential to be widely used in case study research as a means of identifying processes of emotional transition in individual therapy. G$#.1/.!

Email: a.gumz@psychologische-hochschule.de

PDO

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