a School of Psychology , Trinity College Dublin , Dublin , Ireland.
Psychother Res. 2019 May;29(4):524-540. doi: 10.1080/10503307.2017.1373206. Epub 2017 Sep 11.
The classification of generalized anxiety disorder (GAD) is influenced by the tradition of conceptualizing disorders in the context of their clinical presentation and subsequent professional thinking around them. Our qualitative, descriptive-interpretative study uses a theoretical framework drawn from emotion-focused therapy (EFT) as the basis of our interpretation of GAD clients' presentation of their difficulties.
The current research consists of an investigation into the GAD presentation based on a multiple case study observational qualitative design. In total, 93 video/audio-taped sessions from 14 clients were used for the analyses. The sessions were analyzed using an EFT case conceptualization framework.
The findings capture common themes across the cases covering the EFT framework domains: triggers of emotional pain (e.g., trauma, rejection), problematic self-treatment (e.g., worry, self-criticism, self-interruption), global distress (e.g., anxiety, low mood, somatic symptoms), apprehension/anxiety (fear of triggers and chronic painful emotions), emotional avoidance (e.g., self-distraction), behavioral avoidance (e.g., avoidance of conflict, over-compliance), core painful feelings (e.g., sadness/loneliness, shame, fear), and unmet needs (e.g., to be loved, to be acknowledged, to be protected).
Discussion focuses on examining findings in the context of existing psychological models of GAD. The implications for practice as well as limitations of the study are also discussed. Clinical or methodological significance of this article: This is an attempt to provide an in-depth case conceptualization based on the EFT theoretical framework of the clients with GAD that attended EFT. Thus, it should contribute to clinical understanding of the presentation of the clients with GAD. Methodologically, the study uses an original qualitative approach, in which in-session presentations of 14 clients are thoroughly tracked and analyzed within an existing theoretical framework, the domains of which serve as the domains of inquiry.
广泛性焦虑障碍（GAD）的分类受到在其临床表现背景下概念化障碍的传统以及随后围绕这些障碍的专业思维的影响。我们的定性、描述性-解释性研究使用情绪聚焦疗法（EFT）的理论框架作为我们对 GAD 患者表现出困难的解释基础。
目前的研究基于多个案例研究观察性定性设计，对 GAD 的表现进行调查。总共使用了 14 名患者的 93 个视频/音频记录会话进行分析。使用 EFT 案例概念化框架对会话进行分析。
这些发现捕捉了涵盖 EFT 框架领域的常见案例主题：情绪痛苦的触发因素（例如，创伤、拒绝）、有问题的自我治疗（例如，担忧、自我批评、自我中断）、普遍痛苦（例如，焦虑、情绪低落、躯体症状）、焦虑/恐惧（对触发因素和慢性痛苦情绪的恐惧）、情绪回避（例如，自我分散注意力）、行为回避（例如，避免冲突、过度顺从）、核心痛苦感受（例如，悲伤/孤独、羞耻、恐惧）和未满足的需求（例如，被爱、被认可、被保护）。
讨论集中在根据现有的 GAD 心理模型检查研究结果。还讨论了实践的影响以及研究的局限性。本文的临床或方法学意义：这是尝试根据接受 EFT 的 GAD 患者的 EFT 理论框架提供深入的案例概念化，因此应该有助于临床理解 GAD 患者的表现。从方法学上讲，该研究使用了一种原始的定性方法，其中 14 名患者的会议表现都经过了深入的跟踪和分析，并在现有的理论框架内进行了分析，该框架的各个领域作为研究领域。
