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The modified cognitive constructions coding system: reliability and validity assessments.

Galia S Moran1, Gary M Diamond

  • 1Ben-Gurion University of the Negev, Beer-Sheva, Israel.

Journal of Marital and Family Therapy
|November 24, 2006
PubMed
Summary
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A modified Cognitive Constructions Coding System (CCCS) reliably codes client problem constructions in family therapy. This system tracks changes in client thinking, aiding therapy research.

Area of Science:

  • Psychology
  • Family Therapy
  • Clinical Psychology

Background:

  • The Cognitive Constructions Coding System (CCCS) previously coded client problem constructions.
  • A need existed for a more granular coding system to track immediate changes.

Purpose of the Study:

  • Introduce and validate a modified CCCS for coding problem constructions at the speech turn level.
  • Assess the reliability and validity of this modified CCCS in family therapy sessions.

Main Methods:

  • A modified CCCS was developed to code client problem constructions per speech turn.
  • Reliability was assessed across 15 family therapy sessions.
  • Validity was established by comparing client self-ratings with trained coder ratings for over 250 problem constructions.

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Main Results:

  • The modified CCCS demonstrated reliable ratings for client problem constructions.
  • The system proved valid when comparing client and expert ratings.
  • The modified CCCS enables tracking of moment-to-moment shifts in client constructions.

Conclusions:

  • The modified CCCS is a reliable and valid tool for analyzing client problem constructions in real-time.
  • This system facilitates the examination of therapist impact on client cognitive shifts.
  • The modified CCCS offers a valuable method for process-oriented psychotherapy research.