Emotional experience and alliance contribute to therapeutic change in psychodynamic therapy

Psychotherapy

Volumn 53, Issue 1, 2016, Pages 105-116

  Fisher, Hadar ^a   Atzil Slonim, Dana ^a   Bar Kalifa, Eran ^a   Rafaeli, Eshkol ^a   Peri, Tuvia ^a  

^a BAR ILAN UNIVERSITY   (Israel)

Author keywords

Emotional experience; Psychodynamic psychotherapy; Therapeutic alliance

Indexed keywords

ADULT; AGED; ARTICLE; DISEASE SEVERITY; DISTRESS SYNDROME; EMOTIONALITY; EVIDENCE BASED MEDICINE; FEMALE; FUNCTIONAL ASSESSMENT; FUNCTIONAL STATUS; HUMAN; MAJOR CLINICAL STUDY; MALE; OUTCOME ASSESSMENT; PERSONAL EXPERIENCE; PREDICTION; PSYCHODYNAMIC PSYCHOTHERAPY; SCORING SYSTEM; SYMPTOM; THERAPY EFFECT; ADOLESCENT; COOPERATION; EMOTION; MENTAL DISORDERS; MIDDLE AGED; PROCEDURES; PROFESSIONAL-PATIENT RELATIONSHIP; PSYCHOLOGY; TREATMENT OUTCOME; YOUNG ADULT;

ADOLESCENT; ADULT; AGED; COOPERATIVE BEHAVIOR; EMOTIONS; FEMALE; HUMANS; MALE; MENTAL DISORDERS; MIDDLE AGED; PROFESSIONAL-PATIENT RELATIONS; PSYCHOTHERAPY, PSYCHODYNAMIC; TREATMENT OUTCOME; YOUNG ADULT;

EID: 84954460214     PISSN: 00333204     EISSN: 19391536     Source Type: Journal    
DOI: 10.1037/pst0000041     Document Type: Article

References (77)

1. Alexander, F., & French, T. M. (1946). The corrective emotional experience. In F. Alexander & T. French (Eds.), Psychoanalytic therapy: Principles and application (pp. 25-70). New York, NY: Ronald Press.
2. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.
3. Auszra, L., Greenberg, L. S., & Herrmann, I. R. (2010). Client Emotional Productivity Scale Revised. Unpublished manuscript, York University, Toronto, Ontario, Canada.
4. Auszra, L., Greenberg, L. S., & Herrmann, I. (2013). Client emotional productivity-optimal client in-session emotional processing in experiential therapy. Psychotherapy Research, 23, 732-746. http://dx.doi.org/10.1080/10503307.2013.816882
5. Baldwin, S. A., Imel, Z. E., Braithwaite, S. R., & Atkins, D. C. (2014). Analyzing multiple outcomes in clinical research using multivariate multilevel models. Journal of Consulting and Clinical Psychology, 82, 920-930. http://dx.doi.org/10.1037/a0035628
6. Barber, J. P. (2009). Toward a working through of some core conflicts in psychotherapy research. Psychotherapy Research, 19, 1-12. http://dx.doi.org/10.1080/10503300802609680
7. Bauer, D. J., Preacher, K. J., & Gil, K. M. (2006). Conceptualizing and testing random indirect effects and moderated mediation in multilevel models: New procedures and recommendations. Psychological Methods, 11, 142-163. http://dx.doi.org/10.1037/1082-989X.11.2.142
8. Beck, A. T., Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77-100. http://dx.doi.org/10.1016/0272-7358(88)90050-5
9. Beutler, L. E., Clarkin, J. F., & Bongar, B. (2000). Guidelines for the systematic treatment of the depressed patient. Oxford, United Kingdom: Oxford University Press. http://dx.doi.org/10.1093/acprof:oso/9780195105308.001.0001
10. Blagys, M. D., & Hilsenroth, M. J. (2000). Distinctive features of short-term psychodynamic-interpersonal psychotherapy: An empirical review of the comparative psychotherapy process literature. Clinical Psychology: Science and Practice, 7, 167-188. http://dx.doi.org/10.1093/clipsy.7.2.167
11. Blagys, M., & Hilsenroth, M. (2002). Distinctive features of short-term cognitive-behavioral psychotherapy: A review of the comparative psychotherapy process literature. Clinical Psychology Review, 22, 671-706. http://dx.doi.org/10.1016/S0272-7358(01)00117-9
12. Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research, & Practice, 16, 252-260. http://dx.doi.org/10.1037/h0085885
13. Breuer, J., & Freud, S. (1955). Studies on hysteria. In J. Strachey (Ed.), The standard ed. of the complete psychological works of Sigmund Freud (pp. 1-305). London, United Kingdom: Hogarth Press. (Original work published 1895).
14. Campbell, A., & Hemsley, S. (2009). Outcome rating scale and session rating scale in psychological practice: Clinical utility of ultra-brief measures. Clinical Psychologist, 13, 1-9. http://dx.doi.org/10.1080/13284200802676391
15. Castonguay, L. G., & Hill, C. E. (2012). Transformation in psychotherapy: Corrective experiences across cognitive behavioral, humanistic, and psychodynamic approaches. Washington, DC: American Psychological Association Press. http://dx.doi.org/10.1037/13747-000
16. Cranford, J. A., Shrout, P. E., Iida, M., Rafaeli, E., Yip, T., & Bolger, N. (2006). A procedure for evaluating sensitivity to within-person change: Can mood measures in diary studies detect change reliably? Personality and Social Psychology Bulletin, 32, 917-929. http://dx.doi.org/10.1177/0146167206287721
17. Crits-Christoph, P., Connolly Gibbons, M. B., & Mukherjee, D. (2013). Psychotherapy process-outcome research. In M. J. Lambert (Ed.), Bergin and Garfield's handbook of psychotherapy and behavior change (6th ed., pp. 298-340). Oxford, United Kingdom: Wiley.
18. Crits-Christoph, P., Gibbons, M. B., Hamilton, J., Ring-Kurtz, S., & Gallop, R. (2011). The dependability of alliance assessments: The alliance-outcome correlation is larger than you might think. Journal of Consulting and Clinical Psychology, 79, 267-278. http://dx.doi.org/10.1037/a0023668
19. Curran, P. J., & Bauer, D. J. (2011). The disaggregation of within-person and between-person effects in longitudinal models of change. Annual Review of Psychology, 62, 583-619. http://dx.doi.org/10.1146/annurev.psych.093008.100356
20. Diener, M. J., & Hilsenroth, M. J. (2009). Affect-focused techniques in psychodynamic psychotherapy. In R. A. Levy & J. S. Ablon (Eds.), Handbook of evidence-based psychodynamic psychotherapy: Bridging the gap between science and practice (pp. 227-247). Totowa, NJ: The Humana Press Inc. http://dx.doi.org/10.1007/978-1-59745-444-5_10
21. Diener, M. J., & Pierson, M. M. (2013). Technique and therapeutic process from a supportive-expressive relational psychodynamic approach. Psychotherapy, 50, 424-427. http://dx.doi.org/10.1037/a0032404
22. Duncan, B. L., Miller, S. D., Sparks, J. A., Reynolds, L. R., Brown, J., & Johnson, L. D. (2003). The session rating scale: Preliminary psychometric properties of a "working alliance" inventory. Journal of Brief Therapy, 3, 3-11.
23. 2 statistic for fixed effects in the linear mixed model. Statistics in Medicine, 27, 6137-6157. http://dx.doi.org/10.1002/sim.3429
24. Emmelkamp, P. M., David, D., Beckers, T., Muris, P., Cuijpers, P., Lutz, W.,... Vervliet, B. (2014). Advancing psychotherapy and evidence-based psychological interventions. International Journal of Methods in Psychiatric Research, 23(Suppl 1), 58-91. http://dx.doi.org/10.1002/mpr.1411
25. Falkenström, F., Granström, F., & Holmqvist, R. (2013). Therapeutic alliance predicts symptomatic improvement session by session. Journal of Counseling Psychology, 60, 317-328. http://dx.doi.org/10.1037/a0032258
26. Fosha, D. (2000). The transforming power of affect: A model of accelerated change. New York, NY: Basic Books.
27. Fosha, D. (2001). The dyadic regulation of affect. In Session, 57, 227-242. http://dx.doi.org/10.1002/1097-4679(200102)57:2[H11021]227:AID-JCLP8[H11022]3.0.CO;2-1
28. Fosha, D. (2002). The activation of affective change processes in accelerated experiential-dynamic psychotherapy (AEDP). In J. J. Magnavita (Ed.), Comprehensive handbook of psychotherapy: Vol. 1, Psychodynamic/object relations (pp. 309-343). New York, NY: Wiley.
29. Fosha, D. (2005). Emotion, true self, true other, core state: Toward a clinical theory of affective change process. Psychoanalytic Review, 92, 513-551. http://dx.doi.org/10.1521/prev.2005.92.4.513
30. Garrison, A. M., Kahn, J. H., Sauer, E. M., & Florczak, M. A. (2012). Disentangling the effects of depression symptoms and adult attachment on emotional disclosure. Journal of Counseling Psychology, 59, 230-239. http://dx.doi.org/10.1037/a0026132
31. Goldfried, M. R. (2012). The corrective experience: A core principle for therapeutic change. In L. G. Castonguay & C. E. Hill (Eds.), Transformation in psychotherapy: Corrective experience across cognitive behavioral, humanistic, and psychodynamic approaches (pp. 13-30). Washington, DC: American Psychological Association. http://dx.doi.org/10.1037/13747-002
32. Goldman, R. N., Greenberg, L. S., & Pos, A. E. (2005). Depth of emotional experience and outcome. Psychotherapy Research, 15, 248-260. http://dx.doi.org/10.1080/10503300512331385188
33. Greenberg, L. S. (2012). Emotions, the great captains of our lives: Their role in the process of change in psychotherapy. American Psychologist, 67, 697-707. http://dx.doi.org/10.1037/a0029858
34. Greenberg, L., & Safran, J. (1984). Integrating affect and cognition: A perspective on the process of therapeutic change. Cognitive Therapy and Research, 8, 559-578. http://dx.doi.org/10.1007/BF01173254
35. Hayes, A. F. (2009). Beyond Baron and Kenny: Statistical mediation analysis in the new Millennium. Communication Monographs, 76, 408-420. http://dx.doi.org/10.1080/03637750903310360
36. Horvath, A. O., Del Re, A. C., Flückiger, C., & Symonds, D. (2011). Alliance in individual psychotherapy. Psychotherapy, 48, 9-16. http://dx.doi.org/10.1037/a0022186
37. Hox, J. (2010). Multilevel analysis: Techniques and applications. East Sussex, United Kingdom: Routledge.
38. Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12-19. http://dx.doi.org/10.1037/0022-006X.59.1.12
39. Johansson, P., Høglend, P., Ulberg, R., Amlo, S., Marble, A., Bøgwald, K. P.,... Heyerdahl, O. (2010). The mediating role of insight for long-term improvements in psychodynamic therapy. Journal of Consulting and Clinical Psychology, 78, 438-448. http://dx.doi.org/10.1037/a0019245
40. Klein, M. H., Mathieu-Couglan, P., & Kiesler, D. J. (1986). The experiencing scales. In L. S. Greenberg & W. M. Pinsof (Eds.), The psychotherapeutic process: A research handbook (pp. 21-71). New York, NY: Guilford Press.
41. Kramer, U., Pascual-Leone, A., Despland, J.-N., & de Roten, Y. (2015). One minute of grief: Emotional processing in short-term dynamic psychotherapy for adjustment disorder. Journal of Consulting and Clinical Psychology, 83, 187-198. http://dx.doi.org/10.1037/a0037979
42. Lambert, M. J., & Hill, C. E. (1994). Assessing psychotherapy outcomes and processes. In A. E. Bergin & S. L. Garfield (Eds.), Handbook of psychotherapy and behavior change (pp. 72-113). New York, NY: Wiley.
43. Lambert, M. J., Morton, J. J., Hatfield, D., Harmon, C., Hamilton, S., Reid, R. C., & Burlingame, G. M. (2004). Administration and scoring manual for the Outcome Questionnaire-45. Orem, UT: American Professional Credentialing Services.
44. Lambert, M. J., Morton, J. J., Hatfield, D., Harmon, C., Hamilton, S., Reid, R. C. (2004). Administration and scoring manual for the Outcome Questionnaire-45. Orem, UT: American Professional Credentialing Services.
45. Levy, R., & Ablon, J. S. (2009). Handbook of evidence-based psychodynamic psychotherapy: Bridging the gap between science and practice. New York, NY: Humana Press. http://dx.doi.org/10.1007/978-1-59745-444-5
46. Malin, A. J., & Pos, A. E. (2015). The impact of early empathy on alliance building, emotional processing, and outcome during experiential treatment of depression. Psychotherapy Research, 25, 445-459. http://dx.doi.org/10.1080/10503307.2014.901572
47. McCullough, L., Kuhn, N., Andrews, S., Kaplan, A., Wolf, J., & Hunsley, C. L. (2003). Treating affect phobia: A manual for short-term dynamic psychotherapy. New York, NY: Guilford Press.
48. McCullough, L., & Magill, M. (2009). Affect-focused short-term dynamic therapy. In R. A. Levy & J. S. Ablon (Eds.), Handbook of evidence-based psychodynamic psychotherapy: Bridging the gap between science and practice (pp. 249-277). New York, NY: Humana Press. http://dx.doi.org/10.1007/978-1-59745-444-5_11
49. Miller, S. D., Duncan, B. L., Brown, J., Sparks, J. A., & Claud, D. A. (2003). The outcome rating scale: A preliminary study of the reliability, validity, and feasibility of a brief visual analog measure. Journal of Brief Therapy, 2, 91-100.
50. Miller, S. D., Mee-Lee, D., Plum, W., & Hubble, M. A. (2005). Making treatment count: Client-directed, outcome informed clinical work with problem drinkers. In J. L. Lebow (Ed.), Handbook of clinical family therapy (pp. 281-308). Hoboken, NJ: Wiley.
51. Missirlian, T. M., Toukmanian, S. G., Warwar, S. H., & Greenberg, L. S. (2005). Emotional arousal, client perceptual processing, and the working alliance in experiential psychotherapy for depression. Journal of Consulting and Clinical Psychology, 73, 861-871.
52. Muthén, B. O., & Satorra, A. (1995). Complex sample data in structural equation modeling. In P. V. Marsden (Ed.), Sociological methodology 1995 (pp. 267-316). Oxford, United Kingdom: Blackwell. http://dx.doi.org/10.2307/271070
53. Pascual-Leone, A., & Greenberg, L. S. (2007). Emotional processing in experiential therapy: Why "the only way out is through." Journal of Consulting and Clinical Psychology, 75, 875-887. http://dx.doi.org/10.1037/0022-006X.75.6.875
54. Peugh, J. L. (2010). A practical guide to multilevel modeling. Journal of School Psychology, 48, 85-112. http://dx.doi.org/10.1016/j.jsp.2009.09.002
55. Pos, A. E., Greenberg, L. S., Goldman, R. N., & Korman, L. M. (2003). Emotional processing during experiential treatment of depression. Journal of Consulting and Clinical Psychology, 71, 1007-1016. http://dx.doi.org/10.1037/0022-006X.71.6.1007
56. Pos, A. E., Greenberg, L. S., & Warwar, S. H. (2009). Testing a model of change in the experiential treatment of depression. Journal of Consulting and Clinical Psychology, 77, 1055-1066. http://dx.doi.org/10.1037/a0017059
57. Rachman, A. W. (2007). Sandor Ferenczi's contributions to the evolution of psychoanalysis. Psychoanalytic Psychology, 24, 74-96. http://dx.doi.org/10.1037/0736-9735.24.1.74
58. Rachman, S. (1980). Emotional processing. Behaviour Research and Therapy, 18, 51-60. http://dx.doi.org/10.1016/0005-7967(80)90069-8
59. Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods (2nd ed.). Thousand Oaks, CA: Sage.
60. Safran, J. D., & Muran, J. C. (2006). Has the concept of the therapeutic alliance outlived its usefulness? Psychotherapy: Theory, Research, & Practice, 43, 286-291. http://dx.doi.org/10.1037/0033-3204.43.3.286
61. Selig, J. P., & Preacher, K. J. (2009). Mediation models for longitudinal data in developmental research. Research in Human Development, 6, 144-164. http://dx.doi.org/10.1080/15427600902911247
62. Shedler, J. (2010). The efficacy of psychodynamic psychotherapy. American Psychologist, 65, 98-109. http://dx.doi.org/10.1037/a0018378
63. Snell, M. N., Mallinckrodt, B., Hill, R. D., & Lambert, M. J. (2001). Predicting counseling center clients' response to counseling: A 1-year follow-up. Journal of Counseling Psychology, 48, 463-473. http://dx.doi.org/10.1037/0022-0167.48.4.463
64. Stern, D. B. (2003). Unformulated experience: From dissociation to imagination in psychoanalysis. New York, NY: Taylor & Francis.
65. Subica, A. M., Fowler, J. C., Elhai, J. D., Frueh, B. C., Sharp, C., Kelly, E. L., & Allen, J. G. (2014). Factor structure and diagnostic validity of the Beck Depression Inventory-II with adult clinical inpatients: Comparison to a gold-standard diagnostic interview. Psychological Assessment, 26, 1106-1115. http://dx.doi.org/10.1037/a0036998
66. Summers, R. F., & Barber, J. P. (2010). Psychodynamic therapy: A guide to evidence-based practice. New York, NY: Guilford Press.
67. Thoma, N. C., & McKay, D. (2015). Introduction. In N. C. Thoma & D. McKay (Eds.), Working with emotion in cognitive behavioral therapy: Techniques for clinical practice (pp. 1-8). New York, NY: Guilford Press.
68. Town, J. M., Hardy, G. E., McCullough, L., & Stride, C. (2012). Patient affect experiencing following therapist interventions in short-term dynamic psychotherapy. Psychotherapy Research, 22, 208-219. http://dx.doi.org/10.1080/10503307.2011.637243
69. Wachtel, P. L. (1993). Therapeutic communication: Knowing what to say when. New York, NY: Guilford Press.
70. Wallbott, H., & Scherer, K. R. (1989). Assessing emotion by questionnaire. In R. Plutchik & H. Kellerman (Eds.), Emotion: Theory, research, and experience: The measurement of emotion (Vol. 4, pp. 55-82). San Diego, CA: Academic Press.
71. Wang, L. P., & Maxwell, S. E. (2015). On disaggregating between-person and within-person effects with longitudinal data using multilevel models. Annual Review of Psychology, 20, 63-83. http://dx.doi.org/10.1037/met0000030
72. Warwar, S. H., & Greenberg, L. S. (1999). Client Emotional Arousal Scale-III-R. Unpublished manuscript, York Psychotherapy Research Clinic, York University, Toronto, Ontario.
73. Watson, J. C., & Bedard, D. L. (2006). Clients' emotional processing in psychotherapy: A comparison between cognitive-behavioral and process-experiential therapies. Journal of Consulting and Clinical Psychology, 74, 152-159. http://dx.doi.org/10.1037/0022-006X.74.1.152
74. Whelton, W. J. (2004). Emotional processes in psychotherapy: Evidence across therapeutic modalities. Clinical Psychology & Psychotherapy, 11, 58-71. http://dx.doi.org/10.1002/cpp.392
75. Winnicott, D. W. (1965). Failure of expectable environment on child's mental functioning. The International Journal of Psycho-Analysis, 46, 81-87.
76. Zhang, Z., Zyphur, M. J., & Preacher, K. J. (2009). Testing multilevel mediation using hierarchical linear models: Problems and solutions. Organizational Research Methods, 12, 695-719. http://dx.doi.org/10.1177/1094428108327450
77. Zilcha-Mano, S., Dinger, U., McCarthy, K. S., & Barber, J. P. (2014). Does alliance predict symptoms throughout treatment, or is it the other way around? Journal of Counseling and Clinical Psychology, 82, 931-935. http://dx.doi.org/10.1037/a0035141