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Patients' affective processes within initial experiential dynamic therapy sessions.

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Patients experiencing more insight and motivation in therapy sessions showed increased emotional expression. However, reduced inhibition did not correlate with greater affect experiencing, suggesting therapists should focus on enhancing insight and motivation.

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Area of Science:

  • Psychotherapy research
  • Clinical psychology
  • Affective science

Background:

  • Effective psychotherapy relies on patients experiencing previously avoided emotions.
  • Understanding in-session affective processes is crucial for therapeutic outcomes.

Purpose of the Study:

  • To examine the relationship between patients' in-session affect experiencing and their levels of insight, motivation, and inhibitory affects.
  • To investigate these dynamics in initial Experiential Dynamic Therapy (EDT) sessions.

Main Methods:

  • Analysis of 466 video segments from 31 initial EDT sessions.
  • Utilized the Achievement of Therapeutic Objectives Scale for rating.
  • Employed multilevel growth models and time-lagged analyses, controlling for therapist effects.

Main Results:

  • Higher levels of within-person insight and motivation were associated with increased activating affects.
  • Lower levels of inhibition were not significantly linked to higher activating affects.
  • Time-lagged models did not predict future affect experiencing from current insight, motivation, or inhibition levels.

Conclusions:

  • Therapists should prioritize fostering patient insight into defenses and motivation to change.
  • Further research is needed on specific inhibitory affects and therapist variability in facilitating affect experiencing.