Therapeutic collaboration and resistance: Describing the nature and quality of the therapeutic relationship within ambivalence events using the Therapeutic Collaboration Coding System

Ribeiro, António P.; Ribeiro, Eugénia; Loura, Joana; Gonçalves, Miguel M.; Stiles, William B.; Horvath, Adam O.; Sousa, Inês

doi:10.1080/10503307.2013.856042

Cited by 48 publications

(39 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Resistance entails varying levels of ambivalence on the part of the patient in relation to change, which are, to a large extent, determined by the quality of the therapeutic relationship. The results of studies suggest that more empathetic and supportive therapists help their patients to reduce the levels of resistance (Ribeiro et al, 2014). This seems to have occurred in Maria's treatment.…”

Section: Discussionmentioning

confidence: 79%

Uncovering Interaction Structures in a Brief Psychodynamic Psychotherapy

Serralta

2016

Paidéia (Ribeirão Preto)

View full text Add to dashboard Cite

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...

show abstract

Section: Discussionmentioning

confidence: 79%

Uncovering Interaction Structures in a Brief Psychodynamic Psychotherapy

Serralta

2016

Paidéia (Ribeirão Preto)

View full text Add to dashboard Cite

show abstract

“…This is appropriate for EFT (cf. Greenberg, 2006;Greenberg, Rice, & Elliott, 1993) and has been found in previous TCCS studies on humanistic/experiential therapies (E. Ribeiro et al, 2014). In humanistic approaches, clients are presumed to be motivated to actualize (change for the better) on their own, and therapists may be less likely to push limits than in more directive therapies.…”

Section: Discussionmentioning

confidence: 87%

“…In contrast, the TCCS characterizes the client's usual self-narrative as problematic because it fails to accommodate those painful experiences, which are understood as innovative voices (A. Ribeiro et al, 2014;E. Ribeiro et al, 2013).…”

Section: Therapeutic Collaboration Processes In Psychotherapymentioning

confidence: 99%

“…Previous TCCS case studies, with a total of six clients representing a range of outcomes, included two cases of narrative therapy (Ferreira, Ribeiro, Pinto, Pereira, & Pinheiro, 2015), three cases of cognitive-constructivist therapy (A.P. Ribeiro, et al, 2014;Ribeiro, Silveira, Senra, Azevedo, & Ferreira, 2015) and one case of personcentered therapy (E., Ribeiro, et al, 2014). All sessions of each case (ranging from 8 to 20 sessions) were analyzed using the TCCS.…”

Section: Therapeutic Collaboration Processes In Psychotherapymentioning

confidence: 99%

See 1 more Smart Citation

Therapeutic collaboration and the assimilation of problematic experiences in emotion-focused therapy for depression: Comparison of two cases

Ribeiro

Cunha

Teixeira

et al. 2016

Psychotherapy Research

Self Cite

View full text Add to dashboard Cite

Aims: The Assimilation model argues that therapists should work responsively within the client's therapeutic zone of proximal development (TZPD). This study analyzed the association between the collaborative processes assessed by the Therapeutic Collaboration Coding System (TCCS) and advances in assimilation, as assessed by the Assimilation of Problematic Experiences Scale (APES).Method: Sessions 1, 4, 8, 12, and 16 of two contrasting cases, Julia and Afonso (pseudonyms), drawn from a clinical trial of 16-sessions emotion-focused therapy (EFT) for depression, were coded according to the APES and the TCCS. Julia met criteria for reliable and clinically significant improvement, whereas Afonso did not.Results: As expected, Julia advanced farther along the APES than did Afonso. Both therapists worked mainly within their client's TZPD. However, Julia's therapist used a balance of supporting and challenging interventions, whereas Afonso's therapist used mainly supporting interventions. Setbacks were common in both cases.

show abstract

“…For instance, individuals in a foreclosed status with ascribed options may rigidly follow dominant narratives that delineate implicit rules such as “I must go into the family business” or “My parents know which career is best for me.” Individuals in a moratorium status may follow dissociative narratives formed by implicit rules that exclude important aspects of experience or hold them in an unassimilated form such as “I'll take whatever job comes along” (dissociating responsibility) or “I'll worry about it when the time comes to choose a job” (dissociating anxiety). When problematic implicit rules organize clients’ careers, the narratives become self‐perpetuating and each occurrence that reinforces the problematic pattern makes it more rigid and consequential (Cardoso, ; Dimaggio, ; Hermans & Hermans‐Jansen, ; Oliveira, Gonçalves, Braga, & Ribeiro, ; Ribeiro et al, ). Finally, individuals in a diffused status may display disorganized narratives with incoherent and invalidating rules that fragment their ability to think systematically about occupational choices and organize career moves.…”

Section: Imm and Problematic Self‐narrativesmentioning

confidence: 99%

Innovative Moments in Career Construction Counseling: Proposal for an Integrative Model

Cardoso

Savickas

Gonçalves

2019

The Career Development Quart

Self Cite

View full text Add to dashboard Cite

This article advances understanding of career construction counseling (CCC) by viewing it through the lens of the innovative moments model (IMM) of how clients construct change. The IMM conceives clients’ narrative transformations as resulting from counselors prompting and clients reflecting on exceptions to a problematic self‐narrative (i.e., innovative moments; IMs) that emerges in counseling dialogues. On the basis of intensive IMM analysis of CCC case studies, the authors propose an integration of the 2 models that describes the sequence of client change in IMs across the 3 phases of CCC. This proposal provides both conceptual and assessment tools that make it possible to describe and analyze the process of client change through life‐designing dialogues. The authors illustrate the integrated framework with vignettes from case studies and conclude by suggesting research to examine the validity and usefulness of the client change sequence and interventions for using this pattern of change to foster client transformation.

show abstract

Therapeutic collaboration and resistance: Describing the nature and quality of the therapeutic relationship within ambivalence events using the Therapeutic Collaboration Coding System

Abstract: This suggests that in such ambivalence episodes the therapist did not match the client's developmental level, and by working outside the TZPD unintentionally contributed to the maintaining the client's ambivalence.

Cited by 48 publications

References 44 publications

Uncovering Interaction Structures in a Brief Psychodynamic Psychotherapy

Uncovering Interaction Structures in a Brief Psychodynamic Psychotherapy

Therapeutic collaboration and the assimilation of problematic experiences in emotion-focused therapy for depression: Comparison of two cases

Innovative Moments in Career Construction Counseling: Proposal for an Integrative Model

Contact Info

Product

Resources

About