Reconceptualization innovative moments as a predictor of symptomatology improvement in treatment for depression.
Clin Psychol Psychother
; 25(6): 765-773, 2018 Nov.
Article
en En
| MEDLINE
| ID: mdl-29989260
ABSTRACT
OBJECTIVES:
In previous studies, reconceptualization innovative moments were associated with successful psychotherapy. Reconceptualization has two components-(a) a positive temporal contrast between the past self and the present self (contrasting self [CS]) and (b) a description of how and/or why this change has occurred (change process [CP])-from the perspective of the client. The aim of this study is to analyse if CS and CP have the same association with outcomes as reconceptualization.METHOD:
Sixteen cases of clients with major depression (305 sessions) were analysed. Longitudinal regression models were used to explore if proportions of CS, CP, and reconceptualization predicted outcome measures and if outcome measures predicted CS, CP, and reconceptualization.RESULTS:
Reconceptualization is less frequent than CS and CP taken separately, but reconceptualization was a better predictor of treatment outcomes than were its separate components. Moreover, symptom improvement did not predict reconceptualization.CONCLUSION:
The construction of new meanings is important in improving depressive symptomatology. Psychotherapists can elicit these new meanings in their regular practice by posing questions that may help clients to conceptualize what is changing in themselves (CS) and questions of how this change is occurring (CP). The construction of an integrative account of these new meanings is associated with psychotherapeutic gains, and thus, reconceptualizing change could improve symptoms of depression.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Psicoterapia
/
Trastorno Depresivo Mayor
/
Ego
Tipo de estudio:
Diagnostic_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
En
Revista:
Clin Psychol Psychother
Asunto de la revista:
PSICOLOGIA
/
PSIQUIATRIA
/
TERAPEUTICA
Año:
2018
Tipo del documento:
Article
País de afiliación:
Portugal