Physiologic Monitoring in Psychodynamic Psychotherapy Research

Marci, Carl D.; Riess, Helen

doi:10.1007/978-1-59745-444-5_14

Cited by 3 publications

(3 citation statements)

References 60 publications

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“…A possible research method for a closer test of our hypothesis may be to directly measure the synchronization of patient and therapist's emotional flow during psychotherapy sessions; and the relationship between synchronization level and outcome in exposure-based psychotherapy. Emotional fluctuations may be evaluated through different psychophysiological measures such as heart rate or skin conductance responses (for review, see, Marci & Riess, 2009 ) or through vocal measures, such as changes in voice prosody (Moneta, Penna, Loyola, Buchheim, & Kächele, 2008 ) or vocal acoustics (Rochman, Diamond, & Amir, 2008 ).…”

Section: General Discussion: Toward An Integrative Perspectivementioning

confidence: 99%

Embodied simulation in exposure-based therapies for posttraumatic stress disorder—a possible integration of cognitive behavioral theories, neuroscience, and psychoanalysis

Peri

Gofman²,

Tal³

et al. 2015

European Journal of Psychotraumatology

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Exposure to the trauma memory is the common denominator of most evidence-based interventions for posttraumatic stress disorder (PTSD). Although exposure-based therapies aim to change associative learning networks and negative cognitions related to the trauma memory, emotional interactions between patient and therapist have not been thoroughly considered in past evaluations of exposure-based therapy. This work focuses on recent discoveries of the mirror-neuron system and the theory of embodied simulation (ES). These conceptualizations may add a new perspective to our understanding of change processes in exposure-based treatments for PTSD patients. It is proposed that during exposure to trauma memories, emotional responses of the patient are transferred to the therapist through ES and then mirrored back to the patient in a modulated way. This process helps to alleviate the patient's sense of loneliness and enhances his or her ability to exert control over painful, trauma-related emotional responses. ES processes may enhance the integration of clinical insights originating in psychoanalytic theories—such as holding, containment, projective identification, and emotional attunement—with cognitive behavioral theories of learning processes in the alleviation of painful emotional responses aroused by trauma memories. These processes are demonstrated through a clinical vignette from an exposure-based therapy with a trauma survivor. Possible clinical implications for the importance of face-to-face relationships during exposure-based therapy are discussed.

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Section: General Discussion: Toward An Integrative Perspectivementioning

confidence: 99%

Embodied simulation in exposure-based therapies for posttraumatic stress disorder—a possible integration of cognitive behavioral theories, neuroscience, and psychoanalysis

Peri

Gofman²,

Tal³

et al. 2015

European Journal of Psychotraumatology

View full text Add to dashboard Cite

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“…In addition to enduring interest in understanding how linkage in therapist and client physiology is related to therapy processes, there has also been long-standing exploration of how clients’ experiences of therapy process are associated with clients’ own physiology. Physiological monitoring of within-person client experiences in psychotherapy first flourished in psychodynamic settings, in which physiological measures provided insight on pathological and psychodynamic processes such as conflicts, tension, and affect intensity during therapy and assessment (for reviews, see Glucksman, 1981, and Marci & Riess, 2009). Studies have suggested that psychodynamic processes were associated with specific patterns of physiological activity underlying clients’ social-emotional experiences.…”

Section: Overview Of Literature On Physiological Activity During Psyc...mentioning

confidence: 99%

“…The relevance of examining the physiological underpinnings of therapy processes is supported by a growing literature demonstrating that factors that affect therapy outcomes are associated with physiological activity (Gregson & Ketring, 2014; Kleinbub, 2017; Marci & Riess, 2009). These factors are prevalent in clients’ presenting problems and are targets for intervention, such as disease (e.g., Uchino, 2006) and symptoms of specific psychological diagnoses (e.g., emotion dysregulation; Zisner & Beauchaine, 2016).…”

Section: Introduction and Rationale For The Study Of Physiological Co...mentioning

confidence: 99%

Incorporating physiology into the study of psychotherapy process.

Deits‐Lebehn¹,

Baucom²,

Crenshaw³

et al. 2020

Journal of Counseling Psychology

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Increasing evidence indicates that psychological factors important to therapy effectiveness are associated with physiological activity. Knowledge of the physiological correlates of therapy process variables has the potential to provide unique insights into how and why therapy works, but little is currently known about the physiological underpinnings of specific therapy processes that facilitate client growth and change. The goal of this article is to introduce therapy process researchers to the use of physiological methods for studying therapy process variables. We do this by (a) presenting a conceptual framework for the study of therapy process variables, (b) providing an introductory overview of physiological systems with particular promise for the study of therapy process variables, (c) introducing the primary methods and methodological decisions involved in physiological research, and (d) demonstrating these principles and methods in a case of therapeutic presence during couple therapy. We close with a discussion of the promise and challenges in the study of physiological correlates of therapy process variables and consideration of future challenges and open questions in this line of research. Online supplemental materials include additional resources for therapy process researchers interested in getting started with physiological research. Public Significance StatementUnderstanding clients' physiological activity during psychotherapy has the potential to provide unique insights into how and why therapy works. Incorporating these methods into therapy process research requires both conceptual and methodological expertise. This article provides therapy process researchers with a conceptual foundation for thinking about how to incorporate physiology into their research and a methodological foundation for beginning to develop their own expertise or initiate a productive collaboration with a physiological expert.

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Attachment-Informed Biofeedback—The Next Generation of Biofeedback Therapy

Ehrenreich

2018

Biofeedback

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Traditional biofeedback generally focuses on individual therapy that serves one of two purposes: (a) treating a functional health disorder that stems from an organic source or a mental disorder caused by high levels of stress or (b) improving performance. The author describes a therapy model that was developed based on biofeedback to treat interpersonal challenges such as parent–child relationships and spousal relationships. The author begins by describing the principles of the interpersonal biofeedback model and continues with practical examples.

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Physiologic Monitoring in Psychodynamic Psychotherapy Research

Cited by 3 publications

References 60 publications

Embodied simulation in exposure-based therapies for posttraumatic stress disorder—a possible integration of cognitive behavioral theories, neuroscience, and psychoanalysis

Embodied simulation in exposure-based therapies for posttraumatic stress disorder—a possible integration of cognitive behavioral theories, neuroscience, and psychoanalysis

Incorporating physiology into the study of psychotherapy process.

Attachment-Informed Biofeedback—The Next Generation of Biofeedback Therapy

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