Resource Activation during the first psychotherapy session and its relation with early therapeutic change
DOI:
https://doi.org/10.21615/cesp.6052Keywords:
Resource activation, psychotherapy, strengths, early outcome, therapeutic changeAbstract
Objective: the objective of this paper is to determine the differences in the degree to which therapists focus their interventions on activating clients' resources during the first session of psychotherapy processes with and without Early Therapeutic Outcomes (ETO), and to characterize these interventions. Method: a sample of 32 outpatient psychotherapy processes was collected, carried out in routine service delivery contexts and conducted by therapists with different theoretical orientations. The therapies were grouped according to the presence or absence of ETO, evaluated from the difference in well-being reported by clients between the first and fourth session, through the Outcome Questionnaire (OQ-45.2; Lambert et al.,1996). To assess the extent to which the therapists' activity focused on RA in both groups, the Wirkfaktoren-K (Klaus Grawe Effectiveness Factors; von Consbruch et al., 2013) instrument was used by independent judges. Subsequently, a Welch's t-test of unequal variances was performed, based on the averages of AR scores, between both groups. Results: significant differences were found between both groups. Specifically, therapists in the "With ETO" group spent 3 times more minutes working on RA than those in the "Without ETO" group. In addition, detailed evidence is provided on the variation of the focus on RA throughout the session and the proportion in which different RA-related content is addressed in both groups.
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Castronovo, M., Hirsch, H., & Hirsch, P. (s.f.). Guía y esquema gráfico para el uso de los recursos del consultante en terapia estratégica. http://www.enciclopediasaludmental.org.ar/trabajo.php?idt=14&idtt=39
Eysenck, H. J. (1994). The outcome problem in psychotherapy: What have we learned? Behaviour Research & Therapy, 32, 477-495.
Flückiger, C., Caspar, F., Grosse Holtforth, M., & Willutzki, U. (2009). Working with patients’ strengths: A microprocess approach. Psychotherapy Research, 19(2), 213-223. https://doi.org/10.1080/10503300902755300.
Flückiger, C., Zinbarg, R., Znoj, H., & Ackert, M. (2014). Resource activation in generalized anxiety: An observer-based microprocess analysis of patients’ in-session outcomes. Psychotherapy, 51(4), 535–545. https://doi.org/10.1037/a0034119
Gassmann, D., & Grawe, K. (2006). General change Mechanisms: The relation between problem activation and resource activation in successful and unsuccessful therapeutic interactions. Clinical Psychology and Psychotherapy, 13, 1–11.
Goldfried, M. R., Raue, P. J., & Castonguay, L. G. (1998). The therapeutic focus in significant sessions of master therapists: A comparison of cognitive-behavioral and psychodynamic-interpersonal interventions. Journal of Consulting and Clinical Psychology, 66, 803-810.
Grawe, K. (1997). Research-informed psychotherapy. Psychotherapy Research, 7, 1–19.
Grawe K, Donati R., & Bernauer F. (1994). Psychotherapie im Wandel: von derKonfession zur Profession [The change of psychotherapy. From confession to profession]. Göttingen: Hogrefe.
Grawe, K., & Grawe-Gerber, M. (1999). Ressourcenaktivierung. Psychotherapeut 44, 63–73. https://doi.org/10.1007/s002780050149
Gunlicks-Stoessel, M., & Mufson, L. (2011). Early patterns of symptom change signal remission with interpersonal psychotherapy for depressed adolescents. Depression and anxiety, 28(7), 525–531. https://doi.org/10.1002/da.20849
Harbin, J., Gelso, C., & Perez, A. (2014) Therapist Work with Client Strengths: Development and Validation of a Measure. The Counseling Psycologist, 42(3) 345-373.
Kassambara, A. (2020). rstatix: Pipe-Friendly Framework for Basic Statistical Tests. R package version 0.6.0.
Lambert, M. J., Lunnen, K., Umphress, V., Hansen, N. B., & Burlingame, G. M. (1996). Administration and scoring manual for the Outcome Questionnaire (OQ - 45.1) Salt Lake: IHC Center for Behavioral Health Care Efficacy.
Lambert, M. J., & Ogles, B. M. (2004). The efficacy and effectiveness of psychotherapy. In M. J. Lambert (Ed.), Bergin and Garfield’s handbook of psychotherapy and behavior change (5th ed.). New York: Wiley.
Mander, J., Jacob, G., Götz, L., Sammet, I., Zipfel, S., & Teufel, M. (2015). Associations between Grawe’s general mechanisms of change and Young’s early maladaptive schemas. Psychotherapy Research. 25(2) 249–262. https://doi.org/10.1080/10503307.2014.889330
Mander, J., Wittorf, A., Schlarb, A., Hautzinger, M., Zipfel, S., & Sammet, I. (2013). Change mechanisms in psychotherapy: Multiperspective assessment and relation to outcome. Psychotherapy Research, 23(1), 105–116. https://doi.org/10.1080/10503307.2012.744111
R Core Team (2017). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. https://www.R-project.org/.
Stangier, U., Von Consbruch, K., Schramm, E., & Heidenreich, T. (2010). Common factors of cognitive therapy and interpersonal psychotherapy in the treatment of social phobia. Anxiety, Stress, & Coping, 23(3), 289-301.
Salvo, J. D. (2020a). Activación de Recursos en Psicoterapia. ¿Cómo se ha estudiado y qué sabemos?: Una revisión sistemática. Rev. CES Psico, 13(3), 82-99. https://doi.org/10.21615/cesp.13.3.3
Salvo, J. D. (2020b). Actividad de los terapeutas enfocada en trabajar con los recursos de los pacientes en psicoterapia. Evidencia de su relación con resultados terapéuticos tempranos y caracterización de las intervenciones realizadas durante la primera sesión de terapias con y sin resultados terapéuticos [Tesis de Doctorado, Pontificia Universidad Católica de Chile]. Repositorio Institucional – Pontificia Universidad Católica de Chile
Salvo, J. D., Krause, M., Uribe, L., & Ramirez, I. (en revisión). Therapist activity focusing on patients’ resources and its relation with early therapeutic outcome in psychotherapy.
Salvo, J.D., Rojas, M.I., Krause, M., & Schönfeld, M. (2020). Una herramienta para la investigación en psicoterapia, uso clínico y entrenamiento de terapeutas: Adaptación al español, análisis de validez y confiabilidad de la escala Activación de Recursos del instrumento WIFA-K. Revista de Terapias Y Familias. 30(50), 48-61.
Sander, L., Zobel, I., Dykierek, P., & Schramm, E. (2013). Common Factors in the treatment of chronic depression. Comparison of 2 psychotherapy methods. Verhaltenstherapie, 22, 228–235. https://doi.org/10.1159/000345644
Stiles, W. B., Shapiro, D. A., & Firth-Cozens, J. A. (1990). Correlations of session evaluations with treatment outcome. British Journal of Psychology, 29, 13-21.
Strunk, D. R., Brotman, M. A., & DeRubeis, R. J. (2010). The process of change in cognitive therapy for depression: predictors of early inter-session symptom gains. Behaviour research and therapy, 48(7), 599–606. https://doi.org/10.1016/j.brat.2010.03.011
von Consbruch, K., Flückiger, C., Stangier, U., Beutel, M., Herpertz, S., Hoyer, J… Wiltink, J. (2013). WIFA-k: Ein neues Messinstrument zur zeitökonomischen Erfassung allgemeiner Wirkfaktoren nach Grawe. [WIFA-k: A new instrument for a time-efficient assessment of common factors in psychotherapy]. Psychotherapie, Psychosomatik, Medizinische Psychologie, 63, 286–289. https://doi.org/10.1055/s-0032-1331206
Von Bergen, A., & De La Parra G. (2002). OQ-45.2 Cuestionario para Evaluación de Resultados y Evolución en Psicoterapia: Adaptación, Validación e Indicaciones para su Aplicación e Interpretación. Revista de Terapia Psicológica 20, 161-76.
Wampold, B., & Imel, Z. E. (2015). The great psychotherapy debate: The evidence for what makes psychotherapy work (2nd ed.). New York, NY: Routledge.
Wickham, H. (2016). ggplot2: Elegant Graphics for Data Analysis. Springer International Publishing, New York.
Zilcha-Mano, S., Errázuriz, P., Yaffe-Herbst, L., German, R. E., & DeRubeis, R. J. (2019). Are there any robust predictors of “sudden gainers,” and how is sustained improvement in treatment outcome achieved following a gain? Journal of Consulting and Clinical Psychology, 87(6), 491–500. https://doi.org/10.1037/ccp0000401
Znoj, H.-J., Messerli-Burgy, N., Tschopp, S., Weber, R., Christen, L., Christen, S., & Grawe, K. (2010). Psychotherapeutic process of cognitive behavioral intervention in HIV-infected persons: Results from a controlled, randomized prospective clinical trial. Psychotherapy Research, 20(2), 203-213. https://doi.org/10.1080/10503300903246663
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