The Process of Change in Psychotherapy: Common and Unique Factors

McAleavey, Andrew A.; Castonguay, Louis G.

doi:10.1007/978-3-7091-1382-0_15

Cited by 52 publications

(48 citation statements)

References 79 publications

(66 reference statements)

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“…Technique and relationship are only artificially disassociated. In this regard, we agree with the premise of McAleavey and Castonguay (2015), that the specific and common factors most probably function in a symbiotic (or even parasitical) way. Our hypothesis is that these two modes of therapeutic action are interdependent and, therefore, are unlikely to produce change in isolation.…”

Section: Discussionsupporting

confidence: 89%

Uncovering Interaction Structures in a Brief Psychodynamic Psychotherapy

Serralta

2016

Paidéia (Ribeirão Preto)

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Abstract:Interaction structures refers to the repetitive ways of interaction between the patient-therapist dyad over the course of treatment. This construct is operationalized by the repeated application of the Psychotherapy Process Q-Set (PQS) to psychotherapy sessions. Studies in this line of research have so far focused only on long-term treatment. The present study examines whether interaction structures can be detected empirically in short-term psychotherapies. All sessions (N = 31) of a successful case of brief psychodynamic psychotherapy were coded with the Psychotherapy Process Q-Set (PQS). The application of Q type factor analysis procedures with varimax rotation revealed five interaction structures: resistance, alliance, facing depression, expectation of change, and introspection and hearing. The analysis of variation of these structures over the course of the treatment showed that these interactions are nonlinear, may be positively or negatively protruding in different sessions, or be predominant at some treatment phase.Keywords: brief psychotherapy, psychotherapeutic processes, psychoanalytic psychotherapy Desvelando Estruturas de Interação em uma Psicoterapia Psicodinâmica BreveResumo: Estruturas de interação designam os funcionamentos repetitivos da díade paciente-terapeuta ao longo do tratamento. O constructo é operacionalizado pela aplicação repetida do Psychotherapy Process Q-Set (PQS) às sessões de psicoterapia. Estudos nesta linha de investigação até agora focalizaram somente tratamentos de longa duração. Esta investigação examina se estruturas de interação podem ser detectadas empiricamente em psicoterapias breves. Todas as sessões (N = 31) de um caso bem-sucedido de psicoterapia psicodinâmica breve foram codificadas com o PQS. A aplicação de análise fatorial do tipo Q com rotação varimax revelou cinco estruturas de interação: resistência, aliança, enfrentado a depressão, expectativa de mudança, e introspecção e escuta. A análise da variação destas estruturas ao longo do tratamento mostrou que as mesmas não são lineares, podem estar positiva ou negativamente salientes em diferentes sessões, ou predominar em alguma etapa do tratamento. Palavras-chave: psicoterapia breve, processos terapêuticos, psicoterapia psicanalítica Descubriendo Estructuras de Interacción en una Psicoterapia Psicodinámica BreveResumen: Estructuras de interacción designan los patrones repetitivos de interacción de la díada cliente-terapeuta durante el tratamento. El constructo se operacionaliza mediante la aplicación repetida del Psychotherapy Process Q-Set (PQS) a las sesiones de psicoterapia. Los estudios esta línea de investigación hasta ahora se centraron sólo en tratamientos de largo plazo. Esta investigación examina si las estructuras de interacción se pueden detectar empíricamente en psicoterapias breves. Todas las sesiones (N = 31) de un caso exitoso de psicoterapia psicodinámica breve se codificaron con el Psychotherapy Process Q-Set (PQS). La aplicación del análisis factorial del tipo Q con rotación varimax revel...

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Section: Discussionsupporting

confidence: 89%

Uncovering Interaction Structures in a Brief Psychodynamic Psychotherapy

Serralta

2016

Paidéia (Ribeirão Preto)

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“…In the process of doing so, numerous important treatment aspects have been identified and weighed in terms of their contribution to therapeutic change. Some of the most consistent aspects across theoretical orientations appear to be the role of the therapist (therapist effects), the quality of the therapeutic alliance, and the presence of emotional arousal and processing (McAleavey & Castonguay, 2015).…”

Section: Introductionmentioning

confidence: 99%

Favouring emotional processing in improvisational music therapy through resonance frequency breathing: a single-case experimental study with a healthy client

Brabant

Solati

Letulė

et al. 2017

Nordic Journal of Music Therapy

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“…Similarly, in the treatment of agoraphobia, members of more cohesive treatment groups showed more of an improvement at follow-up, but not immediately post treatment, than did members of less cohesive groups (Hand, Lamontagne, & Marks, 1974). Thus, as with the alliance literature, there is a need for research on cohesion that is more sophisticated in its methodology to capture the interplay between these elements (McAleavey & Castonguay, 2015). …”

Section: Group Cohesionmentioning

confidence: 99%

Dynamic relationships of therapist alliance and group cohesion in transdiagnostic group CBT for anxiety disorders.

Norton¹,

Kazantzis²

2016

Journal of Consulting and Clinical Psychology

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Objective Little is known about the temporal variability of the alliance-symptom change and cohesion-symptom change relationships over the course of group therapy. These questions were examined in a sample of 373 clients receiving a transdiagnostic cognitive behavior therapy (tCBT), which culled the principle research-supported mechanisms of change for anxiety disorders. Method We examined relationships between the client versions of the Working Alliance Inventory and Group Cohesion Scale in predicting subsequent symptom change, as assessed by the state scale of the State-Trait Anxiety Inventory. Results Alliance and cohesion were significant predictors of next session anxiety scores. The alliance was consistently associated with anxiety symptoms (rs = −.152 to −.198, ps < .05), but cohesion only showed significant relationships with anxiety symptoms at sessions 8 and 10 (Session 8, r = −.233, p = .020, and 10, r = −.236, p = .027). Alliance-anxiety relations remained constant, whereas cohesion-anxiety relations substantially increased from earlier to later sessions. Discussion Differences that were obtained in the relation of alliance and cohesion with anxiety symptoms suggests that these processes have different roles within group tCBT. If replicated, the present findings would suggest that the dynamic relationships between alliance and cohesion and symptoms within group CBT for anxiety disorders have been an important omission in process-outcome studies.

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The Process of Change in Psychotherapy: Common and Unique Factors

Cited by 52 publications

References 79 publications

Uncovering Interaction Structures in a Brief Psychodynamic Psychotherapy

Uncovering Interaction Structures in a Brief Psychodynamic Psychotherapy

Favouring emotional processing in improvisational music therapy through resonance frequency breathing: a single-case experimental study with a healthy client

Dynamic relationships of therapist alliance and group cohesion in transdiagnostic group CBT for anxiety disorders.

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