NDLI: Instability and discontinuous change in the experience of therapeutic interaction: an extended single-case study of psychodynamic therapy processes.

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Instability and discontinuous change in the experience of therapeutic interaction: an extended single-case study of psychodynamic therapy processes.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Gumz, Antje Kästner, Denise Geyer, Michael Wutzler, Uwe Villmann, Thomas Brähler, Elmar
Description	Author Affiliation: Gumz A ( Department of Psychotherapy and Psychosomatic Medicine, University of Leipzig, Leipzig.)
Abstract	The authors developed a concept that applies self-organization theory to psychodynamic principles. According to this concept, episodes of temporary destabilization represent a precondition for abrupt changes within the therapeutic process. The authors examined six courses of therapy (patients diagnosed with depression and personality disorder). After each therapy session, patients rated their experience of the therapeutic interaction. A measure of instability was used to identify episodes of destabilization with respect to patients' interaction experience throughout the process. Episodes of pronounced destabilization occurred in the four courses of therapy that showed better therapy outcomes. These episodes were characterized by temporary strong deteriorations in interaction experience (negative peaks). Three of the four courses showed subsequent discontinuous improvements to a higher level of interaction. Results indicate that the systematic inclusion of a measure of instability is worthwhile in investigations of discontinuous changes. This method allows the theoretical assumptions of the psychodynamic approach to be tested.
File Format	HTM / HTML
ISSN	10503307
Issue Number	4
Volume Number	20
e-ISSN	14684381
Journal	Psychotherapy Research
Language	English
Publisher	Taylor & Francis
Publisher Date	2010-07-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Psychiatry Discipline Therapeutics Discipline Psychology Professional-patient Relations Psychotherapeutic Processes Adult Countertransference (psychology) Depressive Disorder Psychology Therapy Female Humans Models, Psychological Personality Disorders Psychoanalytic Therapy Psychotherapy Questionnaires Transference (psychology) Treatment Outcome Journal Article
Content Type	Text
Resource Type	Article
Subject	Clinical Psychology

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