Communication in Cognitive Behavioral Therapy

Rimondini,

doi:10.1007/978-1-4419-6807-4

Cited by 6 publications

(4 citation statements)

References 393 publications

(517 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As a result, they may be truthful to their therapist and able to invest into session progress. However, because attention and concentration are compromised during intense emotional reaction, therapists should stop any information-giving process whenever patients show an overwhelmed emotional reaction (Rimondini, 2011). Furthermore, Imel and colleagues (2014) investigated empathy and f 0 synchrony—another form of coregulation—in therapeutic dyads.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, therapists might switch to the meta level when noticing a lack of emotional involvement of patients. This involves stepping out of a treatment manual, using open questioning and patient-centered communication skills in order to obtain information on possible complaints (Rimondini, 2011). Therapists might be explicitly trained on assessing nonverbal signals of their patients and on the use of nonverbal coregulation strategies using exercises and video or audio feedback (Flückiger & Znoj, 2009).…”

Section: Discussionmentioning

confidence: 99%

“…Contrary to the patient partner effect, the therapist partner effect was not significant, indicating that therapists were not led emotionally by their patients, but rather regulated their emotional arousal independently from them. This might display a healthy therapeutic relationship: Therapists provide professional service and show a certain amount of distance while patients trust the therapist and comply with being led by her or him as the significant patient partner effect shows (e.g., Margraf & Brengelmann, 1992; Rimondini, 2011). Of course, our results do not rule out that therapists in certain situations might also be led emotionally by their patients.…”

Section: Discussionmentioning

confidence: 99%

“…This way, both patients and therapists might return to their equilibrium state. Moreover, therapists may interrogate the high arousal’s origin in order to make patients feel accepted in their feelings, which also supports downregulation (Rimondini, 2011).…”

Section: Therapists As Coregulatorsmentioning

confidence: 99%

See 3 more Smart Citations

Investigating coregulation of emotional arousal during exposure-based CBT using vocal encoding and actor–partner interdependence models.

Wieder¹,

Wiltshire

2020

Journal of Counseling Psychology

View full text Add to dashboard Cite

High patient emotional arousal during rationale development for in vivo exposure in CBT for panic disorder with agoraphobia might endanger comprehension of the exposure rationale. Since therapists are supposed to coregulate patients’ emotions, this study investigated whether there was evidence of coregulation of vocally encoded emotional arousal, assessed by fundamental frequency (f0), during rationale development. Furthermore, the association of patient f0 stability and therapist coregulation with patients’ perceived rationale plausibility was analyzed. N = 197 therapy videos—used to deduct f0—from a multicenter randomized controlled trial evaluating therapist-guided exposure on CBT outcome were analyzed post hoc. Plausibility of the exposure rationale was assessed by patients after its development. This trial-specific rating aggregates plausibility ratings for every manual component in the development of the exposure rationale and showed good internal consistency (Cronbach’s alpha = .85). Stability in f0 and its coregulation were calculated using cross-lagged Actor–Partner Interdependence Models (APIMs), and APIM dyad estimates were associated with plausibility using linear regression analyses. Analyses indicated a relative stability in emotional arousal within both patients and therapists. Therapists’ f0 had a significant effect on patients in that with therapist covariation, patients’ f0 departed from their equilibrium level, while patients’ f0 had no effect on therapists. Therapists’ f0 covariation was positively associated with rationale plausibility. This study sheds light on interpersonal regulation mechanisms of patients’ and therapists’ emotional arousal during development of the exposure rationale. It suggests that coregulation of patients’ emotional arousal supports patients’ perceived rationale plausibility.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Therapists As Coregulatorsmentioning

confidence: 99%

See 2 more Smart Citations

Investigating coregulation of emotional arousal during exposure-based CBT using vocal encoding and actor–partner interdependence models.

Wieder¹,

Wiltshire

2020

Journal of Counseling Psychology

View full text Add to dashboard Cite

show abstract

Verbal Communication and Effective Communication: Communication in the Psychotherapeutic Setting

Carlo¹,

Bonadies²,

Roncella

2016

Psychotherapy for Ischemic Heart Disease

View full text Add to dashboard Cite

Physician Communication Regarding Prostate Cancer Screening: Analysis of Unannounced Standardized Patient Visits

Feng

Srinivasan

Hoffman

et al. 2013

The Annals of Family Medicine

View full text Add to dashboard Cite

PURPOSE Prostate cancer screening with prostate-specific antigen (PSA) is a controversial issue. The present study aimed to explore physician behaviors during an unannounced standardized patient encounter that was part of a randomized controlled trial to educate physicians using a prostate cancer screening, interactive, Web-based module.METHODS Participants included 118 internal medicine and family medicine physicians from 5 health systems in California, in 2007California, in -2008. Control physicians received usual education about prostate cancer screening (brochures from the Center for Disease Control and Prevention). Intervention physicians participated in the prostate cancer screening module. Within 3 months, all physicians saw unannounced standardized patients who prompted prostate cancer screening discussions in clinic. The encounter was audio-recorded, and the recordings were transcribed. Authors analyzed physician behaviors around screening: (1) engagement after prompting, (2) degree of shared decision making, and (3) final recommendations for prostate cancer screening. RESULTSAfter prompting, 90% of physicians discussed prostate cancer screening. In comparison with control physicians, intervention physicians showed somewhat more shared decision making behaviors (intervention 14 items vs control 11 items, P <.05), were more likely to mention no screening as an option (intervention 63% vs control 26%, P <.05), to encourage patients to consider different screening options (intervention 62% vs control 39%, P <.05) and seeking input from others (intervention 25% vs control 7%, P <.05).CONCLUSIONS A brief Web-based interactive educational intervention can improve shared decision making, neutrality in recommendation, and reduce PSA test ordering. Engaging patients in discussion of the uses and limitations of tests with uncertain value can decrease utilization of the tests.

show abstract

Communication in Cognitive Behavioral Therapy

Cited by 6 publications

References 393 publications

Investigating coregulation of emotional arousal during exposure-based CBT using vocal encoding and actor–partner interdependence models.

Investigating coregulation of emotional arousal during exposure-based CBT using vocal encoding and actor–partner interdependence models.

Verbal Communication and Effective Communication: Communication in the Psychotherapeutic Setting

Physician Communication Regarding Prostate Cancer Screening: Analysis of Unannounced Standardized Patient Visits

Contact Info

Product

Resources

About