School of Psychology, University of Minho, Braga, Portugal.
Psychother Res. 2010 Nov;20(6):692-701. doi: 10.1080/10503307.2010.514960.
The aim of this study was to advance understanding of how clients construct their own process of change in effective therapy sessions. Toward this end, the authors applied a narrative methodological tool for the study of the change process in emotion-focused therapy (EFT), replicating a previous study done with narrative therapy (NT). The Innovative Moments Coding System (IMCS) was applied to three good-outcome and three poor-outcome cases in EFT for depression to track the innovative moments (IMs), or exceptions to the problematic self-narrative, in the therapeutic conversation. IMCS allows tracking of five types of IMs events: action, reflection, protest, reconceptualization, and performing change. The analysis revealed significant differences between the good-outcome and poor-outcome groups regarding reconceptualization and performing change IMs, replicating the findings from a previous study. Reconceptualization and performing change IMs seem to be vital in the change process.
本研究旨在深入了解客户如何在有效的治疗会议中构建自己的改变过程。为此，作者应用了一种叙事方法工具来研究情绪聚焦疗法（EFT）中的改变过程，复制了之前在叙事疗法（NT）中进行的一项研究。创新时刻编码系统（IMCS）应用于 EFT 治疗抑郁症的三个预后良好和三个预后不良的案例中，以追踪治疗对话中创新时刻（IM）或问题自我叙事的例外情况。IMCS 可以跟踪五种类型的 IM 事件：行动、反思、抗议、重新概念化和实施改变。分析结果显示，预后良好和预后不良组在重新概念化和实施改变 IM 方面存在显著差异，复制了之前研究的结果。重新概念化和实施改变 IM 似乎在改变过程中至关重要。
