Search results for "Therapeutic Alliance"
showing 6 items of 16 documents
Nonverbal synchrony in couple therapy linked to clients’ well-being and the therapeutic alliance
2021
Nonverbal synchrony between individuals has a robust relation to the positive aspects of relationships. In psychotherapy, where talking is the cure, nonverbal synchrony has been related to a positive outcome of therapy and to a stronger therapeutic alliance between therapist and client in dyadic settings. Only a few studies have focused on nonverbal synchrony in multi-actor therapy conversations. Here, we studied the synchrony of head and body movements in couple therapy, with four participants present (spouses and two therapists). We analyzed more than 2000min of couple therapy videos from 11 couple therapy cases using Motion Energy Analysis and a Surrogate Synchrony (SUSY), a procedure us…
Influenze tra processo ed esiti: alleanza, coesione e cambiamento in un gruppo terapeutico a lungo termine
2012
Questo lavoro esplora, in un gruppo terapeutico con pazienti gravi, due tra le variabili di processo più indagate nelle terapie di gruppo, l’alleanza terapeutica e la coesione, analizzandone le associazioni con gli esiti del trattamento in termini di sintomi e difese. E’ stato esaminato un gruppo a lungo termine, semi-aperto, a cadenza settimanale. L’osservazione si è svolta per un periodo di 18 mesi, per un totale di 50 sedute. Sono stati monitorati 11 soggetti che riportavano diverse diagnosi nell’Asse I e II del DSM IV. TR Gli strumenti di esito usati sono stati l’SCL-90: Symptom Check List; l’ OQ-45: Outcome Question-naire 45.2; e il DSQ: Defense Style Questionnaire. Mentre per rilevare…
An undermined therapeutic alliance: A case study
2021
Seeking help and assistance can prove to be a frustrating experience for intersex individuals: physicians and psychologists can be misinformed about variations of sex characteristics (VSC) and their practice may have a detrimental effect on the physical and psychological wellbeing of indivi- duals with VSC. This paper focuses on how previous negative experiences, such as early genital cosmetic surgery and unaware clinical management, could negatively affect psychotherapeutic relationships. Its principal aims are to: 1) identify which elements in clinical management of VSC may cause difficulties in building a therapeutic alliance and 2) identify which elements may promote the construction an…
The Competing Influences of Initial Depressive Symptomatology and Early Alliance on Early Outcome: A Preliminary Study
2014
We examined 40 psychotherapies, some delivered in combination with pharma-cotherapy, which were all conducted by cognitive behavioral or psychodynamically oriented therapists in a general hospital center for the treatment of light to moder-ate depressive disorders. Our goal was to examine the relationship between early outcome (defined as change in Beck Depression Inventory scores between sessions 2 and 15) and early therapy alliance (as measured at sessions 1 to 5 by the Working Alliance Inventory). We also wanted to concurrently examine the effect of initial depressive symptomatology (BDI at session 2) on early outcome. For the entire sample, both early alliance and initial depressive sym…
Five Interpersonal Factors Are Predictive of the Response to Treatment of Major Depression With Antidepressants in Primary Care
2018
Introduction: Factors relating to the interpersonal relationship between the patient and their physician and social environment are important components, which contribute to their response to treatment for major depressive disorder. This study aimed to assess the influence of optimism, perfectionism, therapeutic alliance, empathy, social support, and adherence to medication regimen in the response to antidepressant treatments in the context of normal primary care clinical practice.Method: We conducted a prospective study in which 24 primary care physicians administered sertraline or escitalopram to 89 patients diagnosed with major depressive disorder. The response to treatment and remission…
Sympathetic nervous system synchrony between participants of couple therapy
2017
Synchrony, or the moment-by-moment coordination between people in social situations, has been connected with increased liking and rapport. However, this type of synchrony is an underexplored area with regard to autonomic nervous system activity. The purpose of this research was to study physiological synchrony between participants in couple therapy by focusing on the sympathetic nervous system (SNS), which reflects arousal and emotional reactions. The data comprised 12 couple therapy cases (24 clients, 10 therapists) participating in the Relational Mind in Events of Change in Multiactor Therapeutic Dialogues (2013-2016) research project. Electrodermal activity (EDA) and heart rate were reco…