Single-session chairwork: overview and case illustration of brief dialogical psychotherapy

Pugh, Matthew

doi:10.1080/03069885.2021.1984395

Cited by 8 publications

(13 citation statements)

References 77 publications

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“…First, the patient will be asked about any concerns surrounding the chairwork technique. If the patient holds reservations, a dialogical chairwork will be implemented working with the inner protector 34. Thereinafter, a short diagnostic chairwork enactment, where the therapist will interview the I-positions, will be conducted as a warm-up, and to test the dialogical hypothesis generated.…”

Section: Methodsmentioning

confidence: 99%

“…The implemented semistructured cognitive–behavioural chairwork intervention is based on Pugh 34 and comprises of three treatment sessions over the course of 3 consecutive weeks, with a duration of approximately 90 min per session. Upon arrival to the laboratory, the chairwork intake form will be jointly reviewed with the patient, and possible complaints surrounding self-criticism, I-positions related to the complaint, as well as dialogical dysfunctions, will be identified.…”

Section: Methodsmentioning

confidence: 99%

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Addressing self-criticism in depression using CBT-based emotion-focused chairwork: study protocol of a randomised controlled trial

Kroener,

Mahler,

Sosic-Vasic

2023

BMJ Open

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IntroductionSelf-criticism is a key feature in people diagnosed with depression, resulting in significant psychological distress. Despite the fact that cognitive–behavioural treatments are readily available, a significant number of patients report experiencing cognitive, but not emotional, change following therapy, resulting in the maintenance of psychological symptoms. Additionally, interventions targeting emotional experiencing, such as chairwork, are generally implemented within large-scale therapeutic treatments. Therefore, within the present study, we aim to evaluate the efficacy and safety of a short intervention using emotion-focused chairwork to target self-criticism in patients diagnosed with depression.Methods and analysisThe study is designed as a randomised controlled trial with two parallel arms. 62 patients diagnosed with depression will be randomised to the intervention group or the waiting-list control group receiving treatment as usual. The intervention comprises of three treatment sessions using the chairwork technique over the course of 3 weeks. Outcome assessments will take place 1 week before the first treatment session, as well as 1 week and 3 months after the last treatment session. The primary outcomes are self-criticism and self-compassion. Secondary outcomes assess depressive symptoms, emotion regulation and overall self-esteem. Statistical analysis will be performed using intention-to-treat analysis, as well as per-protocol analysis implementing linear-mixed models.Ethics and disseminationThe study was approved by the Ethics Committee of the State Chamber of Physicians in Baden-Wuerttemberg, Germany (approval number: F-2023-12). Scientific findings shall be published in peer-reviewed journals to inform prospective clinical studies focusing on the implementation of chairwork within clinical practice.Trial registration numberGerman Clinical Trials Register (DRKS00031307;https://drks.de/search/de/trial/DRKS00031307).

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Addressing self-criticism in depression using CBT-based emotion-focused chairwork: study protocol of a randomised controlled trial

Kroener,

Mahler,

Sosic-Vasic

2023

BMJ Open

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“…Chairwork refers to a group of action-based psychotherapeutic techniques which utilise chairs and movement between chairs for therapeutic ends [23]. Chairwork methods originated in psychodrama [24][25][26] and have since been incorporated into a broad range of contemporary evidence-based therapies [27][28][29]. Pugh and Bell [30] have proposed general principles (self-multiplicity, information exchange, and transformation) and processes (separation, animation, and dialogue) which underly the application of chairwork methods across varying conceptual landscapes.…”

Section: Compassion Focused Therapymentioning

confidence: 99%

“Seeing Myself Through Someone Else’s Eyes”: Embodying the Perfect Nurturer in Compassion Focused Therapy

Hackley,

Dixon,

Royle

et al. 2024

OBM Integr Complement Med

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Compassion-focused chairwork has become a recent focus of empirical investigation. This study extended this area of research by exploring how participants with depression experienced the ‘compassionate other’ imagery exercise enacted via chairwork methods. Eight individuals from primary care NHS mental health services were interviewed about their experience of the practice. The resultant data were analysed using interpretive phenomenological analysis (IPA). Three group experiential themes were identified: care that feels real, chairwork processes and encountering challenges on the road to discovery. The findings indicate that the intervention has therapeutic utility both as an intervention for cultivating compassion and as means of assessing for and identifying blocks to compassion. The results also suggest that there is potential value in enacting compassion-focused imagery techniques through chairwork methods, especially for those who have difficulty accessing mental imagery practices. The findings are contextualised within broader theory and literature, and clinical and research implications are discussed.

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“…Single session chairwork (SSC) is a newly developed SST which aims to provide individuals with a focused experience of chairwork. Alongside typical procedures such as two‐chair dialogues and client‐therapist dramatizations, SSC incorporates additional structures to maximize informed choice, collaboration, emotional containment, and consolidation of learning (see Pugh, 2021b). Whilst SSC has received positive feedback, the approach has not yet undergone evaluation with a clinical population.…”

Section: Introductionmentioning

confidence: 99%

“…Is integrating such a disparate collection of interventions even possible? To help synthesize and simplify its application, chairwork has been reconceptualised in terms of the basic "forms" it takes (e.g., single-chair vs. two-chair interventions) (Kellogg, 2019) and the "processes" it utilizes (e.g., identifying, animating, and interacting with parts of the self) (Pugh & Bell, 2020). Recently, a four-component "pillars" model has been presented, which describes the central principles, processes, procedures, and facilitative process skills that constitute chairwork (Pugh et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Chairwork and the therapeutic relationship: Can the cart join the horse?

2022

Self Cite

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Chairwork" is a collection of experiential methods that utilize movement between chairs and dialogue with parts of the self to bring about change. Because of their emotionally intense nature, therapists often assume that a robust therapeutic relationship is a prerequisite for these tasks.However, it could be said that chairwork also supports the development and strengthening of the alliance. This article presents a single-session, chairwork-centered treatment with an individual experiencing social anxiety. Verbatim extracts and post-intervention feedback illustrate the reciprocal and reinforcing roles of client participation, therapist facilitation, and the therapeutic bond during chairwork. Moreover, the case demonstrates that relationship and technique are intimately bound when using experiential methods, suggesting that therapists do not always need to privilege the former to implement the latter.

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Single-session chairwork: overview and case illustration of brief dialogical psychotherapy

Cited by 8 publications

References 77 publications

Addressing self-criticism in depression using CBT-based emotion-focused chairwork: study protocol of a randomised controlled trial

Addressing self-criticism in depression using CBT-based emotion-focused chairwork: study protocol of a randomised controlled trial

“Seeing Myself Through Someone Else’s Eyes”: Embodying the Perfect Nurturer in Compassion Focused Therapy

Chairwork and the therapeutic relationship: Can the cart join the horse?

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