518
Views
17
CrossRef citations to date
0
Altmetric
Original Articles

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

, , , , &
Pages 398-412 | Received 06 Jul 2009, Accepted 10 Dec 2009, Published online: 17 Mar 2010

References

  • Andrusyna , T. P. , Luborsky , L. , Pham , T. and Tang , T. Z. 2006 . The mechanisms of sudden gains in supportive-expressive therapy for depression . Psychotherapy Research , 16 ( 5 ) : 526 – 536 .
  • Arbeitskreis OPD 1996 Operationalisierte Psychodynamische Diagnostik. Grundlagen und Manual [Operationalized psychodynamic diagnostics. Foundations and manual] Bern, , Switzerland Huber
  • Bedics , J. D. , Henry , W. P. and Atkins , D.C. 2005 . The therapeutic process as a predictor of change in patients' important relationships during time-limited dynamic psychotherapy . Psychotherapy: Theory, Research, Practice, Training , 42 : 279 – 284 .
  • Benjamin , L. S. 1974 . Structural analysis of social behavior . Psychological Review , 81 : 392 – 425 .
  • Benjamin , L. S. 1988 . Short form user's manual , Salt Lake City, UT : Intrex Interpersonal Institute .
  • Benjamin , L. S. , Rothweiler , J. C. and Critchfield , K. L. 2006 . The use of structural analysis of social behavior (SASB) as an assessment tool . Annual Review of Clinical Psychology , 2 : 83 – 109 .
  • Bergmann , B. , Villmann , T. and Gumz , A. 2008 . Vom Chaos zur Einsicht—Die Charakterisierung der Dynamik therapeutischer Veränderungsprozesse mittels textanalytischer Untersuchung von Verbatimprotokollen [From chaos to insight—Characterizing the dynamics of therapeutic processes of change using text analysis of verbatim protocols] . Psychotherapie, Psychosomatik, Medizinische Psychologie , 58 : 1 – 8 .
  • Ciompi L. 1999 Die emotionalen Grundlagen des Denkens. Entwurf einer fraktalen Affektlogik [The emotional basics of thought. A draft of a fractal affect-logic] Göttingen, , Germany Vandenhoeck & Ruprecht
  • Clerkin , E. M. , Teachman , B. A. and Smith-Janik , S. B. 2008 . Sudden gains in group cognitive-behavioral therapy for panic disorder . Behaviour Research and Therapy , 46 : 1244 – 1250 .
  • Comninos , A. and Grenyer , B. F. S. 2007 . The influence of interpersonal factors on the speed of recovery from major depression . Psychotherapy Research , 17 ( 2 ) : 239 – 249 .
  • Davies-Osterkamp S. Hartkamp N. Junkert B. 1993 Die Intrex-Kurzform [The Intrex Short form] W. Tress SASB—Die Strukturale Analyse Sozialen Verhaltens [The structural analysis of social behavior] 156 220 Heidelberg, , Germany Asanger
  • Franke G. H. 2002 SCL-90-R – Symptom Checkliste von L. R. Derogatis—Deutsche version [SCL-90-R–Symptom Checklist by L.R. Derogatis—German version] Göttingen, , Germany Beltz Test
  • Goodridge , D. and Hardy , G. E. 2009 . Patterns of change in psychotherapy: An investigation of sudden gains in cognitive therapy using assimilation model . Psychotherapy Research , 19 ( 1 ) : 114 – 123 .
  • Grawe K. 1998 Psychologische therapie [Psychological therapy] Göttingen, , Germany Hogrefe
  • Greenberg , L. S. 2002 . Integrating an emotion-focused approach to treatment into psychotherapy integration . Journal of Psychotherapy Integration , 12 : 154 – 189 .
  • Greenberg , L. S. 2008 . The case of Lisa: An integration and reaction to the process analyses . Psychotherapy Research , 18 ( 6 ) : 677 – 682 .
  • Grilo , C. M. , Masheb , R. M. and Wilson , T. G. 2006 . Rapid response to treatment for binge eating disorder . Journal of Consulting and Clinical Psychology , 74 : 602 – 613 .
  • Gumz , A. , Villmann , T. , Bergmann , B. and Geyer , M. 2008 . Ubertragung – ein attraktiver Systemzustand (Transference – An attractive system state) . Forum der Psychoanalyse , 24 ( 3 ) : 229 – 245 .
  • Gumz A. Kästner D. Geyer M. 2010 Psychodynamic psychotherapy from the perspective of self organization – A concept of change and a first empirical examination Manuscript submitted for publication.
  • Haase , M. , Frommer , J. , Franke , G.-H. , Hoffmann , T. , Schulze-Muetzel , J. Jäger , S. 2008 . From symptom relief to interpersonal change: Treatment outcome and effectiveness in inpatient psychotherapy . Psychotherapy Research , 18 ( 5 ) : 615 – 624 .
  • Haken , H. 1990 . Synergetics: An introduction , Berlin : Springer .
  • Haken H. Schiepek G. 2006 Synergetik in der Psychologie. Selbstorganisation verstehen und gestalten [Synergetics in psychology. Understanding und framing self-organization] Göttingen, , Germany Hogrefe
  • Halvorsen , M. S. and Monsen , J. T. 2007 . Self-image as a moderator of change in psychotherapy . Psychotherapy Research , 17 : 205 – 217 .
  • Hardy , G. E. , Cahill , J. , Stiles , W. B. , Ispan , C. , Macaskill , N. and Barkham , M. 2005 . Sudden gains in cognitive therapy for depression: A replication and extension . Journal of Consulting and Clinical Psychology , 73 ( 1 ) : 59 – 67 .
  • Hayes , A. M. , Feldman , G. , Beevers , C. , Laurenceau , J.-P. , Cardaciotto , L. A. and Smith , J. 2007 . Discontinuities and cognitive changes in an exposure-based cognitive therapy for depression . Journal of Consulting and Clinical Psychology , 75 ( 3 ) : 409 – 421 .
  • Hayes , A. M. , Laurenceau , J. P. , Feldman , G. , Strauss , J. L. and Cardaciotto , L. 2007 . Change is not always linear: The study of nonlinear and discontinuous patterns of change in psychotherapy . Clinical Psychology Review , 27 : 715 – 723 .
  • Hayes , A. M. and Strauss , J. L. 1998 . Dynamic systems theory as a paradigm for the study of change in psychotherapy: An application to cognitive therapy for depression . Journal of Consulting and Clinical Psychology , 66 : 939 – 947 .
  • Hofmann , S. G. , Schulz , S. M. , Meuret , A. E. , Moscovitch , D. A. and Suvak , M. 2006 . Sudden gains during therapy of social phobia . Journal of Consulting and Clinical Psychology , 74 ( 4 ) : 687 – 697 .
  • Kantz , H. 2001 . Time series analysis in reconstructed phase spaces . Stochastics and Dynamics , 1 : 85 – 111 .
  • Kelly , M. A. R. , Cyranowski , J. M. and Frank , E. 2007 . Sudden gains in interpersonal psychotherapy for depression . Behaviour Research and Psychotherapy , 45 : 2563 – 2572 .
  • Kiesler , D. J. 2004 . Intrepid pursuit of the essential ingredients of psychotherapy . Clinical Psychology: Science and Practice , 11 : 391 – 395 .
  • Kowalik , Z. J. , Schiepek , G. , Kumpf , K. , Roberts , L. E. and Elbert , T. 1997 . Psychotherapy as a chaotic process: Part II. The application of nonlinear analysis methods on quasi time series of the client-therapist interaction: A nonstationary approach . Psychotherapy Research , 7 ( 2 ) : 197 – 218 .
  • Laurenceau , J. P. , Hayes , A. M. and Feldman , G. C. 2007 . Some methodological and statistical issues in the study of change processes in psychotherapy . Clinical Psychology Review , 27 ( 6 ) : 682 – 695 .
  • Liebert W. 1991 Chaos und herzdynamik [Chaos and heart dynamics] Frankfurt, , Germany Harri Deutsch
  • Lutz , W. , Bachmann , F. , Tschitsaz , A. , Smart , D. W. and Lambert , M. J. 2007 . Zeitliche und sequentielle Muster von nonlinearen Veränderungen im Therapieverlauf–Das Phänomen von plötzlichen Gewinnen und Verlusten [Temporal and sequential patterns of nonlinear changes in the course of therapy—The phenomenon of sudden gains and losses] . Zeitschrift für Klinische Psychologie und Psychotherapie , 36 : 261 – 269 .
  • Lutz , W. and Tschitsaz , W. 2007 . Plötzliche Gewinne und Verluste in der Behandlung von Angststörungen, Depressiven und komorbiden Störungen [Sudden gains and losses in the treatment of anxiety disorders, depressive and co-morbid disorders] . Zeitschrift für Klinische Psychologie und Psychotherapie , 36 : 298 – 308 .
  • Mergenthaler , E. 1996 . Emotion-abstraction patterns in verbatim protocols: A new way of describing psychotherapeutic processes . Journal of Consulting and Clinical Psychology , 46 : 1306 – 1318 .
  • Redington , D. J. and Reidbord , S. P. 1992 . Chaotic dynamics in autonomic nervous system activity of a patient during a psychotherapy session . Biological Psychiatry , 31 : 993 – 1007 .
  • Reidbord , S. P. and Redington , D. J. 1992 . Psychophysiological processes during insight-oriented therapy. Further investigations into nonlinear psychodynamics . Journal of Nervous and Mental Disease , 180 ( 10 ) : 649 – 657 .
  • Reidbord , S. P. and Redington , D. J. 1993 . Nonlinear analysis of autonomic responses in a therapist during psychotherapy . Journal of Nervous and Mental Disease , 181 ( 7 ) : 428 – 435 .
  • Schiepek , G. , Eckert , H. and Weihrauch , S. 2003 . Critical fluctuations and clinical change: Data-based assessment in dynamic systems . Constructivism in the Human Sciences , 8 : 57 – 83 .
  • Schiepek , G. , Kowalik , Z. J. , Schütz , A. , Köhler , M. , Richter , K. Strunk , G. 1997 . Psychotherapy as a chaotic process: Part I. Coding the client-therapist interaction by means of sequential plan analysis and the search for chaos: A stationary approach . Psychotherapy Research , 7 ( 2 ) : 173 – 194 .
  • Stiles , W. B. , Glick , M. J. , Osatuke , K. , Hardy , G. E. , Shapiro , D. A. Agnew-Davies , R. 2004 . Patterns of alliance development and the rupture-repair hypothesis: Are productive relationships U-shaped or V-shaped? . Journal of Counseling Psychology , 51 : 81 – 91 .
  • Strauss , J. L. , Hayes , A. M. , Johnson , S. L. , Newman , C. F. , Brown , G. K. Barber , J. P. 2006 . Early alliance, alliance ruptures, and symptom change in a nonrandomized trial of cognitive therapy for avoidant and obsessive–compulsive personality disorders . Journal of Consulting and Clinical Psychology , 74 : 337 – 345 .
  • Strunk G. Schiepek G. 2006 Systemische Psychologie—Eine Einführung in die komplexen Grundlagen menschlichen Verhaltens [Systemic psychology—An introduction to the complex fundamentals of human behaviour] Munich Spektrum
  • Stulz , N. , Lutz , W. , Leach , C. , Lucock , M. and Barkham , M. 2007 . Shapes of early change in psychotherapy under routine outpatient conditions . Journal of Consulting and Clinical Psychology , 75 ( 6 ) : 864 – 874 .
  • Tang , T. Z. and DeRubeis , R. J. 1999 . Sudden gains and critical sessions in cognitive-behavioral therapy for depression . Journal of Consulting and Clinical Psychology , 67 : 894 – 904 .
  • Tang , T. Z. , DeRubeis , R. J. , Beberman , R. and Pham , T. 2005 . Cognitive changes, critical sessions, and sudden gains in cognitive-behavioral therapy for depression . Journal of Consulting and Clinical Psychology , 73 : 168 – 172 .
  • Tang , T. Z. , DeRubeis , R. J. , Hollon , S. D. and Amsterdam , J. 2007 . Sudden gains in cognitive therapy of depression and depression relapse/recurrence . Journal of Consulting and Clinical Psychology , 75 ( 3 ) : 404 – 408 .
  • Tang , T. Z. , Luborsky , L. and Andrusyna , T. 2002 . Sudden gains in recovering from depression: Are they also found in psychotherapies other than cognitive-behavioral therapy? . Journal of Consulting and Clinical Psychology , 70 : 444 – 447 .
  • Thomä H. Kächele H. 2006 Lehrbuch der psychoanalytischen Therapie: Grundlagen [Textbook of psychoanalytic therapy: Basics] Heidelberg, , Germany Springer
  • Thompson , M. , Thompson , L. and Gallagher-Thompson , D. 1995 . Linear and nonlinear changes in mood between psychotherapy sessions: Implications for treatment outcome and relapse risk . Psychotherapy Research , 5 : 327 – 336 .
  • Villmann , T. , Liebers , C. , Bergmann , B. , Gumz , A. and Geyer , M. 2008 . Investigation of psycho-physiological interactions between patient and therapist during a psychodynamic therapy and their relation to speech using in terms of entropy analysis using a neutral network approach . New Ideas in Psychology , 26 ( 2 ) : 309 – 325 .
  • Von der Lippe , A. L. , Monsen , J. T. , Rønnestad , M. H. and Eilertsen , D. E. 2008 . Treatment failure in psychotherapy: The pull of hostility . Psychotherapy Research , 18 ( 4 ) : 420 – 432 .
  • Wampold , B. E. 2001 . The great psychotherapy debate. Models, methods and findings , Mahwah, NJ : Erlbaum .

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.