Working with emotion in psychodynamic, cognitive behavior, and emotion-focused psychotherapy.

Greenberg, Leslie S.; Malberg, Norka; Tompkins, Michael A.

doi:10.1037/0000130-000

Cited by 11 publications

(11 citation statements)

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“…PGs from Pathway 2 would probably benefit from a combination of cognitive interventions (such as in Pathway 1) and interventions targeting the improvement of emotion regulation and/or emotional acceptance (e.g. Barlow et al., 2017 ; Elliott, Watson, Goldman, & Greenberg, 2004 ; Greenberg, Malberg, & Tompkins, 2019 ). Finally, PGs from Pathway 3 might benefit from the interventions proposed for the other two pathways augmented with interventions directly targeting impulsive behaviours and lack of premeditation.…”

Section: Discussionmentioning

confidence: 99%

An empirical investigation of the Pathways Model of problem gambling through the conjoint use of self-reports and behavioural tasks

Bonnaire

Devos

Barrault

et al. 2022

JBA

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Background and aims Blaszczynski and Nower (2002) conceptualized their Pathways Model by postulating the existence of three subtypes of problem gamblers who share common characteristics, but also present specific ones. Methods This study investigated how the psychological mechanisms postulated in the Pathways Model predict clinical status in a sample that combined treatment-seeking gamblers (n = 59) and non-problematic community gamblers (n = 107). To test the Pathways Model, we computed a hierarchic logistic regression in which variables associated with each postulated pathway were entered sequentially to predict the status of the treatment-seeking gambler. Self-report questionnaires measured gambling-related cognitions, alexithymia, emotional reactivity, emotion regulation strategies and impulsivity. Behavioural tasks measured gambling persistence (slot machine task), decision-making under uncertainty (Iowa Gambling Task) and decision-making under risk (Game of Dice Task). Results We showed that specific factors theorized as underlying mechanisms for each pathway predicted the status of clinical gambler. For each pathway, significant predictors included gambling-related cognitive distortions and behaviourally measured gambling persistence (behaviourally conditioned pathway), emotional reactivity and emotion regulation strategies (emotionally vulnerable pathway), and lack of premeditation impulsivity facet (impulsivist-antisocial pathway). Discussion and conclusions Our study adds to the body of literature confirming the validity of the Pathways Model and hold important implications in terms of assessment and treatment of problem gambling. In particular, a standardized assessment based on the Pathways Model should promote individualized treatment strategies to allow clinicians to take into account the high heterogeneity that characterizes gambling disorder.

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Section: Discussionmentioning

confidence: 99%

An empirical investigation of the Pathways Model of problem gambling through the conjoint use of self-reports and behavioural tasks

Bonnaire

Devos

Barrault

et al. 2022

JBA

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“…Once the recognition and symbolization of emotions is put into words, the therapist helps the youth reflect on his emotional experience in order for him to be able to make narrative sense of his experience and promote its assimilation into his ongoing self-narrative (Greenberg, 2019). Reflection "creates new meaning and new narratives to explain experience" (Greenberg, 2019, p. 128).…”

Section: Tmentioning

confidence: 99%

Searching for change mechanisms in emotion-focused work with adolescents and parents: An example from multidimensional family therapy.

Bonnaire

Liddle

Har³

et al. 2020

Couple and Family Psychology: Research and Practice

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Disconnection and disengagement are frequent characteristics of interactions between parents and adolescents who present with substance use disorders. Excessive blame, defensiveness, and recrimination characterize day-to-day interactions within these families. Developmental psychopathology research reveals both short-and long-term effects of negative emotional patterns between parents and adolescents on the young person's development, as well as on the parents' functioning and their parenting practices in particular. Persistent expression and experience of negative emotions are also associated with poor treatment outcome, as they act as barriers to treatment engagement and change. This article demonstrates how research-based knowledge can guide therapeutic strategy and how emotions can be transformed in an empirically supported, family-based treatment: multidimensional family therapy. Transcripts with commentary from an adolescent, a parent, and from family therapy sessions illustrate emotion-related interactional transactions and interventions.

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“…In response to and in parallel to our model, a variety of approaches to psychotherapy developed or were adapted for survivors of complex childhood trauma and their correspondingly complex traumatic stress symptoms. Some of these had strong evidence bases (Briere & Lanktree, 2011;Frewen & Lanius, 2008;Paivio & Angus, 2020;Paivio & Pascual-Leone, 2010); and others were based on research findings and extensive clinical experience (Barrett & Fish, 2014;Briere, 1989;Chu, 2011;Greenberg, 2019;Hopper, et al, 2018). These provided us with the opportunity to compare approaches to determine clinical agreement, which we included in our revised text.…”

mentioning

confidence: 99%

Sequenced Relationship-Based Psychotherapy for Complex Posttraumatic Stress Disorder: Commentary on the Application of the Model to the Hybrid Case of "Chloe"

Courtois¹,

Ford

2022

PCSP

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In this commentary, as authors of the Sequenced, Relationship Based Treatment Model—developed for complex posttraumatic stress disorders—we respond to its detailed application to the hybrid case of "Chloe," reported by Chloe’s therapist, Dr. Phoebe Shepherd (2022). Shepherd reviewed different treatment approaches before choosing our model, due to its sequenced and hierarchical approach, comprehensive description in the literature of its application in a primary text by the model’s authors, and flexibility of utility and choice of technique. The latter are based on the judgment and training of the therapist and on the client’s unique situation and needs, as well as preference. As in the model, Chloe’s treatment takes place in a sequenced and chronological form over a two-year period while Shepherd worked at a psychological training clinic. Shepherd received ongoing expert supervision while conducting this treatment. She not only described the model and the techniques she selected, but also how they were applied and adapted to the client’s status over the course of the treatment. She also described her own process over the course of the treatment, as she addressed its challenges and its starts and stops as she experienced the client. Appropriately, Shepherd began the treatment with assessment, which was repeated several times over its course to document progress and change. As discussed in descriptions of the model, although it is linear on paper, the actual progression of treatment is instead flexible and recursive, returning as needed to the tasks of the early phase of treatment (i.e., emotional regulation skills and personal stabilization). In this commentary, we support Shepherd’s primary interventions and their rationale while also offering cautions and re-direction for some of them. All told, the case description offers endorsement of the sequenced, relationship-based treatment model, and how it guides the therapist in working with the multi-problem and challenging population of Complex PTSD as represented by the hybrid case of Chloe. Chloe’s history encompassed adverse and potentially traumatizing experiences in childhood, including: father’s alcoholism; mother’s emotional instability and unavailability and ongoing threats of suicide; parental divorce at age 10 with custody awarded to Chloe’s mother; paternal abandonment post-divorce; and suggestions by grandparents that Chloe was responsible for her mother’s problems and their lack of appropriate intervention on her behalf. These adverse experiences resulted in Chloe’s mistrust of and detachment from others and emotional fragility, including a tendency towards isolation and depression. Her major trauma occurred a year prior to the treatment when she interrupted her mother’s attempt to shoot herself in the head to commit suicide, the effects of which ultimately led Chloe to seek counseling. The treatment was directed not only at the effects and symptoms of the recent trauma (using trauma-focused, evidence-based techniques), but also more broadly at Chloe’s prior traumatic exposures and her developmental and skills deficits. The case description also demonstrates the impact of the therapeutic relationship as the context and as a healing factor in the treatment.

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Working with emotion in psychodynamic, cognitive behavior, and emotion-focused psychotherapy.

Cited by 11 publications

References 0 publications

An empirical investigation of the Pathways Model of problem gambling through the conjoint use of self-reports and behavioural tasks

An empirical investigation of the Pathways Model of problem gambling through the conjoint use of self-reports and behavioural tasks

Searching for change mechanisms in emotion-focused work with adolescents and parents: An example from multidimensional family therapy.

Sequenced Relationship-Based Psychotherapy for Complex Posttraumatic Stress Disorder: Commentary on the Application of the Model to the Hybrid Case of "Chloe"

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