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Ambivalence resolution in the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: An exploratory case study
Psychotherapy Research ( IF 4.117 ) Pub Date : 2022-04-11 , DOI: 10.1080/10503307.2022.2062267
Cátia Braga 1 , Helena Ferreira 1 , Inês Sousa 2 , Miguel M Gonçalves 1
Affiliation  

Abstract

Patient ambivalence towards change is a central therapeutic target in the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP). However, we do not know if and how patients resolve ambivalence across the sessions and modules of the UP. Previous studies have identified two types of ambivalence resolution—dominance and negotiation—and different patterns of resolution for recovered and unchanged cases. Objectives: This exploratory single case study aimed to describe the frequency of observed ambivalence resolution strategies across UP sessions and evaluate the impact of distinct ambivalence resolution strategies on ambivalence. Method: Sixteen sessions of a recovered case were coded with observational measures of ambivalence and ambivalence resolution. Results: Observed ambivalence significantly decreased; dominance remained highly frequent across sessions, and negotiation increased from the beginning to the middle phase of treatment but not from the middle to the final phase. Negotiation was significantly associated with ambivalence reduction. Conclusion: The progression of ambivalence resolution strategies differed from previous studies with distinct therapeutic approaches; promoting negotiation between the different parts of the client’s inner conflict across the whole therapy may be valuable in dealing with patient ambivalence in UP treatment.



中文翻译:

情绪障碍跨诊断治疗统一方案中的矛盾解决:探索性案例研究

摘要

患者对变化的矛盾心理是情绪障碍跨诊断治疗统一方案 (UP) 中的核心治疗目标。然而,我们不知道患者是否以及如何解决 UP 的会话和模块中的矛盾心理。以前的研究已经确定了两种类型的矛盾解决方案——支配和协商——以及恢复和未改变案例的不同解决方案模式。目标:这个探索性的单一案例研究旨在描述在 UP 会话中观察到的矛盾心理解决策略的频率,并评估不同的矛盾心理解决策略对矛盾心理的影响。方法:用矛盾心理和矛盾心理解决的观察措施对康复病例的 16 个疗程进行编码。结果:观察到的矛盾情绪显着减少;主导地位在整个会议期间仍然非常频繁,谈判从治疗的开始到中期增加,但从中期到最后阶段没有增加。谈判与减少矛盾情绪显着相关。结论:矛盾心理解决策略的进展不同于以往采用不同治疗方法的研究;在整个治疗过程中,促进来访者内心冲突的不同部分之间的协商,对于处理 UP 治疗中的患者矛盾心理可能是有价值的。

更新日期:2022-04-11
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