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Instability and discontinuous change in the experience of therapeutic interaction

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Instability and discontinuous change in the experience of therapeutic interaction : an extended single-case study of psychodynamic therapy processes. / Gumz, Antje; Kästner, Denise; Geyer, Michael; Wutzler, Uwe; Villmann, Thomas; Brähler, Elmar.

In: PSYCHOTHER RES, Vol. 20, No. 4, 01.07.2010, p. 398-412.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Gumz, A, Kästner, D, Geyer, M, Wutzler, U, Villmann, T & Brähler, E 2010, 'Instability and discontinuous change in the experience of therapeutic interaction: an extended single-case study of psychodynamic therapy processes', PSYCHOTHER RES, vol. 20, no. 4, pp. 398-412. https://doi.org/10.1080/10503300903551021

APA

Gumz, A., Kästner, D., Geyer, M., Wutzler, U., Villmann, T., & Brähler, E. (2010). Instability and discontinuous change in the experience of therapeutic interaction: an extended single-case study of psychodynamic therapy processes. PSYCHOTHER RES, 20(4), 398-412. https://doi.org/10.1080/10503300903551021

Vancouver

Gumz A, Kästner D, Geyer M, Wutzler U, Villmann T, Brähler E. Instability and discontinuous change in the experience of therapeutic interaction: an extended single-case study of psychodynamic therapy processes. PSYCHOTHER RES. 2010 Jul 1;20(4):398-412. https://doi.org/10.1080/10503300903551021

Bibtex

@article{5706554586334a15814e6081fedd2c7e,
title = "Instability and discontinuous change in the experience of therapeutic interaction: an extended single-case study of psychodynamic therapy processes",
abstract = "The authors developed a concept that applies self-organization theory to psychodynamic principles. According to this concept, episodes of temporary destabilization represent a precondition for abrupt changes within the therapeutic process. The authors examined six courses of therapy (patients diagnosed with depression and personality disorder). After each therapy session, patients rated their experience of the therapeutic interaction. A measure of instability was used to identify episodes of destabilization with respect to patients' interaction experience throughout the process. Episodes of pronounced destabilization occurred in the four courses of therapy that showed better therapy outcomes. These episodes were characterized by temporary strong deteriorations in interaction experience (negative peaks). Three of the four courses showed subsequent discontinuous improvements to a higher level of interaction. Results indicate that the systematic inclusion of a measure of instability is worthwhile in investigations of discontinuous changes. This method allows the theoretical assumptions of the psychodynamic approach to be tested.",
keywords = "Adult, Countertransference (Psychology), Depressive Disorder, Female, Humans, Models, Psychological, Personality Disorders, Professional-Patient Relations, Psychoanalytic Therapy, Psychotherapeutic Processes, Psychotherapy, Questionnaires, Transference (Psychology), Treatment Outcome",
author = "Antje Gumz and Denise K{\"a}stner and Michael Geyer and Uwe Wutzler and Thomas Villmann and Elmar Br{\"a}hler",
year = "2010",
month = jul,
day = "1",
doi = "10.1080/10503300903551021",
language = "English",
volume = "20",
pages = "398--412",
journal = "PSYCHOTHER RES",
issn = "1050-3307",
publisher = "Routledge",
number = "4",

}

RIS

TY - JOUR

T1 - Instability and discontinuous change in the experience of therapeutic interaction

T2 - an extended single-case study of psychodynamic therapy processes

AU - Gumz, Antje

AU - Kästner, Denise

AU - Geyer, Michael

AU - Wutzler, Uwe

AU - Villmann, Thomas

AU - Brähler, Elmar

PY - 2010/7/1

Y1 - 2010/7/1

N2 - The authors developed a concept that applies self-organization theory to psychodynamic principles. According to this concept, episodes of temporary destabilization represent a precondition for abrupt changes within the therapeutic process. The authors examined six courses of therapy (patients diagnosed with depression and personality disorder). After each therapy session, patients rated their experience of the therapeutic interaction. A measure of instability was used to identify episodes of destabilization with respect to patients' interaction experience throughout the process. Episodes of pronounced destabilization occurred in the four courses of therapy that showed better therapy outcomes. These episodes were characterized by temporary strong deteriorations in interaction experience (negative peaks). Three of the four courses showed subsequent discontinuous improvements to a higher level of interaction. Results indicate that the systematic inclusion of a measure of instability is worthwhile in investigations of discontinuous changes. This method allows the theoretical assumptions of the psychodynamic approach to be tested.

AB - The authors developed a concept that applies self-organization theory to psychodynamic principles. According to this concept, episodes of temporary destabilization represent a precondition for abrupt changes within the therapeutic process. The authors examined six courses of therapy (patients diagnosed with depression and personality disorder). After each therapy session, patients rated their experience of the therapeutic interaction. A measure of instability was used to identify episodes of destabilization with respect to patients' interaction experience throughout the process. Episodes of pronounced destabilization occurred in the four courses of therapy that showed better therapy outcomes. These episodes were characterized by temporary strong deteriorations in interaction experience (negative peaks). Three of the four courses showed subsequent discontinuous improvements to a higher level of interaction. Results indicate that the systematic inclusion of a measure of instability is worthwhile in investigations of discontinuous changes. This method allows the theoretical assumptions of the psychodynamic approach to be tested.

KW - Adult

KW - Countertransference (Psychology)

KW - Depressive Disorder

KW - Female

KW - Humans

KW - Models, Psychological

KW - Personality Disorders

KW - Professional-Patient Relations

KW - Psychoanalytic Therapy

KW - Psychotherapeutic Processes

KW - Psychotherapy

KW - Questionnaires

KW - Transference (Psychology)

KW - Treatment Outcome

U2 - 10.1080/10503300903551021

DO - 10.1080/10503300903551021

M3 - SCORING: Journal article

C2 - 20234974

VL - 20

SP - 398

EP - 412

JO - PSYCHOTHER RES

JF - PSYCHOTHER RES

SN - 1050-3307

IS - 4

ER -