a Psychology , University of Minho , Braga , Portugal.
Psychother Res. 2014;24(6):702-10. doi: 10.1080/10503307.2013.879620. Epub 2014 Feb 20.
Ambivalence can be understood as a cyclical movement between an emerging narrative novelty-an Innovative Moment (IM)-and a return to a problematically dominant self-narrative. The return implies that the IM, with its potential for change is devalued right after its emergence. Our goal is to test the hypothesis that the probability of the client expressing such form of ambivalence decreases across treatment in good-outcome cases but not in poor-outcome cases.
Return-to-the-Problem Markers (RPMs) signaling moments of devaluation of IMs were coded in passages containing IMs in six clients with major depression treated with emotion-focused therapy: three good-outcome cases and three poor-outcome cases.
The percentage of IMs with RPMs decreased across therapy in good-outcome cases, whereas it remained unchanged and high in the poor-outcome cases.
These results were consistent with the theoretical suggestion that therapeutic failure may be associated with this form of ambivalence.
矛盾心理可以被理解为一种在新兴叙事新颖性（创新时刻）和回归到有问题的主导自我叙事之间的循环运动。这种回归意味着，创新时刻及其潜在的变化在出现后立即被贬低。我们的目标是检验这样一个假设，即在治疗过程中，表达这种矛盾心理的可能性在治疗效果好的情况下会降低，但在治疗效果差的情况下不会降低。
在接受情绪聚焦治疗的六名重度抑郁症患者的包含创新时刻的段落中，对表示创新时刻贬值的回归问题标记（RPM）进行了编码：三个治疗效果好的案例和三个治疗效果差的案例。
在治疗效果好的情况下，具有 RPM 的创新时刻的百分比在治疗过程中逐渐减少，而在治疗效果差的情况下，其百分比保持不变且较高。
这些结果与理论建议一致，即治疗失败可能与这种形式的矛盾心理有关。
