Department of Clinical Psychology and Psychotherapy, University of Bern, Bern, Switzerland.
Psychother Res. 2020 Jun;30(5):622-634. doi: 10.1080/10503307.2019.1676932. Epub 2019 Oct 11.
A methodological obstacle for the assessment of psychotherapy process concerns the compatibility between nomothetic versus idiographic approaches. Using quantitative methodology at an idiographic level, we seek to narrow this gap for the special case of nonverbal synchrony in psychotherapy dyads. Using quantitative idiographic process analysis (QUIPA), we combined the assessments of nonverbal synchrony-the coordination of patient's and therapist's body-movement-quantified with motion energy analysis (MEA), patient- and therapist session-reports, and patient's self-reports of symptomatology into multivariate time-series of psychotherapy process across the course of = 12 dyadic psychotherapies with a total of = 150 sessions. Adopting both mixed models as well as vector auto regressive models (VAR) to time-series, we aimed to extend previous results assessed in a randomized sample by exploring the evolution of nonverbal synchrony in psychotherapy dyads across time. Aggregated idiographic data revealed that nonverbal synchrony was different from findings based on a previously reported nomothetic account: Associations with session-level outcome were weaker and did not replicate cross-sectional analyses. The application of idiographic assessments may help broadening our conception of synchrony in psychotherapy and also reminds us that ergodicity is not necessarily the usual case, but one of many possibilities.
评估心理治疗过程的方法学障碍涉及到规律论方法和个体论方法之间的兼容性。在个体论层面使用定量方法,我们试图缩小这种差距,特别是针对心理治疗对偶中非言语同步的特殊情况。使用定量个体论过程分析(QUIPA),我们将非言语同步的评估(患者和治疗师身体运动的协调,通过运动能量分析(MEA)进行量化)、患者和治疗师的会议报告以及患者的症状自我报告结合起来,形成了 12 对心理治疗过程的多元时间序列,共有 150 个疗程。我们采用混合模型和向量自回归模型(VAR)来对时间序列进行分析,旨在通过探索心理治疗对偶中非言语同步的时间演变,扩展以前在随机样本中评估的结果。综合个体论数据表明,非言语同步与基于先前报告的规律论解释的发现不同:与会议层面结果的关联较弱,并且无法复制横断面分析。个体论评估的应用可能有助于拓宽我们对心理治疗中同步的概念理解,也提醒我们遍历性不一定是常见情况,而是多种可能性之一。