The Narrative-Emotion Process Coding System 2.0: A multi-methodological approach to identifying and assessing narrative-emotion process markers in psychotherapy

Abstract

Recovery is consistently associated with client storytelling that is emotionally engaged, reflective, and evidencing new story outcomes and self-narrative change. Implications for future research, practice and training are discussed.

Reconceptualization innovative moments as a predictor of symptomatology improvement in treatment for depression

“…In general, the present study gives further support to the claim that new meanings are important for change in psychotherapy (Gonçalves et al, ; Neimeyer & Bridges, ). New meanings in which people reconceptualize their experience are also probably similar to other concepts in other models as new accounts of the experience (Angus et al, ; Boritz, Bryntwick, Angus, Greenberg, & Constantino, ) or as meaning bridges in the assimilation of the problematic experience (Stiles, ). In fact, high‐level assimilation of the problematic experience stages (Stage 4 or higher) have been associated with Level 2 IMs (Gonçalves et al, ).…”

“…Some similarities can be found between the IM model and other narrative models in psychotherapy. For instance, Angus et al's () Narrative‐Emotion Process Coding 2.0 system identifies 10 different storytelling markers that are empirically clustered into three subgroups: problem markers, which indicate narrative incoherence, emotional dysregulation, and repetitive stuckness in client storytelling; transition markers, which indicate increasing narrative‐emotion engagement and reflectivity in client storytelling; and change markers, which are identified when clients' storytelling evidences new outcomes and self‐narrative identity change. Transition markers are akin to Level 1 IMs, whereas change markers are very similar to Level 2.…”

Wie kann Reden heilen? Zur Sprache in der Psychotherapie

“…Weitere Befunde ergeben sich aus der Forschung zu narrativen Prozessen auf Grundlage quantitativer Rating-Systeme. Einflussreich ist in diesem Zusammenhang zunächst das "Narrative-emotion-process(N-EP)"-Modell (Angus et al 2017), das in seiner ersten Fassung drei Typen narrativer Sequenzen unterscheidet: Externale Sequenzen, in denen Patienten äußere Ereignisse beschreiben, internale Sequenzen, in denen innere Prozesse (zum Beispiel Gefühle) beschrieben werden, und reflexive Sequenzen, in denen Patienten darüber reflektieren, was bestimmte Ereignisse für sie bedeuten. Studien auf Grundlage des N-EP-Modells zeigen, dass Narrative von Patienten über die Therapie hinweg spezifischer werden (Angus 2012).…”

Narrative measures in psychotherapy research: Introducing the special section

“…More specifically, the manuscripts comprising this special section highlight a range of narrativeinformed coding methods, including Narrativeemotion Process Markers (Angus et al, 2017), Innovative Moments (Gonçalves et al, 2017), and CCRT/RAP interviews (Wiseman & Tishby, 2017), that demonstrate how these measures can be reliably applied to therapy DVDs and transcripts, for the development of an enhanced understanding of how client narrative change contributes to improved treatment outcomes. Additionally, Habermas and Döll-Hentschker (2017), analyze five formal dimensions of client storytelling (e.g., chronological order of events, evaluations, interpretations), that are evidenced in dysfunctional narratives and are expected to change over the course of treatment.…”

“…An emerging trend in the psychotherapy research field suggests that narrative-based meaning reconstruction is an important foundation for the articulation of a new, more adaptive view of self (Angus & Kagan, 2013) in psychotherapy. Additionally, a range of research-informed treatment models, including psychodynamic (Luborsky, 1998), humanistic (Angus, Watson, Elliott, Schneider, & Timulak, 2015) and systemic therapy approaches (Dallos & Vetere, 2009), emphasize that client change in psychotherapy is facilitated through personal story disclosure, emotional engagement and reflection for new meaning construction and self-narrative reorganization. In fact, recent research from Angus et al (2017) and Gonçalves et al (2017), using different methods and clinical samples, have independently established that successful psychotherapy involves client self-narrative transformation processes evidenced in late phase therapy sessions.…”