Clients' emotional experience as a dynamic context for client-therapist physiological synchrony.

IF 4.5 1区心理学 Q1 PSYCHOLOGY, CLINICAL Journal of consulting and clinical psychology Pub Date : 2023-06-01 DOI:10.1037/ccp0000811

Eran Bar-Kalifa, Omer Goren, Eva Gilboa-Schechtman, Maya Wolff, Dana Rafael, Shir Heimann, Ido Yehezkel, Amit Scheniuk, Feldman Ruth, Dana Atzil-Slonim

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Abstract

Objective: Client-therapist physiological synchrony has recently attracted significant empirical attention. Recent theoretical accounts propose that physiological linkages should not be considered a stable dyadic virtue but rather a dynamic process that depends on the situational context in which they transpire. The present study adopted a "momentary" (vs. "global") approach that focuses on therapist-client physiological synchrony over relatively short periods of time. These temporal data served to examine the interplay between patterns of synchrony (in-phase vs. antiphase) and clients' momentary emotional experiences (inhibited/unproductive, productive, and positive). Synchrony was assessed by measuring respiratory sinus arrhythmia (RSA), an autonomic index that is known to be associated with interpersonal emotion regulation.

Method: Data were drawn from 28 clients undergoing a 16-session supportive-expressive dynamic therapy for depression. Clients' and therapists' electrocardiography were recorded in five sessions; clients' emotional experiences were coded at the speech-turn level. After each session, the clients also completed the session evaluation scale.

Results: Client-therapist dyads had greater momentary RSA synchrony than would be predicted by chance. Compared to moments of unproductive emotional experience, greater antiphase synchrony was observed during moments of productive emotional experiences. In addition, compared to moments of unproductive emotional experience, greater in-phase and antiphase synchrony were observed during moments of positive emotional experiences. These patterns of synchrony were associated with clients' favorable evaluations of the session.

Conclusion: By considering the dynamic nature of synchrony, these findings provide a fine-grained picture of physiological synchrony and its potential effects on therapy. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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来访者的情绪体验作为来访者-治疗师生理同步的动态背景。

目的:客户-治疗师生理同步最近引起了显著的实证关注。最近的理论表明，生理联系不应该被认为是一种稳定的二元美德，而是一种取决于它们发生的情境背景的动态过程。本研究采用了“瞬间”(vs。“全球”)的方法，侧重于治疗师-来访者在相对较短的时间内的生理同步。这些时间数据用于检验同步模式(同相与反相)与来访者瞬间情绪体验(抑制/非生产性、生产性和积极)之间的相互作用。通过测量呼吸性窦性心律失常(RSA)来评估同步性，这是一种已知与人际情绪调节相关的自主神经指数。方法:数据来自28名接受16期支持表达动态治疗的抑郁症患者。来访者和治疗师的心电图记录在5个疗程中;客户的情感体验被编码在言语转向水平。每次会话结束后，客户还完成了会话评估量表。结果:客户-治疗师二人组具有比随机预测更大的瞬间RSA同步。与非生产性情绪体验的时刻相比，在生产性情绪体验的时刻观察到更大的反相位同步性。此外，与非生产性情绪体验时刻相比，在积极情绪体验时刻观察到更大的同相和反相同步性。这些同步模式与客户对会话的有利评价有关。结论:考虑到同步性的动态性质，这些发现提供了生理同步性的精细图像及其对治疗的潜在影响。(PsycInfo数据库记录(c) 2023 APA，版权所有)。

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来源期刊

Journal of consulting and clinical psychology PSYCHOLOGY, CLINICAL-

CiteScore

9.00

自引率

3.40%

发文量

期刊介绍： The Journal of Consulting and Clinical Psychology® (JCCP) publishes original contributions on the following topics: the development, validity, and use of techniques of diagnosis and treatment of disordered behaviorstudies of a variety of populations that have clinical interest, including but not limited to medical patients, ethnic minorities, persons with serious mental illness, and community samplesstudies that have a cross-cultural or demographic focus and are of interest for treating behavior disordersstudies of personality and of its assessment and development where these have a clear bearing on problems of clinical dysfunction and treatmentstudies of gender, ethnicity, or sexual orientation that have a clear bearing on diagnosis, assessment, and treatmentstudies of psychosocial aspects of health behaviors. Studies that focus on populations that fall anywhere within the lifespan are considered. JCCP welcomes submissions on treatment and prevention in all areas of clinical and clinical–health psychology and especially on topics that appeal to a broad clinical–scientist and practitioner audience. JCCP encourages the submission of theory–based interventions, studies that investigate mechanisms of change, and studies of the effectiveness of treatments in real-world settings. JCCP recommends that authors of clinical trials pre-register their studies with an appropriate clinical trial registry (e.g., ClinicalTrials.gov, ClinicalTrialsRegister.eu) though both registered and unregistered trials will continue to be considered at this time.