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Corrective emotional experience in an integrative affect-focused therapy: Building a preliminary model using task

Kaori Nakamura1, Shigeru Iwakabe2

  • 1Graduate School of Humanities and Sciences, Ochanomizu University, Tokyo, Japan.

Clinical Psychology & Psychotherapy
|October 17, 2017
PubMed
Summary

This study models corrective emotional experience (CEE) in therapy, revealing two parallel change processes: intrapersonal and interpersonal. Successful CEE requires core painful emotions and negative beliefs to be processed for deeper connection.

Keywords:
change process researchcorrective emotional experienceemotional processingtask analysistherapeutic relationshiptherapist intervention

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Area of Science:

  • Psychotherapy research
  • Clinical psychology
  • Affective science

Background:

  • Corrective emotional experience (CEE) is a key therapeutic outcome.
  • Understanding the process of CEE is crucial for refining affect-focused therapies.

Purpose of the Study:

  • To construct a preliminary process model of CEE within integrative affect-focused therapy.
  • To identify client change processes and corresponding therapist interventions facilitating CEE.

Main Methods:

  • Task analysis of 6 in-session events from 6 Japanese clients undergoing integrative affect-focused therapy.
  • Comparison of 3 successful CEEs with 3 partially successful CEEs.

Main Results:

  • A rational-empirical model of CEE emerged, featuring parallel intrapersonal and interpersonal client change processes.
  • Therapist experiential interventions and affirmation supported both processes; relational interventions specifically aided interpersonal change.
  • Partially successful CEEs lacked core painful emotions or negative beliefs in the intrapersonal process, hindering interpersonal development.

Conclusions:

  • CEE is modeled as two interacting, parallel change processes: intrapersonal and interpersonal.
  • Intrapersonal change aligns with emotional processing models; interpersonal change is a novel contribution, facilitated by therapist's active stance and immediacy.
  • Therapist affirmation acts as a bridge, enhancing self-perception and emotional connection.