Emotional experience and alliance contribute to therapeutic change in psychodynamic therapy

Psychotherapy
Hadar FisherTuvia Peri

Abstract

Accumulating evidence suggests that the therapeutic alliance and clients' contact with emotions during therapy sessions can be effective in reducing their suffering outside of sessions. However, the complex associations among these determinants are not yet clear. Using data collected in therapy on a session-by-session basis, this study explored (a) the temporal associations between emotional experience and the therapeutic alliance; (b) the temporal associations between emotional experience and clients' level of functioning; and (c) the direct and indirect associations among emotional experience, the therapeutic alliance, and functioning. Clients (N = 101) undergoing psychodynamic therapy completed a functioning and distress measure prior to each session, and reported on their emotional experience and perceived alliance strength following each session. Longitudinal multilevel models indicated that higher therapeutic alliance scores at the end of 1 session predicted a greater emotional experience in the next session but that emotional experience did not predict subsequent levels of alliance. The results provided evidence of reciprocal prediction in which a previous emotional experience predicted a subsequent change in functioning...Continue Reading

Citations

May 28, 2016·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Myrna L FriedlanderJasmine Khattra
May 17, 2017·The Journal of Nervous and Mental Disease·Seth R PitmanJesse Owen
Dec 27, 2017·Clinical Psychology & Psychotherapy·Michael Katz, Mark J Hilsenroth
Oct 28, 2017·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Sibel Halfon, Pelinsu Bulut
Dec 8, 2017·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Hadar FisherTuvia Peri
Mar 7, 2019·Psychodynamic Psychiatry·Jacqueline L Kinley, Sandra M Reyno
Jun 20, 2020·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Patrícia PinheiroJoão Salgado
May 19, 2020·Journal of Evidence-based Social Work·Melissa G MurphyRachel M Harris
Sep 27, 2018·Clinical Psychology & Psychotherapy·Manfred E BeutelClaudia Subic-Wrana
Dec 31, 2020·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Tal Alfi-YogevDana Atzil-Slonim
Aug 20, 2021·Frontiers in Psychology·Gal Lazarus, Aaron J Fisher
Sep 4, 2021·Psychodynamic Psychiatry·Robert M GordonR Dennis Shelby
Sep 25, 2021·Zeitschrift für Psychosomatische Medizin und Psychotherapie·Karin Kernhof, Wolfgang Merkle

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