Comparing the process in psychodynamic and cognitive-behavioral therapies.

Abstract

Archival records were used to compare the therapy process in 30 brief psychodynamic and 32 cognitive-behavioral therapies. Verbatim transcripts of 186 treatment sessions were rated with the Psychotherapy Process Q-set, designed to provide a standard language for the description of process. Results demonstrated that although some features were common to both treatments, there were important differences. Cognitive-behavioral therapy promoted control of negative affect through the use of intellect and rationality combined with vigorous encouragement, support, and reassurance from therapists. In psychodynamic psychotherapies, there was an emphasis on the evocation of affect, on bringing troublesome feelings into awareness, and on integrating current difficulties with previous life experience, using the therapist-patient relationship as a change agent. The clinical theoretical precepts underlying psychodynamic treatments received considerable support. In cognitive-behavioral therapies, there was evidence for the importance of developmental, as opposed to rationalist, intervention strategies for treatment outcome.

Interaction Structures in the Psychodynamic Psychotherapy of a Girl Diagnosed with Adjustment Disorder

“…Following in the footsteps of Jones (2000), several authors addressed the topic of the therapeutic process and ISs in adult patients with a wide range of conditions (Ablon & Jones, 2005;Coombs, Coleman, & Jones, 2002;Goodman, Edwards, & Chung, 2014;Jones, 2000;Jones & Pulos, 1993). In this direction, faced with a growing need for more in-depth studies into child psychotherapy, Schneider and Jones (2004) used the PQS to develop the Child Psychotherapy Q-set (CPQ), an equivalent instrument which allows description of the therapeutic process in children (Schneider, 2004;Schneider & Jones, 2004.…”

Using psychodynamic, cognitive behavioral, and control mastery prototypes to predict change: A new look at an old paradigm for long-term single-case research.

“…Jones (1998, 2002) showed that adherence to theory-specific models of ideal therapy process in unmanualized or manualized therapies can be assessed using prototype methodology. Archived brief psychodynamic (PDT), CBT, and IPT therapies were assessed using a pantheoretical and multidimensional psychotherapy process measure (The Psychotherapy Process Q-set [PQS]; Ablon & Jones, 1999;Jones, Parke, & Pulos, 1992;Jones & Pulos, 1993). Experts on each type of therapy independently used the PQS to rate a hypothetical "ideal psychotherapy session" according to their therapy orientation.…”

Elaboração da versão em português do Psychotherapy Process Q-Set

“…Foi baseado nesses estudos que Jones 13,35 formulou o construto "estruturas de interação" (aspectos manifestos, comportamentais e emocionais da transferência e contratransferência) e desenvolveu uma teoria de ação terapêutica (da psicanálise e psicoterapia psicanalítica) que conjuga os efeitos do insight e do relacionamento paciente/ terapeuta sobre os resultados do tratamento. Além dos estudos causais, o PQS tem sido utilizado para comparar o processo terapêutico de diferentes psicoterapias 34,36,37 , identificar os fatores do processo que melhor predizem os resultados terapêuticos 30,38 , investigar diferenças entre fases de tratamento 39,40 , examinar o processo de formulação das hipóteses clínicas dos psicoterapeutas 41 , determinar protótipos de diferentes tratamentos psicanalíticos e psicoterápicos 42,43 , entre outras aplicações descritas na literatura.…”