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Microprocess examination of therapeutic immediacy during a dynamic research interview
A Jill Clemence1, J Christopher Fowler, William H Gottdiener
1Department of Psychiatry, Albany Medical College and The Erikson Institute, Austen Riggs Center, Stockbridge, Massachusetts, USA. ClemenA@mail.amc.edu
Psychotherapy (Chicago, Ill.)
|December 21, 2011
Summary
Interviewer immediacy in dynamic interviews can enhance patient processing of emotions. Attending to the quality of immediacy, especially affective engagement, improves patient disclosure and emotional processing capacity.
Area of Science:
- Psychology
- Psychotherapy Research
Background:
- Dynamic interviews aim to deepen patient exploration.
- Interviewer immediacy is a technique to enhance here-and-now engagement.
Observation:
- A microprocess design analyzed interviewer immediacy events.
- Trained observers rated patient and interviewer process using established scales.
- Five immediacy events were identified and categorized by affective depth.
Findings:
- Mundane immediacy events, lacking affective engagement, negatively impacted patient process.
- Immediacy events with even limited affect and acknowledgment fostered greater patient disclosure.
- Effective immediacy enhanced the patient's capacity to process emotional information.
Implications:
- The quality of interviewer immediacy is crucial for therapeutic outcomes.
- Future research should focus on the nuanced application of immediacy interventions.
- Enhancing affective engagement in interviews can lead to deeper patient exploration.
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