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依附为本家庭治疗与个体情绪聚焦治疗对未解决愤怒的疗效:治疗结果与改变过程的质性分析。

Attachment-based family therapy and individual emotion-focused therapy for unresolved anger: Qualitative analysis of treatment outcomes and change processes.

机构信息

Department of Psychology, Ben-Gurion University.

Baruch Ivcher School of Psychology, Interdisciplinary Center of Herzilya.

出版信息

Psychotherapy (Chic). 2017 Sep;54(3):281-291. doi: 10.1037/pst0000116.

DOI:10.1037/pst0000116
PMID:28922007
Abstract

Twenty-six clients who received 10 sessions of either attachment-based family therapy (ABFT) or individual emotion-focused therapy (EFT) for unresolved anger toward a parent were interviewed 6 months after completing treatment. Interviews were analyzed using the consensual qualitative research approach. Clients in both conditions reported improved relationships with parents, gaining a new perspective of their parent, increased compassion toward parent, less reactivity to anger, feeling cleaned-out, and acquiring new coping strategies. Whereas ABFT clients more often reported improved relationships with parents, EFT clients more often reported feeling cleaned-out. Clients in both groups attributed change to productive emotional processing. Also, clients in both groups attributed change to saying difficult things that had never been said before directly to parents, though more so in ABFT. Whereas ABFT clients noted the importance of their parents participating in treatment and mutual vulnerability, EFT clients noted the importance of remembering previously avoided memories and feelings, and getting their anger of their chest. While some EFT clients reported that therapy had a negative impact on their relationship with their parents and increased their anger, some ABFT clients reported that the positive impact of therapy during the active phase of treatment did not last, though there were no meaningful between-groups differences regarding these negative treatment outcomes and processes. Results are discussed in the context of previous quantitative findings from the same sample, and in the context of prior research on experiential and emotion-focused therapies. Implications for future research are noted. (PsycINFO Database Record

摘要

二十六名因对父母的愤怒未解决而接受十次依附型家庭治疗(ABFT)或个体情绪焦点治疗(EFT)的客户在完成治疗后 6 个月接受了访谈。使用共识定性研究方法对访谈进行了分析。两种条件下的客户都报告说与父母的关系得到了改善,对父母有了新的认识,对父母的同情心增加了,对愤怒的反应减少了,感觉焕然一新,并且获得了新的应对策略。ABFT 客户更常报告与父母的关系得到改善,EFT 客户更常报告感觉焕然一新。两组客户都将变化归因于富有成效的情感处理。此外,两组客户都将变化归因于直接向父母说出以前从未说过的困难事情,尽管在 ABFT 中更为常见。ABFT 客户注意到父母参与治疗和相互脆弱的重要性,而 EFT 客户则注意到记住以前回避的记忆和感受并消除内心的愤怒的重要性。虽然一些 EFT 客户报告说治疗对他们与父母的关系产生了负面影响并增加了他们的愤怒,但一些 ABFT 客户报告说治疗在积极阶段的积极影响没有持续,尽管在这些负面治疗结果和过程方面没有组间差异。结果在同一样本的先前定量研究结果的背景下以及在经验和情绪焦点治疗的先前研究背景下进行了讨论。注意到了对未来研究的影响。

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