Instability and discontinuous change in the experience of therapeutic interaction: An extended single-case study of psychodynamic therapy processes

Psychotherapy Research

Volumn 20, Issue 4, 2010, Pages 398-412

  Gumz, Antje ^a   Kästner, Denise ^a   Geyer, Michael ^b   Wutzler, Uwe ^c   Villmann, Thomas ^d   Brähler, Elmar ^a  

^a UNIVERSITY OF LEIPZIG   (Germany)

^b Academy for Psychotherapy Erfurt   (Germany)

^c Asklepios Specialist Hospital Stadtroda   (Germany)

^d UNIVERSITY OF APPLIED SCIENCES MITTWEIDA   (Germany)

Author keywords

Intrex; Nonlinear change; Process research; Psychoanalytic psychodynamic therapy; Statistical methodology

Indexed keywords

ADULT; ARTICLE; COUNTER TRANSFERENCE; DEPRESSION; FEMALE; HUMAN; HUMAN RELATION; PERSONALITY DISORDER; PSYCHOANALYSIS; PSYCHOLOGICAL ASPECT; PSYCHOLOGICAL MODEL; PSYCHOTHERAPY; QUESTIONNAIRE; TREATMENT OUTCOME;

ADULT; COUNTERTRANSFERENCE (PSYCHOLOGY); DEPRESSIVE DISORDER; FEMALE; HUMANS; MODELS, PSYCHOLOGICAL; PERSONALITY DISORDERS; PROFESSIONAL-PATIENT RELATIONS; PSYCHOANALYTIC THERAPY; PSYCHOTHERAPEUTIC PROCESSES; PSYCHOTHERAPY; QUESTIONNAIRES; TRANSFERENCE (PSYCHOLOGY); TREATMENT OUTCOME;

EID: 77954991802     PISSN: 10503307     EISSN: 14684381     Source Type: Journal    
DOI: 10.1080/10503300903551021     Document Type: Article

References (55)

1. Andrusyna, T. P., Luborsky, L., Pham, T., & Tang, T. Z. (2006). The mechanisms of sudden gains in supportive-expressive therapy for depression. Psychotherapy Research, 16(5), 526-536.
2. Arbeitskreis OPD (Ed.). (1996). Operationalisierte Psychodyna\mische Diagnostik. Grundlagen und Manual [Operationalized psychodynamic diagnostics. Foundations and manual]. Bern, Switzerland: Huber.
3. Bedics, J. D., Henry, W. P., & Atkins, D.C. (2005). The therapeutic process as a predictor of change in patients' important relationships during time-limited dynamic psychotherapy. Psychotherapy: Theory, Research, Practice, Training, 42,279-284.
4. Benjamin, L. S. (1974). Structural analysis of social behavior. Psychological Review, 81, 392-425.
5. Benjamin, L. S. (1988). Short form user's manual. Salt Lake City, UT: Intrex Interpersonal Institute.
6. Benjamin, L. S., Rothweiler, J. C., & Critchfield, K. L. (2006). The use of structural analysis of social behavior (SASB) as an assessment tool. Annual Review of Clinical Psychology, 2, 83-109.
7. Bergmann, B., Villmann, T., & Gumz, A. (2008). Vom Chaos zur Einsicht*Die Charakterisierung der Dynamik therapeutischer Veranderungsprozesse mittels textanalytischer Untersuchung von Verbatimprotokollen [From chaos to insight*Characterizing the dynamics of therapeutic processes of change using text analysis of verbatim protocols]. Psychotherapie, Psychosomatik, Medizinische Psychologie, 58, 1-8.
8. Ciompi, L. (1999). Die emotionalen Grundlagen des Denkens. Entwurf einer fraktalen Affektlogik [The emotional basics of thought. A draft of a fractal affect-logic]. Gottingen, Germany: Vandenhoeck & Ruprecht.
9. Clerkin, E. M., Teachman, B. A., & Smith-Janik, S. B. (2008). Sudden gains in group cognitive-behavioral therapy for panic disorder. Behaviour Research and Therapy, 46, 1244-1250.
10. Comninos, A., & Grenyer, B. F. S. (2007). The influence of interpersonal factors on the speed of recovery from major depression. Psychotherapy Research, 17(2), 239-249.
11. Davies-Osterkamp, S., Hartkamp, N., & Junkert, B. (1993). Die Intrex-Kurzform [The Intrex Short form]. In W. Tress (Ed.), SASB*Die Strukturale Analyse Sozialen Verhaltens [The structural analysis of social behavior] (pp. 156-220). Heidelberg, Germany: Asanger.
12. Franke, G. H. (2002). SCL-90-R Symptom Checkliste von L. R. Derogatis*Deutsche version [SCL-90-R Symptom Checklist by L.R. Derogatis*German version]. Gottingen, Germany: Beltz Test.
13. Goodridge, D., & Hardy, G. E. (2009). Patterns of change in psychotherapy: An investigation of sudden gains in cognitive therapy using assimilation model. Psychotherapy Research, 19(1),114-123.
14. Grawe, K. (1998). Psychologische therapie [Psychological therapy]. Gottingen, Germany: Hogrefe.
15. Greenberg, L. S. (2002). Integrating an emotion-focused approach to treatment into psychotherapy integration. Journal of Psychotherapy Integration, 12, 154-189.
16. Greenberg, L. S. (2008). The case of Lisa: An integration and reaction to the process analyses. Psychotherapy Research, 18(6), 677-682.
17. Grilo, C. M., Masheb, R. M., & Wilson, T. G. (2006). Rapid response to treatment for binge eating disorder. Journal of Consulting and Clinical Psychology, 74, 602-613.
18. Gumz, A., Villmann, T., Bergmann, B., & Geyer, M. (2008). Ubertragung ein attraktiver Systemzustand (Transference An attractive system state). Forum der Psychoanalyse, 24(3), 229-245.
19. Gumz, A., Kastner, D., & Geyer, M. (2010). Psychodynamic psychotherapy from the perspective of self organization A concept of change and a first empirical examination. Manuscript submitted for publication.
20. Haase, M., Frommer, J., Franke, G.-H., Hoffmann, T., Schulze-Muetzel, J., Jäger, S., et al. (2008). From symptom relief to interpersonal change: Treatment outcome and effectiveness in inpatient psychotherapy. Psychotherapy Research, 18(5), 615-624.
21. Haken, H. (1990). Synergetics: An introduction. Berlin: Springer.
22. Haken, H., & Schiepek, G. (2006). Synergetik in der Psychologie. Selbstorganisation verstehen und gestalten [Synergetics in psychology. Understanding und framing self-organization]. Gottingen, Germany: Hogrefe.
23. Halvorsen, M. S., & Monsen, J. T. (2007). Self-image as a moderator of change in psychotherapy. Psychotherapy Research, 17,205-217.
24. Hardy, G. E., Cahill, J., Stiles, W. B., Ispan, C., Macaskill, N., & Barkham, M. (2005). Sudden gains in cognitive therapy for depression: A replication and extension. Journal of Consulting and Clinical Psychology, 73(1), 59-67.
25. Hayes, A. M., Feldman, G., Beevers, C., Laurenceau, J.-P., Cardaciotto, L. A., & Smith, J. (2007). Discontinuities and cognitive changes in an exposure-based cognitive therapy for depression. Journal of Consulting and Clinical Psychology, 75(3), 409-421.
26. Hayes, A. M., Laurenceau, J. P., Feldman, G., Strauss, J. L., & Cardaciotto, L. (2007). Change is not always linear: The study of nonlinear and discontinuous patterns of change in psychotherapy. Clinical Psychology Review, 27, 715-723.
27. Hayes, A. M., & Strauss, J. L. (1998). Dynamic systems theory as a paradigm for the study of change in psychotherapy: An application to cognitive therapy for depression. Journal of Consulting and Clinical Psychology, 66, 939-947.
28. Hofmann, S. G., Schulz, S. M., Meuret, A. E., Moscovitch, D. A., & Suvak, M. (2006). Sudden gains during therapy of social phobia. Journal of Consulting and Clinical Psychology, 74(4), 687-697.
29. Kantz, H. (2001). Time series analysis in reconstructed phase spaces. Stochastics and Dynamics, 1, 85-111.
30. Kelly, M. A. R., Cyranowski, J. M., & Frank, E. (2007). Sudden gains in interpersonal psychotherapy for depression. Behaviour Research and Psychotherapy, 45, 2563-2572.
31. Kiesler, D. J. (2004). Intrepid pursuit of the essential ingredients of psychotherapy. Clinical Psychology: Science and Practice, 11, 391-395.
32. Kowalik, Z. J., Schiepek, G., Kumpf, K., Roberts, L. E., & Elbert, T. (1997). Psychotherapy as a chaotic process: Part II. The application of nonlinear analysis methods on quasi time series of the client-therapist interaction: A nonstationary approach. Psychotherapy Research, 7(2), 197-218.
33. Laurenceau, J. P., Hayes, A. M., & Feldman, G. C. (2007). Some methodological and statistical issues in the study of change processes in psychotherapy. Clinical Psychology Review, 27(6), 682-695.
34. Liebert, W. (1991). Chaos und herzdynamik [Chaos and heart dynamics]. Frankfurt, Germany: Harri Deutsch.
35. Lutz, W., Bachmann, F., Tschitsaz, A., Smart, D. W., & Lambert, M. J. (2007). Zeitliche und sequentielle Muster von nonlinearen Veranderungen im Therapieverlauf Das Phanomen von plotzlichen Gewinnen und Verlusten [Temporal and sequential patterns of nonlinear changes in the course of therapy*The phenomenon of sudden gains and losses]. Zeitschrift fur Klinische Psychologie und Psychotherapie, 36, 261-269.
36. Lutz, W., & Tschitsaz, W. (2007). Plotzliche Gewinne und Verluste in der Behandlung von Angststorungen, Depressiven und komorbiden Storungen [Sudden gains and losses in the treatment of anxiety disorders, depressive and co-morbid disorders]. Zeitschrift fur Klinische Psychologie und Psychotherapie, 36,298-308.
37. Mergenthaler, E. (1996). Emotion-abstraction patterns in verbatim protocols: A new way of describing psychotherapeutic processes. Journal of Consulting and Clinical Psychology, 46, 1306-1318.
38. Redington, D. J., & Reidbord, S. P. (1992). Chaotic dynamics in autonomic nervous system activity of a patient during a psychotherapy session. Biological Psychiatry, 31, 993-1007.
39. Reidbord, S. P., & Redington, D. J. (1992). Psychophysiological processes during insight-oriented therapy. Further investigations into nonlinear psychodynamics. Journal of Nervous and Mental Disease, 180(10), 649-657.
40. Reidbord, S. P., & Redington, D. J. (1993). Nonlinear analysis of autonomic responses in a therapist during psychotherapy. Journal of Nervous and Mental Disease, 181(7), 428-435.
41. Schiepek, G., Eckert, H., & Weihrauch, S. (2003). Critical fluctuations and clinical change: Data-based assessment in dynamic systems. Constructivism in the Human Sciences, 8, 57-83.
42. Schiepek, G., Kowalik, Z. J., Schutz, A., Kohler, M., Richter, K., Strunk, G., et al. (1997). Psychotherapy as a chaotic process: Part I. Coding the client-therapist interaction by means of sequential plan analysis and the search for chaos: A stationary approach. Psychotherapy Research, 7(2), 173-194.
43. Stiles, W. B., Glick, M. J., Osatuke, K., Hardy, G. E., Shapiro, D. A., Agnew-Davies, R., et al. (2004). Patterns of alliance development and the rupture-repair hypothesis: Are productive relationships U-shaped or V-shaped? Journal of Counseling Psychology, 51, 81-91.
44. Strauss, J. L., Hayes, A. M., Johnson, S. L., Newman, C. F., Brown, G. K., Barber, J. P., et al. (2006). Early alliance, alliance ruptures, and symptom change in a nonrandomized trial of cognitive therapy for avoidant and obsessive compulsive personality disorders. Journal of Consulting and Clinical Psychology, 74, 337-345.
45. Strunk, G., & Schiepek, G. (2006). Systemische Psychologie*Eine Einfuhrung in die komplexen Grundlagen menschlichen Verhaltens [Systemic psychology*An introduction to the complex fundamentals of human behaviour]. Munich: Spektrum.
46. Stulz, N., Lutz, W., Leach, C., Lucock, M., & Barkham, M. (2007). Shapes of early change in psychotherapy under routine outpatient conditions. Journal of Consulting and Clinical Psychology, 75(6), 864-874.
47. Tang, T. Z., & DeRubeis, R. J. (1999). Sudden gains and critical sessions in cognitive-behavioral therapy for depression. Journal of Consulting and Clinical Psychology, 67, 894-904.
48. Tang, T. Z., DeRubeis, R. J., Beberman, R., & Pham, T. (2005). Cognitive changes, critical sessions, and sudden gains in cognitive-behavioral therapy for depression. Journal of Consulting and Clinical Psychology, 73, 168-172.
49. Tang, T. Z., DeRubeis, R. J., Hollon, S. D., & Amsterdam, J. (2007). Sudden gains in cognitive therapy of depression and depression relapse/recurrence. Journal of Consulting and Clinical Psychology, 75(3), 404-408.
50. Tang, T. Z., Luborsky, L., & Andrusyna, T. (2002). Sudden gains in recovering from depression: Are they also found in psychotherapies other than cognitive-behavioral therapy? Journal of Consulting and Clinical Psychology, 70, 444-447.
51. Thoma, H., & Kachele, H. (2006). Lehrbuch der psychoanalytischen Therapie: Grundlagen [Textbook of psychoanalytic therapy: Basics]. Heidelberg, Germany: Springer.
52. Thompson, M., Thompson, L., & Gallagher-Thompson, D. (1995). Linear and nonlinear changes in mood between psychotherapy sessions: Implications for treatment outcome and relapse risk. Psychotherapy Research, 5, 327-336.
53. Villmann, T., Liebers, C., Bergmann, B., Gumz, A., & Geyer, M. (2008). Investigation of psycho-physiological interactions between patient and therapist during a psychodynamic therapy and their relation to speech using in terms of entropy analysis using a neutral network approach. New Ideas in Psychology, 26(2),309-325.
54. Von der Lippe, A. L., Monsen, J. T., Rønnestad, M. H., & Eilertsen, D. E. (2008). Treatment failure in psychotherapy: The pull of hostility. Psychotherapy Research, 18(4), 420-432.
55. Wampold, B. E. (2001). The great psychotherapy debate. Models, methods and findings. Mahwah, NJ: Erlbaum.