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[Metaphors and affect: their interrelation in the therapeutic process].

Myria Fabregat¹, Rainer Krause

¹Klinische Psychologie und Psychotherapie, Universität des Saarlandes. m.fabregat@mmx.uni-saarland.de

Zeitschrift Fur Psychosomatische Medizin Und Psychotherapie

|March 8, 2008

Summary

Metaphors in therapy enhance treatment satisfaction and symptom reduction when used interactively. An optimal time window exists between emotional expression and metaphor use for therapeutic benefit.

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Area of Science:

Psychology
Psychotherapy Research

Background:

Freud's theory of primary process thinking suggests unconscious affective and cognitive integration.
Metaphors may serve as a bridge between unconscious processes and therapeutic outcomes.
Understanding the role of metaphor in psychotherapy is crucial for treatment efficacy.

Purpose of the Study:

To investigate metaphors as tools for integrating unconscious processes in psychotherapy.
To explore the relationship between metaphor use, affect, and therapeutic outcomes.
To determine the curative potential of metaphors in short-term therapy.

Main Methods:

Analysis of videotaped short-term therapies (10 x 15-hour sessions).
Recorded therapist and patient facial affect and metaphoric language.
Measured temporal distance between affect and metaphor production.

Main Results:

Metaphor density correlated with treatment satisfaction, not symptom reduction.
Symptom reduction significantly correlated with interactive metaphor frequency (therapist-patient).
An optimal temporal window for metaphor production was identified.

Conclusions:

Interactive metaphors are key to symptom reduction in therapy.
Metaphor use is linked to patient satisfaction and therapeutic progress.
Therapeutic interventions involving metaphor should consider timing relative to emotional expression.