Psychotherapie als Veränderung von Übergangsmustern zwischen „States of Mind” - Einzelfallanalyse einer systemisch-ressourcenorientierten Kurzzeittherapie -

Beirle, G.; Schiepek, G.

doi:10.1055/s-2001-28525

Cited by 21 publications

(3 citation statements)

References 11 publications

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“…A. 's alternating behavior hardly escapes (see for a similar dynamics of “states of mind” in another case, analyzed by the method of configuration analysis (Horowitz, 1987 ; Beirle and Schiepek, 2002 ; Haken and Schiepek, 2010 , pp. 328–343).…”

Section: Resultsmentioning

confidence: 99%

Systemic Case Formulation, Individualized Process Monitoring, and State Dynamics in a Case of Dissociative Identity Disorder

et al. 2016

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Objective: The aim of this case report is to demonstrate the feasibility of a systemic procedure (synergetic process management) including modeling of the idiographic psychological system and continuous high-frequency monitoring of change dynamics in a case of dissociative identity disorder. The psychotherapy was realized in a day treatment center with a female client diagnosed with borderline personality disorder (BPD) and dissociative identity disorder.Methods: A three hour long co-creative session at the beginning of the treatment period allowed for modeling the systemic network of the client's dynamics of cognitions, emotions, and behavior. The components (variables) of this idiographic system model (ISM) were used to create items for an individualized process questionnaire for the client. The questionnaire was administered daily through an internet-based monitoring tool (Synergetic Navigation System, SNS), to capture the client's individual change process continuously throughout the therapy and after-care period. The resulting time series were reflected by therapist and client in therapeutic feedback sessions.Results: For the client it was important to see how the personality states dominating her daily life were represented by her idiographic system model and how the transitions between each state could be explained and understood by the activating and inhibiting relations between the cognitive-emotional components of that system. Continuous monitoring of her cognitions, emotions, and behavior via SNS allowed for identification of important triggers, dynamic patterns, and psychological mechanisms behind seemingly erratic state fluctuations. These insights enabled a change in management of the dynamics and an intensified trauma-focused therapy.Conclusion: By making use of the systemic case formulation technique and subsequent daily online monitoring, client and therapist continuously refer to detailed visualizations of the mental and behavioral network and its dynamics (e.g., order transitions). Effects on self-related information processing, on identity development, and toward a more pronounced autonomy in life (instead of feeling helpless against the chaoticity of state dynamics) were evident in the presented case and documented by the monitoring system.

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Section: Resultsmentioning

confidence: 99%

Systemic Case Formulation, Individualized Process Monitoring, and State Dynamics in a Case of Dissociative Identity Disorder

et al. 2016

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“…“States of mind” are global qualities of psychological functioning and of constituting social relationships. They integrate actualized beliefs, situation perceptions, emotions, and coping reactions, as well as images of the “self” and the “other.” In this way, states can be seen as order parameters or attractors of the “stream of consciousness,” and a sequence of states represents order-to-order-transitions of psychosocial system dynamics (Beirle & Schiepek, 2002). Subjective reconstruction of system's evolutionary pathways.…”

Section: Systemic Methods Of Pattern Representationmentioning

confidence: 99%

A Dynamic Systems Approach to Clinical Case Formulation

Schiepek

2003

European Journal of Psychological Assessment

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Summary: This contribution is based on the evidence that most psychological practitioners are concerned with the facilitation of change processes. They help people to learn, to develop, or to change patterns of cognitions, emotions, and behaviors. Consequently, they need assessment tools that enable them to represent the essential features of the complex systems they are concerned with, i.e., structure of functioning and dynamics. After some introductory remarks on systemic assessment, we focus on two methods of comprehensive data representation: one of them is used in order to represent the structure of functioning of a system, the other to assess its dynamics. The first one is called “idiographic system modeling” and represents the interrelations between the most important variables of a system by graphical means. The other one is based on a continuously produced flow of data about the functioning of a system and on a continuous screening of dynamic features of this time series (critical fluctuations, degree of synchronization, and stability vs. instability). It is called “real-time monitoring.” Perhaps this methodology can help to bridge the gap between research, usually realized in artificial laboratory settings, and the change processes taking place in practice.

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“…To investigate psychotherapeutic change from a dynamic systems perspective, quantitative, qualitative, and mixed-methods approaches were applied ( Gelo et al, 2012 ; Gelo and Manzo, 2015 ; Schiepek, 2020 ). Qualitative methods were used with reference to the paradigm of self-organization by Beirle and Schiepek (2002) , who coded 13 and 9 video-taped sessions of two brief solution-focused psychotherapies applying configuration analysis ( Horowitz, 1987 ). They identified the states of mind of the patients as they occurred during the sessions.…”

Section: Introductionmentioning

confidence: 99%

Pattern transitions in diary data of MDD patients: a mixed-methods multiple case study of psychotherapy dynamics

Nordholt,

Garrison,

Aichhorn

et al. 2024

Front. Psychol.

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AimMixed-methods approaches promise a deep understanding of psychotherapeutic processes. This study uses qualitative and quantitative data from daily diary entries and daily self-assessments during inpatient treatment. The aim of the study is to get an insight into the similarities and differences between both types of data and how they represent self-organized pattern transitions in psychotherapy. While a complete correlation of results is not expected, we anticipate observing amplifying and subsidiary patterns from both perspectives.Materials and methodsDaily, five MDD patients wrote diaries and completed self-assessments using the Therapy Process Questionnaire, a questionnaire for monitoring the change dynamics of psychotherapy. The data were collected using the Synergetic Navigation System, an online tool for real-time monitoring. Diary entries of the patients described their experiences in everyday life. The qualitative text analysis was conducted using Mixed Grounded Theory, which provided categories representing the patients’ ongoing experiences of transformation and stagnation. The time series data was analyzed using the dynamic complexity algorithm and the pattern transition detection algorithm. Results from qualitative and quantitative analyses were combined and compared. Following the process of data triangulation, the leading perspective came from the theory of self-organization. In addition to presenting the overall results for all five patients, we delve into two specific case examples in greater detail.ResultsSpecific and highly diversified diary entries of 5 patients were classified into the categories of perceived pattern stability, noticing improvement, broadening the perspective, critical instability, and experiencing moments of Kairos. Patients reported problems not only related to their disorder (e.g., lack of energy and hopelessness) but also to phases and steps of change, which could be related to the theory of self-organization (e.g., problem attractors, critical fluctuations, pattern transitions, and Kairos). Qualitative and quantitative analysis provide important supplementary results without being redundant or identical.ConclusionData triangulation allows for a comprehensive and multi-perspective understanding of therapeutic change dynamics. The different topics expressed in the diary entries especially help to follow micro-psychological processes, which are far from being a simple reaction to interventions. The way patients experience themselves being in stability or instability and stagnation or transformation is surprisingly close to the general features of self-organizing processes in complex systems.

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Psychotherapie als Veränderung von Übergangsmustern zwischen „States of Mind” - Einzelfallanalyse einer systemisch-ressourcenorientierten Kurzzeittherapie -

Cited by 21 publications

References 11 publications

Systemic Case Formulation, Individualized Process Monitoring, and State Dynamics in a Case of Dissociative Identity Disorder

Systemic Case Formulation, Individualized Process Monitoring, and State Dynamics in a Case of Dissociative Identity Disorder

A Dynamic Systems Approach to Clinical Case Formulation

Pattern transitions in diary data of MDD patients: a mixed-methods multiple case study of psychotherapy dynamics

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