Emotional change processes in experiential work with personality pathology.
We present a three-dimensional matrix representing the first elements of a framework articulating the three in-session relational arenas used to facilitate emotional change processes in these self-organizations. We use it to review three clinical cases with PP informed by different experiential approaches. The framework proved to have heuristic transtheoretical value, illustrating emotional change processes and organizing the diversity of experiential work in the context of PP. We discuss the findings in the context of emotional processing as a change mechanism in PP, in particular, and in the context of the future of psyc...
Source: Journal of Psychotherapy Integration - May 1, 2023 Category: Psychiatry & Psychology Source Type: research

A review of bodily dysfunction in depression: Empirical findings, theoretical perspectives, and implications for treatment.
Journal of Psychotherapy Integration, Vol 33(3), Sep 2023, 321-339; doi:10.1037/int0000302Emotional disturbances are well-recognized features of depression and contemporary psychotherapeutic programs offer a variety of treatment strategies directly targeting these disturbances (e.g., cognitive restructuring, decentering, acceptance). In addition to emotional disturbances, evidence increasingly points to depression also being characterized by profound bodily dysfunction. The goal of the present article is to evaluate the potential of bodily dysfunction as a treatment target in interventions aimed at alleviating emotional pr...
Source: Journal of Psychotherapy Integration - March 23, 2023 Category: Psychiatry & Psychology Source Type: research

A phenomenological exploration into therapists’ multicultural case conceptualizations.
Journal of Psychotherapy Integration, Vol 33(3), Sep 2023, 302-320; doi:10.1037/int0000299Scholars have long emphasized the importance of cultural responsiveness in therapy; however, the evidence for the multicultural competence (MCC) model is mixed, and most extant research is quantitative in nature. The purpose of this phenomenological study was to gather insight into what therapists focus on during conceptualization without prompting for multicultural information. We conducted a qualitative study to examine therapists’ multicultural case conceptualization and diagnosis to better understand therapists’ cultural proce...
Source: Journal of Psychotherapy Integration - March 23, 2023 Category: Psychiatry & Psychology Source Type: research

Tracking the interplay of narrative and emotion change processes in therapy sessions: The narrative–emotion process video coding system 2.0.
This article presents the theoretical assumptions underlying the development of the NEPCS followed by a description of the coding system, standardized procedures for its application to therapy sessions, and recent findings emerging from the investigation of NEPCS markers in a recovered versus unchanged motivational interviewing (MI)/cognitive behavioral therapy (CBT) clinical sample. NEPCS research program strengths, limitations, and future research directions are also addressed. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Journal of Psychotherapy Integration)
Source: Journal of Psychotherapy Integration - February 9, 2023 Category: Psychiatry & Psychology Source Type: research

“Will there be a willingness to actually engage with it?”: Exploring attitudes toward culturally integrative psychotherapy among Canada’s African community.
Journal of Psychotherapy Integration, Vol 33(1), Mar 2023, 68-85; doi:10.1037/int0000289The added focus on health equity and multiculturalism discourses in applied psychology and scholarship has sparked new interest in exploring how traditional healing systems could improve the well-being of culturally diverse groups through culturally integrated healing systems. While emerging developments add credibility to longstanding practices, it is essential to recognize elements of cultural hegemony and Anti-Black racism that influence Western value systems and validation hierarchies. Acknowledging the tumultuous relationship share...
Source: Journal of Psychotherapy Integration - January 23, 2023 Category: Psychiatry & Psychology Source Type: research

The therapist's evolving public self in a digitally disrupted marketplace.
This study aimed to explore how therapists navigate the curation of public self(s) and the treatment implications that come with this shift. In-depth interviews with 28 therapists were conducted and coded according to tenets of grounded theory methodology. Findings showed that digital technology is operating as a marketplace disruptor to the field of psychotherapy, presenting unprecedented challenges to long-held norms and assumptions about therapists’ behavior. Increased pressures to network online are more transparent, and curate digital selves have resulted in significant challenges to maintaining separation between p...
Source: Journal of Psychotherapy Integration - January 2, 2023 Category: Psychiatry & Psychology Source Type: research

Measurement of levels of emotional awareness before, during, and after psychotherapy.
Journal of Psychotherapy Integration, Vol 33(2), Jun 2023, 141-159; doi:10.1037/int0000297A modern trans-theoretical perspective holds that avoidance of the experience of emotional distress is an important source of symptoms or maladaptation and that overcoming such avoidance permits changes to occur. For psychotherapy research purposes an empirically tractable method is needed for characterizing what overcoming avoidance consists of and quantifying the extent to which a person is aware of their emotional responses. Here a model called “levels of emotional awareness (LEA)” is presented that holds that awareness of one'...
Source: Journal of Psychotherapy Integration - January 2, 2023 Category: Psychiatry & Psychology Source Type: research

Transformational process scale: An initial validation and application to the first psychotherapy session.
Journal of Psychotherapy Integration, Vol 33(3), Sep 2023, 248-264; doi:10.1037/int0000296In order to understand the process of emotional transformation in psychotherapy, the development of objective measures of patient emotional processing that capture clinically important aspects of the patient affective state is crucial. The Transformational Process Scale (TPS) is an observer-based measure of patient emotional processing based on the phenomenology of transformation in Accelerated Experiential Dynamic Psychotherapy (AEDP) that captures the process of emotional change in four sequential phases of distinct affective experi...
Source: Journal of Psychotherapy Integration - December 15, 2022 Category: Psychiatry & Psychology Source Type: research

Assessing the down-regulation of maladaptive anger during imagery-enhanced cognitive restructuring for hostility: A randomized controlled trial.
In conclusion, physiological down-regulation emerged immediately postintervention and was distinctive for I-CR and systolic blood pressure. Adding mental imagery to CR thus facilitates the down-regulation of maladaptive anger-related arousal. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: Journal of Psychotherapy Integration)
Source: Journal of Psychotherapy Integration - December 8, 2022 Category: Psychiatry & Psychology Source Type: research

A model of the early therapeutic environment: Predicting client attrition.
Journal of Psychotherapy Integration, Vol 33(3), Sep 2023, 235-247; doi:10.1037/int0000293How can clinicians predict who is more likely to drop out of therapy during initial sessions? Studies indicate that many clients in early sessions (a) quickly reach a threshold where they establish an alliance with their therapists, (b) report large decreases in distress after completing only one session of therapy, and (c) attend only one to three sessions before prematurely terminating. Based on these findings, this article describes a model of an early therapeutic environment that predicts that clients are likely to terminate prema...
Source: Journal of Psychotherapy Integration - November 10, 2022 Category: Psychiatry & Psychology Source Type: research

Positive affect processes and posttraumatic stress disorder symptoms: Findings from an open label and uncontrolled pilot study using the positive memory processing technique.
Journal of Psychotherapy Integration, Vol 33(1), Mar 2023, 102-122; doi:10.1037/int0000292Recently, a five-session processing of positive memories technique (PPMT) was proposed as a novel intervention for posttraumatic stress disorder (PTSD). One purported outcome of and mechanism underlying PPMT’s effects on PTSD is improved positive affect processes. In this uncontrolled pilot study, we examined whether PPMT was associated with decreases in PTSD severity; and whether changes in positive affect levels, reactivity, and dysregulation related to changes in PTSD severity across sessions. The sample included 16 trauma-expose...
Source: Journal of Psychotherapy Integration - November 10, 2022 Category: Psychiatry & Psychology Source Type: research

Emotional change in its “natural habitat”: Measuring everyday emotion regulation with passive and active ambulatory assessment methods.
This article uses case example data to demonstrate applications of ambulatory assessment to measuring emotion regulation, a process with relevance across diagnoses and treatment modalities that may be particularly important to measure in situ. Two methods are reviewed: Ecological Momentary Assessment (EMA), which enables self-reported momentary assessments as people go about their days, and the Electronically Activated Recorder (EAR), an unobtrusive naturalistic observation methodology that collects short audio recordings from participants’ moment-to-moment environments, capturing an acoustic diary of their social intera...
Source: Journal of Psychotherapy Integration - September 22, 2022 Category: Psychiatry & Psychology Source Type: research

Metacognition and defensive activity in response to relational–emotional stimuli in borderline personality organization.
Journal of Psychotherapy Integration, Vol 33(1), Mar 2023, 86-101; doi:10.1037/int0000286The aim of this study is to supplement the description of the functioning of individuals with borderline personality organization (BPO) in terms of metacognition by additionally describing the phenomenon of defense against emotional–relational experiences, as a possible factor contributing to observed levels of metacognition. The participants were divided into borderline (N = 69) and nonborderline groups (N = 71). After a procedure aimed at activating the attachment system, they were asked to tell a relational story, which was used t...
Source: Journal of Psychotherapy Integration - August 25, 2022 Category: Psychiatry & Psychology Source Type: research

Open label pilot study on posttrauma health impacts of the Processing of Positive Memories Technique (PPMT).
Journal of Psychotherapy Integration, Vol 33(2), Jun 2023, 213-234; doi:10.1037/int0000290Processing of Positive Memories Technique (PPMT) was proposed as a novel intervention for posttraumatic stress disorder (PTSD). PPMT comprises of 5 sessions focused on identifying and processing positive memories. As an open label pilot study, we explored PPMT’s effects on PTSD severity, depression severity, affect and cognitive processes, and therapeutic alliance. A sample of 12 trauma-exposed participants seeking services at a University Psychology Clinic participated in 5 PPMT sessions (Mage = 29.25 years; 58.30% women). We used ...
Source: Journal of Psychotherapy Integration - August 4, 2022 Category: Psychiatry & Psychology Source Type: research

Psychotherapist’s persuasiveness in anxiety: Scale development and relation to the working alliance.
Journal of Psychotherapy Integration, Vol 33(2), Jun 2023, 169-184; doi:10.1037/int0000288Communicating a persuasive rationale that explains the client’s problems and how psychotherapy can relieve them, has been proposed as a crucial determinant of outcomes that combats the client’s state of distress, promotes positive expectations, and facilitates the working alliance. However, it remains 1 of the least investigated psychotherapist’s facilitative interpersonal skills without a validated measure. The present correlational observational study aimed to develop a rating scale that measures the psychotherapist’s persua...
Source: Journal of Psychotherapy Integration - June 30, 2022 Category: Psychiatry & Psychology Source Type: research