How collaboration in therapy becomes therapeutic: The therapeutic collaboration coding system

Ribeiro, Eugénia; Ribeiro, António P.; Gonçalves, Miguel M.; Horvath, Adam O.; Stiles, William B.

doi:10.1111/j.2044-8341.2012.02066.x

Cited by 93 publications

(155 citation statements)

References 56 publications

(63 reference statements)

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“…We understand therapeutic collaboration as a joint effort to maintain the therapeutic focus within the limits of the client's therapeutic zone of proximal development (TZPD; Leiman & Stiles, 2001; E. Ribeiro, A. P. Ribeiro, Gonçalves, Horvath, & Stiles, 2013). The concept of TZPD extends the concept of Zone of Proximal Development, proposed by Vygotsky (1978) to describe children's development along an intellectual continuum, to represent clients' development along a therapeutic continuum.…”

Section: Therapeutic Collaboration Processes In Psychotherapymentioning

confidence: 99%

“…The TCCS has shown good reliability in previous studies, with mean Cohen's kappa values of .92 for the three categories of therapist interventions (based on N=3,234 utterances) and .93 for the six sub-categories client's responses (based on N=3,234 utterances) (Ribeiro, et al, 2013;A.P. Ribeiro, et al, 2014).…”

Section: Therapeutic Collaboration Coding System -Tccs the Tccs Is Amentioning

confidence: 99%

“…In contrast, the TCCS characterizes the client's usual self-narrative as problematic because it fails to accommodate those painful experiences, which are understood as innovative voices (A. Ribeiro et al, 2014;E. Ribeiro et al, 2013).…”

Section: Therapeutic Collaboration Processes In Psychotherapymentioning

confidence: 99%

“…based method developed to analyze the therapeutic collaboration at a moment-bymoment level (Ribeiro et al, 2013). Each therapist-client adjacency pair (consecutive speaking turns) is evaluated in the context of the client's immediately preceding turn and more broadly the previous interaction during the session.…”

Section: Therapeutic Collaboration Coding System -Tccs the Tccs Is Amentioning

confidence: 99%

See 3 more Smart Citations

Therapeutic collaboration and the assimilation of problematic experiences in emotion-focused therapy for depression: Comparison of two cases

Ribeiro

Cunha

Teixeira

et al. 2016

Psychotherapy Research

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Aims: The Assimilation model argues that therapists should work responsively within the client's therapeutic zone of proximal development (TZPD). This study analyzed the association between the collaborative processes assessed by the Therapeutic Collaboration Coding System (TCCS) and advances in assimilation, as assessed by the Assimilation of Problematic Experiences Scale (APES).Method: Sessions 1, 4, 8, 12, and 16 of two contrasting cases, Julia and Afonso (pseudonyms), drawn from a clinical trial of 16-sessions emotion-focused therapy (EFT) for depression, were coded according to the APES and the TCCS. Julia met criteria for reliable and clinically significant improvement, whereas Afonso did not.Results: As expected, Julia advanced farther along the APES than did Afonso. Both therapists worked mainly within their client's TZPD. However, Julia's therapist used a balance of supporting and challenging interventions, whereas Afonso's therapist used mainly supporting interventions. Setbacks were common in both cases.

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Section: Therapeutic Collaboration Processes In Psychotherapymentioning

confidence: 99%

Section: Therapeutic Collaboration Coding System -Tccs the Tccs Is Amentioning

confidence: 99%

Section: Therapeutic Collaboration Processes In Psychotherapymentioning

confidence: 99%

Section: Therapeutic Collaboration Coding System -Tccs the Tccs Is Amentioning

confidence: 99%

See 2 more Smart Citations

Therapeutic collaboration and the assimilation of problematic experiences in emotion-focused therapy for depression: Comparison of two cases

Ribeiro

Cunha

Teixeira

et al. 2016

Psychotherapy Research

Self Cite

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“…In this sequence, a problematic situation is narratively recounted, critically examined, and emotionally appraised in a way that allows the connection of everything, leading to both emotional and cognitive insights (Mergenthaler, 1985;1996;2008). These cycles represent a particular kind of emotional and cognitive sequence, during which it is reasonable to suppose that much of the preparatory work carried out at other times during the therapy come to fruition (Ribeiro, Ribeiro, Goncalves, Horvath, & Stiles, 2012).…”

mentioning

confidence: 99%

Emotion-Abstraction Patterns and Cognitive Interventions in a Single Case of Standard Cognitive-Behavioral Therapy

Sassaroli¹,

Brambilla²,

Cislaghi³

et al. 2015

ResPsy

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Abstract. Cognitive-behavioral therapy (CBT) assumes that therapeutic change depends mainly on change of cognitive content, while, from a theoretical viewpoint, other processes are excluded. This study aims to explore standard CBT interventions using a model of therapeutic change that includes both emotional and cognitive processes, i.e., the therapeutic cycle model (TCM;Mergenthaler, 1985;1996), which describes the processes of therapeutic change in terms of cycles involving both emotional arousal and abstract thinking activation. We classified standard CBT interventions in three main areas: assessing, disputing, and reframing biased beliefs. In 10 individual cognitive therapy sessions with a 30-year-old patient affected by a panic disorder with agoraphobia (PDA), this study aimed to explore whether cognitive interventions are not only related to abstract thinking but also to the emotional activation phases of TCM. Three independent judges assessed the presence of cognitive therapeutic interventions using the Comprehensive Psychotherapeutic Interventions Rating Scale (CPIRS; Trijsburg et al., 2002). A software program measured the TCM cognitive and emotional variables. The measures revealed significant correlations between cognitive therapeutic interventions and phases of abstract thinking activation during the therapeutic process. The results clarified the role of cognitive interventions in the therapeutic process as a useful instrument aimed to increase reality testing.

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Therapeutic Discourse

Weiste

Peräkylä

2015

The International Encyclopedia of Language and Social Interaction

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Therapeutic discourse is the talk in interaction between clinician and client that aims to improve the mental health of a client. Therapeutic discourse can be conducted in a wide range of institutional settings, varying from primary-care medicine, to rehabilitation and social work. In psychotherapy, therapeutic discourse is the key activity, as the sole business of the psychotherapeutic encounter is to talk and interact in ways that improve the client's mental health. Early studies of therapeutic discourse Therapeutic discourse has been an interest of social scientific and linguistic research from as early as the 1950s. Qualitative interaction analysis of audio-or video-recorded psychotherapy sessions was started by Pittenger, Hockett, and Danehy (1961), who described in detail an audio recording of the first five minutes of an initial psychiatric interview. They paid particular attention to the implicit meanings conveyed by the lexical and prosodic choices of the participants. The major milestone was Labov and Fanshel's book Therapeutic Discourse (1977) in which they analyze a single, 15-minute long segment of psychotherapy interaction using speech act theory. In their analysis, Labov and Fanshel single out four basic types of actions: metalinguistic action (initiating, continuing, or ending an action), representation, request, and challenge. Through the examination of these actions, the authors address themes that are pertinent also in the clinical understanding of psychotherapy, such as emotion and repression. The early studies employed a major part of the concepts and tools of linguistic and social scientific interaction research. Therapeutic discourse has, however, also been studied in other disciplines. Psychotherapy process research is perhaps the most comprehensive research field for understanding therapeutic discourse. Psychotherapy process research Due to the centrality of language and interaction in psychotherapy, themes pertaining to therapeutic discourse are addressed not only in linguistic and social scientific research, but also in clinical and psychological research on psychotherapy. There is a rich research tradition on processes through which psychological change in the client occurs during

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How collaboration in therapy becomes therapeutic: The therapeutic collaboration coding system

Abstract: The TCCS offers markers that may help researchers better understand the therapeutic collaboration on a moment-to-moment basis and may help therapists better regulate the relationship.

Cited by 93 publications

References 56 publications

Therapeutic collaboration and the assimilation of problematic experiences in emotion-focused therapy for depression: Comparison of two cases

Therapeutic collaboration and the assimilation of problematic experiences in emotion-focused therapy for depression: Comparison of two cases

Emotion-Abstraction Patterns and Cognitive Interventions in a Single Case of Standard Cognitive-Behavioral Therapy

Therapeutic Discourse

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