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[Embitterment and Aggression in Psychotherapy Patients]
Isabel Noack1, Franziska Heinzel2, Michael Linden3
1Forschungsgruppe psychosomatische Rehabilitation, Charité Universitätsmedizin Berlin, Deutschland.
Psychotherapie, Psychosomatik, Medizinische Psychologie
|December 15, 2021
Summary
Embitterment and aggression are common in psychotherapy patients, with 22% showing clinically relevant embitterment. These traits are significantly correlated, indicating a need for therapists to address both in treatment.
Area of Science:
- Psychology
- Clinical Psychology
- Psychotherapy Research
Background:
- Embitterment is a common emotion leading to suffering and dysfunctional behavior.
- Aggression is a known consequence of embitterment.
- There is a need for data on the prevalence and correlation of embitterment and aggression in psychotherapy settings.
Purpose of the Study:
- To examine the rate of embitterment and aggression in psychotherapy patients.
- To investigate the correlation between embitterment and aggression in this population.
Main Methods:
- A study was conducted in an outpatient behavior therapy clinic.
- 118 patients completed the Post-Traumatic Embitterment Disorder (PTED) scale, the K-FAF (aggression factors), and the SCL-90-S (Symptom Checklist).
- Sociodemographic data were collected from the clinic's database.
Main Results:
- 22% of patients met the criteria for clinically relevant embitterment (PTED scale M≥2.5).
- Significant correlations were found between embitterment and total aggression (r=0.422), reactive aggression (r=0.425), and explosive aggression (r=0.355).
- Patients with combined embitterment and aggression showed higher general mental distress and unemployment rates compared to inconspicuous patients.
Conclusions:
- Embitterment and aggression frequently co-occur in psychotherapy patients.
- The significant correlation supports theoretical links between these constructs.
- Psychotherapists should be aware of and adequately address embitterment and aggression in their patients.
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