Therapeutic change processes

2021 ◽  
pp. 109-125
Author(s):  
Mark Harrison

2020 ◽  
Vol 16 (2) ◽  
pp. 117-128
Author(s):  
Claudio Scarvaglieri

Based on a corpus of 70 tape-recorded therapy sessions (client-centered therapy, psychodynamic therapy), this paper presents analyses of therapists’ interventions that have the potential to trigger change processes. Using a conversation analytic approach, we identify utterances that re-formulate the patient’s experience from a different perspective. In a second step, we draw on concepts from cognitive and pragmatic linguistics, mainly “frame” and “category”, to analyze the conceptual side of these rewordings. We show that, besides processes of general abstraction, the conceptualization of the patient’s experience from a societal perspective is a crucial part of the rewordings. The verbal re-framing creates a potential for accessing stocks of societal knowledge that would not have been accessible based on the patient’s initial, individualistic and often erratic presentation of events. By changing the wording an experience is referred to, the therapist thus creates links to established collective knowledge about experiences of this category. Once such links to collective knowledge have been created, it then becomes possible to understand differently how the experience in question came to pass, which features it is characterized by and how it can be dealt with in a way that is collectively known to be helpful.



2019 ◽  
Vol 18 (3) ◽  
pp. 287-288 ◽  
Author(s):  
Stefan G. Hofmann ◽  
Steven C. Hayes


2017 ◽  
Vol 35 (15-16) ◽  
pp. 2897-2916 ◽  
Author(s):  
Zoë Chouliara ◽  
Thanos Karatzias ◽  
Angela Gullone ◽  
Sandra Ferguson ◽  
Katie Cosgrove ◽  
...  

Our understanding of therapeutic change processes in group therapy for complex interpersonal trauma has been limited. The present study aimed at addressing this gap by developing a framework of therapeutic change in this field from a survivor and therapist perspective. This is a qualitative study, which utilized semistructured individual interviews. Transcripts were analyzed using interpretative phenomenological analysis (IPA) to identify recurrent themes. A final sample of n = 16 patients and n = 5 facilitators completed the interview. Main change processes identified by survivors were as follows: self versus others, trust versus threat, confrontation versus avoidance, and “patching up” versus true healing. Therapeutic processes identified by therapist facilitators included managing group dynamics, unpredictability and uncertainty, and process versus content. The proposed framework explains therapeutic change in group therapy in relational terms, that is, therapeutic dissonance, the dynamic interaction of self and experience as well as building empathic trusting relations. The importance of managing dissonance to aid personally meaningful recovery was highlighted. These findings have implications for the usefulness of relational and person-centered approaches to clinical practice in the area of interpersonal and complex trauma, especially in the early identification, prevention, and management of dropouts.



2011 ◽  
Vol 22 (3) ◽  
pp. 209-221 ◽  
Author(s):  
Valero-Aguayo Luis ◽  
Ferro-García Rafael ◽  
Kohlenberg Robert T. ◽  
Tsai Mavis


1988 ◽  
Vol 62 (3) ◽  
pp. 972-974 ◽  
Author(s):  
Alvin R. Mahrer ◽  
Wayne P. Nadler ◽  
Anastassios Stalikas ◽  
Howard M. Schachter ◽  
Irit Sterner

A 12-fold category system of therapeutic change processes was applied to 10 sessions of client-centered, rational-emotive, and experiential psychotherapies conducted by exemplars of each approach. By analyzing the results within and across each category and approach, the findings indicated therapeutic change processes common across the approaches and subsets distinctive to each approach.



2017 ◽  
Vol 16 (4) ◽  
pp. 172-185 ◽  
Author(s):  
Christine J. Syrek ◽  
Conny H. Antoni

Abstract. The implementation of a new pay system is a balancing act that produces uncertainty and draws employees’ attention to the fulfillment of exchange agreements. Transformational leadership may be essential during these change processes. Based on psychological contract theory, we expected that transformational leadership impacts job satisfaction and affective organizational commitment through the fulfillment of relational psychological contracts, while the fulfillment of transactional psychological contracts may be crucial for employees’ pay and bonus satisfaction. We assessed 143 employees nested within 34 teams before and after (24 months) a pay for performance (pfp) system was introduced. Our results supported the mediation hypotheses considering job and pay satisfaction, but not considering commitment. Unexpectedly, the effect on bonus satisfaction was mediated via relational psychological contracts.



1981 ◽  
Vol 36 (12) ◽  
pp. 1547-1548 ◽  
Author(s):  
Stanley B. Messer ◽  
Meir Winokur


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