Moments of change: Clients' immediate experiences when sharing emotions in psychotherapy.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL Psychotherapy Research Pub Date : 2024-09-01 Epub Date: 2023-09-25 DOI:10.1080/10503307.2023.2260938

Gøril Solberg Kleiven, Aslak Hjeltnes, Heidi Brattland, Christian Moltu

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Abstract

Objective: In-session processing of emotions is important in facilitating psychotherapeutic change. This study explores how clients in active treatment experience inner changes when sharing emotions in psychotherapy sessions. The aim was to retrieve in-depth knowledge about clients' moment-by-moment experiences of change in a naturalistic psychotherapy context.

Method: Two psychotherapy sessions (session 3 or 4 and session 7 or 8) were videotaped and immediately followed by semi-structured interviews with clients (n = 11) in the format of Interpersonal Process Recall (IPR). Interviews were analysed using thematic analysis.

Results: Four themes resulted from analysis: (1) reaching a new clarity about inner struggles; (2) a shift in how I approach and experience my feelings; (3) grieving losses and gaining a more positive understanding of myself; (4) feeling relief and liberation when allowing difficult emotions.

Conclusion: The resulting themes took into account the importance of the felt quality of change experiences within sessions, which appears to be important in making micro-processes of change salient. Across themes, we found accounts of shifts in awareness and self-compassion, which we discuss as micro-outcomes that clients can ideally be guided to dwell with.

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变化时刻：客户在心理治疗中分享情绪时的即时体验。

目的：会话中的情绪处理在促进心理治疗改变方面很重要。这项研究探讨了积极治疗的客户在心理治疗过程中分享情绪时如何体验内心变化。目的是在自然主义心理治疗的背景下，检索关于客户每时每刻变化经历的深入知识。方法：对两次心理治疗（第3或第4次和第7或第8次）进行录像，然后立即对客户进行半结构化访谈（n = 11）以人际过程回忆（IPR）的形式。访谈采用专题分析法进行分析。结果：分析得出四个主题：（1）对内心斗争有了新的认识；（2）我对待和体验自己感受的方式发生了转变；（3）悲痛的损失和获得对自己更积极的理解；（4）当允许困难的情绪时感到宽慰和解放。结论：由此产生的主题考虑到了会议中变革体验的感觉质量的重要性，这对于突出变革的微观过程似乎很重要。在各个主题中，我们发现了意识和自我同情的转变，我们将其作为微观结果进行讨论，理想情况下可以引导客户进行思考。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.