836
Views
14
CrossRef citations to date
0
Altmetric
SPECIAL SECTION: ELABORATING THE ASSIMILATION MODEL: CASE STUDIES OF SETBACKS WITHIN SESSIONS AND THERAPEUTIC COLLABORATION

Therapeutic collaboration and the assimilation of problematic experiences in emotion-focused therapy for depression: Comparison of two cases

, , , , , , & show all
Pages 665-680 | Received 10 May 2015, Accepted 28 Jun 2016, Published online: 29 Jul 2016

References

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). doi:10.1176/appi.boosks.9780890423349
  • Barbosa, E., Couto, A. B., Basto, I., Stiles, W. B., Gouveia, J. P., & Salgado, J. (2016). Immersion and distancing during assimilation of problematic experiences in a good-outcome case of emotion-focused therapy. Psychotherapy Research. doi:10.1080/10503307.2016.1211347
  • Basto, I., Pinheiro, P., Mendes, I., Stiles, W. B., Rijo, D., & Salgado, J. (2016). Dynamic fluctuations and assimilation progress in contrasting cases of emotion-focused therapy. Manuscript in preparation.
  • Basto, I., Pinheiro, P., Stiles, W. B., Rijo, D., & Salgado, J. (2016). Changes in symptom intensity and emotion valence during the process of assimilation of a problematic experience: A quantitative study of a good outcome case of cognitive-behavioral therapy. Psychotherapy Research. doi:10.1080/10503307.2015.1119325
  • Basto, I., Salgado, J., Stiles, W. B., & Rijo, D. (2016). Does assimilation of problematic experiences predict a decrease in symptom intensity? A study of clinically depressed sample. Manuscript submitted for publication.
  • Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the beck depression inventory-II. San Antonio, TX: Psychological Corporation.
  • Brinegar, M. G., Salvi, L. M., Stiles, W. B., & Greenberg, L. S. (2006). Building a meaning bridge: Therapeutic progress from problem formulation to understanding. Journal of Counseling Psychology, 53, 165–180. doi:10.1037/0022-0167.53.2.165
  • Campos, R. C., & Gonçalves, B. (2011). The Portuguese version of Beck Depression Inventory-II (BDI-II): Preliminary psychometric data with two non-clinical samples. European Journal of Psychological Assessment, 27(4), 258–264. doi:10.1027/1015-5759/a000072
  • Caro Gabalda, I. (2006). The assimilation of problematic experiences in the context of a therapeutic failure. Psychotherapy Research, 16, 436–452. doi:10.1080/10503300600743897
  • Caro Gabalda, I. (2008). Assimilation of problematic experiences in linguistic therapy of evaluation: A case study. Journal of Constructivist Psychology, 21, 151–172. doi:10.1080/10720530590914789
  • Caro Gabalda, I., & Stiles, W. B. (2009). Retrocesos no contexto de terapia linguística de avaliação [Setbacks in the context of linguistic therapy of evaluation]. Análise Psicológica, 2, 199–212. doi:10.14417/ap.205
  • Caro Gabalda, I., & Stiles, W. B. (2013). Irregular assimilation progress: Reasons for setbacks in the context of linguistic therapy of evaluation. Psychotherapy Research, 23, 35–53. doi:10.1080/10503307.2012.721938
  • Caro Gabalda, I., Stiles, W. B., & Pérez Ruiz, S. (2016). Therapist activities preceding setbacks in the assimilation process. Psychotherapy Research, 26, 653–664. doi:10.1080/10503307.2015.1104422
  • Constantino, M. J., & Westra, H. A. (2012). An expectancy-based approach to facilitating corrective experiences in psychotherapy. In L. G. Castonguay & C. E. Hill (Eds.), Transformation in psychotherapy: Corrective experiences across cognitive behavioral, humanistic, and psychodynamic approaches (pp. 121–139). Washington, DC: American Psychological Association. doi:10.1037/13747-008
  • Cunha, C., Gonçalves, M. M. Hill, C. H., Mendes, I., Sousa, S., Angus, L., & Greenberg, L. S. (2012). Therapist interventions and client innovative moments in emotion-focused therapy for depression. Psychotherapy, 49(4), 536–548. doi:10.1037/a0028259
  • Detert, N. B., Llewelyn, S., Hardy, G. E., Barkham, M., & Stiles, W. B. (2006). Assimilation in good- and poor-outcome cases of very brief psychotherapy for mild depression: An initial comparison. Psychotherapy Research, 16, 393–407. doi:10.1080/10503300500294728
  • Elliott, R., Watson, J. C., Goldman, R. N., & Greenberg, L. S. (2004). Learning emotion-focused therapy: The process-experiential approach to change. Washington, DC: American Psychological Association.
  • Ferreira, A., Ribeiro, E., Pinto, D., Pereira, C., & Pinheiro, A. (2015). Estudo comparativo dois casos de insucesso terapêutico: Um caso finalizado e um caso de desistência. Análise Psicológica, 2(XXXIII), 165–177. doi:10.14417/ap.938
  • Goldman, R. (1991). The validation of the experiential therapy adherence measure (Unpublished master’s thesis). Department of Psychology, York University, Toronto.
  • Gonçalves, M. M., Matos, M., & Santos, A. (2009). Narrative therapy and the nature of “innovative moments” in the construction of change. Journal of Constructivist Psychology, 22, 1–23. doi: 10.1080/10720530802500748
  • Greenberg, L., Rice, L., & Elliott, R. (1993). The moment by moment process: Facilitating emotional change. New York: Guilford Press.
  • Greenberg, L., & Watson, J. (1998). Experiential therapy of depression: Differential effects of client-centered relationship conditions and process experiential interventions. Psychotherapy Research, 8(2), 210–224. doi: 10.1080/10503309812331332317
  • Greenberg, L. S. (2006). Emotion focused therapy: A synopsis. Journal of Contemporary Psychotherapy, 36, 87–93. doi:10.1007/s10879-006-9011-3
  • Greenberg, L. S., & Watson, J. C. (2006). Emotion-focused therapy for depression. Washington, DC: American Psychological Association.
  • Hill, C. E., Knox, S., Thompson, B. J., Williams, E. N., Hess, S. A., & Ladany, N. (2005). Consensual qualitative research: An update. Journal of Counseling Psychology, 52, 196–205. doi: 10.1037/0022-0167.52.2.196
  • Hill, C. E., & Lambert, M. J. (2004). Methodological issues in studying psychotherapy processes and outcomes. In M. J. Lambert (Ed.), Bergin and garfield’s handbook of psychotherapy and behavior change (5th ed., pp. 84–135). New York, NY: Wiley.
  • Honos-Webb, L., & Stiles, W. B. (1998). Reformulation of assimilation analysis in terms of voices. Psychotherapy, 35, 23–33. doi:10.1037/h0087682
  • Honos-Webb, L., Stiles, W. B., & Greenberg, L. S. (2003). A method of rating assimilation in psychotherapy based on markers of change. Journal of Counselling Psychology, 50(2), 189–198. doi:10.1037/0022-0167.50.2.189
  • Honos-Webb, L., Stiles, W. B., Greenberg, L. S., & Goldman, R. (1998). Assimilation analysis of process-experiential psychotherapy: A comparison of two cases. Psychotherapy Research, 8, 264–286. doi: 10.1080/10503309812331332387
  • Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12–19. doi: 10.1037/0022-006X.59.1.12
  • Lambert, M. J. (2015). The therapeutic alliance: An evidence-based guide to practice. Psychotherapy Research. doi:10.1080/10503307.2015.1031200
  • Lambert, M. J., Burlingame, G. M., Umphress, V., Hansen, N. B., Vermeersch, D. A., Clouse, G. C., & Yanchar, S. C. (1996). The reliability and validity of the outcome questionnaire. Clinical Psychology and Psychotherapy, 3, 249–258. doi: 10.1002/(SICI)1099-0879(199612)3:4<249::AID-CPP106>3.0.CO;2-S
  • Leiman, M., & Stiles, W. B. (2001). Dialogical sequence analysis and the zone of proximal development as conceptual enhancements to the assimilation model: The case of Jan revisited. Psychotherapy Research, 11, 311–330. doi: 10.1080/713663986
  • Machado, P. P., & Fassnacht, D. (2015). The Portuguese version of the outcome questionnaire (OQ-45): Normative data, reliability and clinical significance cut-offs scores. Psychology and Psychotherapy: Theory, Research and Practice, 88(4), 427–437. doi:10.1111/papt.12048
  • Mendes, I., Rosa, C., Stiles, W. B., Caro Gabalda, I., Gomes, P., Basto, I., & Salgado, J. (2016). Setbacks in the process of assimilation of problematic experiences in two cases of emotion-focused therapy for depression. Psychotherapy Research, 26, 638–652. doi:10.1080/10503307.2015.1136443
  • Mergenthaler, E., & Stinson, C. (1992). Psychotherapy transcription standards. Psychotherapy Research, 2, 125–142. doi:10.1080/10503309212331332904
  • Meystre, C., Kramer, U., De Roten, Y., Despland, J.-N., & Stiles, W. B. (2014). How psychotherapeutic exchanges become responsive: A theory-building case study in the framework of the assimilation model. Counselling and Psychotherapy Research, 14, 29–41. doi:10.1080/14733145.2013.782056
  • Meystre, C., Pascual-Leone, A., De Roten, Y., Despland, J.-N., & Kramer, U. (2015). What interventions facilitate client progress through the assimilation model? A task analysis of interventions in the psychodynamic treatment of depression. Psychotherapy Research, 25(4), 484–502. doi:10.1080/10503307.2014.921352
  • Monteiro, M. L. (2014). Adesão do terapeuta ao modelo Terapia Focada nas Emoções [Therapist adherence to the emotion-focused therapy model] (Unpublished master thesis). Instituto Universitário da Maia, Portugal.
  • Muran, J. C., & Barber, J. P. (Eds.). (2010). The therapeutic alliance: An evidence-based guide to practice. New York, NY: Guilford Press.
  • Nogueira, D., Monteiro, M., Bento, T., Almeida, C., & Salgado, J. (2012, October). Therapists’ adherence to Emotion Focused Therapy with depressive clients. 3rd Joint Meeting of the SPR European and UK Chapters of The Society for Psychotherapy Research, Porto, Portugal.
  • Norcross, J., & Lambert, M. J. (2011). Psychotherapy relationship that work II. Psychotherapy, 48(1), 4–8. doi:10.1037/a0022180
  • Osatuke, K., Glick, M. J., Stiles, W. B., Greenberg, L. S., Shapiro, D. A., & Barkham, M. (2005). Temporal patterns of improvement in client-centred therapy and cognitive-behavioral therapy. Counselling Psychology Quarterly, 18, 95–108. doi:10.1080/09515070500136900
  • Osatuke, K., & Stiles, W. B. (2006). Problematic internal voices in clients with borderline features: An elaboration of the assimilation model. Journal of Constructivist Psychology, 19, 287–319. doi:10.1080/10720530600691699
  • Osatuke, K., Stiles, W. B., Barkham, M., Hardy, G. E., & Shapiro, D. A. (2011). Relationship between mental states in depression: The assimilation model perspective. Psychiatry Research, 190, 52–59. doi:10.1016/j.psychres.2010.11.001
  • Pascual-Leone, A., & Greenberg, L. S. (2007). Insight and awareness in experiential therapy. In L. G. Castonguay & C. Hill (Eds.), Insight in psychotherapy (pp. 31–56). Washington, DC: American Psychological Association. doi:10.1037/11532-002
  • Perepletchikova, F. (2011). On the topic of treatment integrity. Clinical Psychology: Science and Practice, 18(2), 148–153.
  • Perepletchikova, F., & Kazdin, A. E. (2005). Treatment integrity and therapeutic change: Issues and research recommendations. Clinical Psychology: Science and Practice, 12(4), 365–383.
  • Ribeiro, A. P., Braga, C., Stiles, W. B., Teixeira, P., Gonçalves, M. M., & Ribeiro, E. (2016). Therapist interventions and client ambivalence in two cases of narrative therapy for depression. Psychotherapy Research, 26, 681–693. doi:10.1080/10503307.2016.1197439
  • Ribeiro, E., Fernandes, C., Santos, B., Ribeiro, A., Coutinho, J., Angus, L., & Greenberg, L. (2014). The development of therapeutic collaboration in a good outcome case of client-centered therapy. Person-Centered & Experiential Psychotherapies, 13(2), 150–168. doi:10.1080/14779757.2014.893250
  • Ribeiro, E., Ribeiro, A. P., Gonçalves, M. M., Horvath, A. O., & Stiles, W. B. (2013). How collaboration in therapy becomes therapeutic: The therapeutic collaboration coding system. Psychology and Psychotherapy: Theory, Research and Practice, 86(3), 294–314. doi:10.1111/j.2044-8341.2012.02066.x
  • Ribeiro, A. P., Ribeiro, E., Loura, J., Goncalves, M. M., Stiles, W. B., Horvath, A. O., & Sousa, I. (2014). Therapeutic collaboration and resistance: Describing the nature and quality of the therapeutic relationship within ambivalence events using the therapeutic collaboration coding system. Psychotherapy Research, 24(3), 346–359. doi:10.1080/10503307.2013.856042
  • Ribeiro, E., Silveira, J., Senra, J., Azevedo, A., & Morais, J. (2015). Colaboración terapéutica: estudio comparativo de 2 casos terapéuticos, uno de éxito y otro de fracaso terapéutico, seguidos en terapia constructivista. Manuscript submitted for publication.
  • Salgado, J. (2008). Decentering and change: Grant project PTDC/PSI PCL/103432/2008. Unpublished manuscript. FCT: Portuguese Foundation for Science and Technology.
  • Seggar, L. B., Lambert, M. J., & Hansen, N. B. (2002). Assessing clinical significance: Application to the beck depression inventory. Behavior Therapy, 33, 253–269. doi:10.1016/S0005-7894(02)80028-4
  • Shrout, P. E., & Fleiss, J. L. (1979). Intraclass correlations: Uses in assessing rater reliability. Psychological Bulletin, 86(2), 420–428. doi: 10.1037/0033-2909.86.2.420
  • Spitzer, R. L., Gibbon, M., & Williams, J. B. (1995). Structured clinical interview for DSM-IV axis I disorders: Patient Edition (February 1996 Final), SCID-I/P. New York: Biometrics Research Department, New York State Psychiatric Institute.
  • Stiles, W. B. (1999). Signs and voices in psychotherapy. Psychotherapy Research, 9, 1–21. doi: 10.1080/10503309912331332561
  • Stiles, W. B. (2002). Assimilation of problematic experiences. In J. C. Norcross (Ed.), Psychotherapy relationship that works: Therapist contributions and responsiveness to patients (pp. 357–365). New York, NY: Oxford University Press.
  • Stiles, W. B. (2009). Logical operations in theory-building case studies. Pragmatic Case Studies in Psychotherapy, 5, 9–22. doi:10.14713/pcsp.v5i3.973
  • Stiles, W. B. (2011). Coming to terms. Psychotherapy Research, 21, 367–384. doi:10.1080/10503307.2011.582186
  • Stiles, W. B. (2015). Theory-building, enriching, and fact-gathering: Alternative purposes of psychotherapy research. In O. Gelo, A. Pritz, & B. Rieken (Eds.), Psychotherapy research: General issues, process, and outcome (pp. 159–180). New York, NY: Springer-Verlag.
  • Stiles, W. B., & Angus, L. (2001). Qualitative research on clients’ assimilation of problematic experiences in psychotherapy. In J. Frommer & D. L. Rennie (Eds), Qualitative psychotherapy research: Methods and methodology (pp. 112–127). Lengerich: Pabst Science. Also published in Psychologische Beiträge, 43, 570–585.
  • Stiles, W. B., Elliott, R., Llewelyn, S., Firth-Cozens, J., Margison, F. R., Shapiro, D. A., & Hardy, G. (1990). Assimilation of problematic experiences by clients in psychotherapy. Psychotherapy, 27, 411–420. doi: 10.1037/0033-3204.27.3.411
  • Stiles, W. B., Honos-Webb, L., & Lani, J. A. (1999). Some functions of narrative in the assimilation of problematic experiences. Journal of Clinical Psychology, 55, 1213–1226. doi: 10.1002/(SICI)1097-4679(199910)55:10<1213::AID-JCLP4>3.0.CO;2-1
  • Stiles, W. B., Honos-Webb, L., & Surko, M. (1998). Responsiveness in psychotherapy. Clinical Psychology: Science & Practice, 5, 439–458.
  • Stiles, W. B., Leiman, M., Shapiro, D. A., Hardy, G. E., Barkham, M., Detert, N. B., & Llewelyn, S. P. (2006). What does the first exchange tell? Dialogical sequence analysis and assimilation in very brief therapy. Psychotherapy Research, 16, 408–421. doi:10.1080/10503300500288829
  • Stiles, W. B., Meshot, C. M., Anderson, T. M., & Sloan, W. W., Jr. (1992). Assimilation of problematic experiences: The case of john jones. Psychotherapy Research, 2, 81–101. doi: 10.1080/10503309212331332874
  • Stiles, W. B., Osatuke, K., Glick, M. J., & Mackay, H. C. (2004). Encounters between internal voices generate emotion: An elaboration of the assimilation model. In H. H. Hermans & G. Dimaggio (Eds.), The dialogical self in psychotherapy (pp. 91–107). New York: Brunner-Routledge.
  • Vygotsky, L. (1978). Mind in Society: the development of higher psychological processes. Cambridge, MA: Harvard University Press.
  • Zonzi, A., Barkham, M., Hardy, G. E., Llewelyn, S. P., Stiles, W. B., & Leiman, M. (2014). Zone of proximal development (ZPD) as an ability to play in psychotherapy: A theory-building case study of very brief therapy. Psychology and Psychotherapy: Theory, Research and Practice, 87, 447–464. doi:10.1111/papt.12022

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.