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Contents
- Abstract
- STUDY 1: DISCOVERY-ORIENTED PHASE
- Method
- Participants
- Procedure
- Step 1: Rational Model
- Specifying the task
- Specifying the task environment
- Steps 2 and 3: Empirical and Synthesized Models
- Results
- Affective-Meaning States in Processing Distress
- Global Distress
- Fear/Shame
- Dialectical Construction 1: “I Am Lovable/Worthy”
- Rejecting Anger
- Assertive Anger
- Self-Soothing
- Grief/Hurt
- Dialectical Construction 2: “I Will Survive and Can Cope”
- Successful Emotional Processing
- STUDY 2: VALIDATION PHASE
- Hypotheses About the Structure of the Model
- Advanced Processing Hypothesis (Hypothesis 1)
- Sequential Processing Hypothesis (Hypothesis 2)
- Method
- Participants
- Sample
- Sample Demographics
- Therapists and Final Treatment Outcome
- Process Measure
- Measure for Within-Session Event Effects
- Client Experiencing Scale
- Expert clinical judges
- Procedure
- Event Selection
- Emotion Process Ratings
- Identifying the Effects of In-Session Events
- Analyses
- Advanced processing hypothesis (Hypothesis 1)
- Sequential processing hypothesis (Hypothesis 2)
- Results
- Reliability
- Reliability of CAMS Process Measure
- Reliability of Experiencing Scale Ratings (Measure of Within-Session Effects)
- Description of Groups: Good Versus Poor In-Session Effects
- Advanced Processing Hypothesis (Hypothesis 1) Findings
- Sequential Processing Hypothesis (Hypothesis 2) Findings
- DISCUSSION
- Not All Emotions Are Created Equal
- Emotional Experience as a Mechanism of Change
- Sequences of Productive Emotion
- Productive Emotion or Unproductive Emotion?
- A Guide for Therapists
- Limitations
Figures and Tables
Abstract
The purpose of this study was to examine observable moment-by-moment steps in emotional processing as they occurred within productive sessions of experiential therapy. Global distress was identified as an unprocessed emotion with high arousal and low meaningfulness. The investigation consisted of 2 studies as part of a task analysis that examined clients processing distress in live video-recorded therapy sessions. Clients in both studies were adults in experiential therapy for depression and ongoing interpersonal problems. Study 1 was the discovery-oriented phase of task analysis, which intensively examined 6 examples of global distress. The qualitative findings produced a model showing: global distress, fear, shame, and aggressive anger as undifferentiated and insufficiently processed emotions; the articulation of needs and negative self-evaluations as a pivotal step in change; and assertive anger, self-soothing, hurt, and grief as states of advanced processing. Study 2 tested the model using a sample of 34 clients in global distress. A multivariate analysis of variance showed that the model of emotional processing predicted positive in-session effects, and bootstrapping analyses...





