The role of pre-treatment interpersonal problems for in-session emotional processing and long-term outcome in emotion-focused psychotherapy

Heinonen, Erkki; Pos, Alberta E.

doi:10.1080/10503307.2019.1630778

Cited by 6 publications

(3 citation statements)

References 68 publications

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“…adapt technical interventions and treatments based on patients' interpersonal markers (Constantino, Boswell, Bernecker, & Castonguay, 2013;Gómez Penedo, Constantino, Coyne, Westra, & Antony, 2017;Heinonen & Pos, 2019). Furthermore, this study also provides evidence of significant between-and within-patient effects of alliance on outcome when controlling for interpersonal problem dimensions (hypothesis #3).…”

Section: Discussionmentioning

confidence: 54%

“…The results suggest that therapists would benefit from measuring patients’ interpersonal problems at baseline and paying particular attention to the therapeutic alliance in those patients who present low levels of agency. This knowledge could be incorporated into clinical trainings, providing trainees with an “if, then” approach to adapt technical interventions and treatments based on patients’ interpersonal markers (Constantino, Boswell, Bernecker, & Castonguay, 2013; Gómez Penedo, Constantino, Coyne, Westra, & Antony, 2017; Heinonen & Pos, 2019).…”

Section: Discussionmentioning

confidence: 99%

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Interpersonal agency as predictor of the within-patient alliance effects on depression severity.

Babl¹,

Krieger²,

Heinonen³

et al. 2020

Journal of Consulting and Clinical Psychology

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Aim. Several studies have reported significant within-patient effects of the therapeutic alliance on outcome. However, it remains uncertain whether there are specific patient groups for whom an improved alliance might be particularly beneficial. The relational nature of the alliance makes patients' interpersonal problems a promising candidate for examining such differential effects. This study aims to analyze (i) between-and within-patient effects of the alliance on depression severity, (ii) the effects of patients' baseline interpersonal problems on the within-patient alliance-outcome association, and (iii) whether within-patient effects of the alliance remain significant when adjusting for patients' initial interpersonal problems. Methods. A sample of 141 patients with depression and undergoing outpatient psychotherapy completed the Inventory of Interpersonal Problems at baseline as well as a brief version of the Working Alliance Inventory and the Well-Being Index (as a proxy of depression severity) session-by-session. Results. Multilevel models revealed both significant between-and withinpatient effects of the alliance on improvements in depression severity. Patients' problems relating to agency had a significant effect on the within-patient effect of alliance, with more submissive patients benefiting more from an improved therapeutic alliance. Finally, the between-and within-patient effects of the alliance remained significant when adjusting for the patients' agentic interpersonal problems and treatment condition. Conclusions. The results provide evidence on which types of patients would particularly benefit from an improved therapeutic alliance. For patients suffering from low interpersonal agency and reporting problems with submissiveness, an enhanced alliance during the therapy process might improve treatment outcome.

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Section: Discussionmentioning

confidence: 54%

Section: Discussionmentioning

confidence: 99%

Interpersonal agency as predictor of the within-patient alliance effects on depression severity.

Babl¹,

Krieger²,

Heinonen³

et al. 2020

Journal of Consulting and Clinical Psychology

Self Cite

View full text Add to dashboard Cite

show abstract

“…While one quantitative study (Heinonen & Pos, 2020) reported that a composite fear/ shame affect was the most prevalent in-session emotion in EFT for major depression, clinicians in two qualitative studies accordingly discussed shame as an important and delicate emotion in the psychotherapeutic treatment of bipolar alcohol users (Berry et al, 2020) and depressed elderlies (Cloosterman et al, 2013). Finally, qualitative studies also suggested that expressions of fear/shame represent one typical step toward the elaboration of undifferentiated global distress (Pascual-Leone & Greenberg, 2007) and that shame may result from patients' needs for contact and intimacy with the therapist (Arthern & Madill, 2002).…”

Section: Studiesmentioning

confidence: 99%

When psychotherapy runs into shame: A scoping review of empirical findings.

Di Sarno,

Fanti,

Perry

et al. 2024

Journal of Psychotherapy Integration

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Patient personality and psychotherapist reactions in individual psychotherapy setting: a systematic review

Stefana

Bulgari

Youngstrom

et al. 2020

Clin Psychology and Psychoth

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Despite the importance of psychotherapists' subjective experiencse working with patients with mental issues, little is known about the relationship between therapists' emotional reactions and patients' personality problems. The present study is a systematic review of quantitative research on the association between patients' personality pathology and psychotherapists' emotional, cognitive and behavioural reactions in individual psychotherapy setting. A systematic database search (from January 1980 to August 2019) supplemented by manual searches of references and citations identified seven relevant studies. Significant and consistent relationships were found between therapist reactions and specific personality traits or disorders. In general, odd and eccentric patients tend to evoke feelings of distance and disconnection;

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The role of pre-treatment interpersonal problems for in-session emotional processing and long-term outcome in emotion-focused psychotherapy

Cited by 6 publications

References 68 publications

Interpersonal agency as predictor of the within-patient alliance effects on depression severity.

Interpersonal agency as predictor of the within-patient alliance effects on depression severity.

When psychotherapy runs into shame: A scoping review of empirical findings.

Patient personality and psychotherapist reactions in individual psychotherapy setting: a systematic review

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