CIPsi - Psychology Research Centre, School of Psychology, University of Minho, Campus de Gualtar Braga, Portugal.
Department of Mathematics and Applications, University of Minho, Campus de Gualtar, Braga, Portugal.
Omega (Westport). 2023 Dec;88(2):732-748. doi: 10.1177/00302228211051527. Epub 2021 Dec 6.
In psychotherapy, ambivalence may be conceptualized as a conflict between two distinct motivations: one that is favorable to change (pro-change) and another that favors the maintenance of a problematic pattern (pro status quo). Previous studies identified two processes by which clients resolve this conflict: imposing the innovative part and silencing the problematic one (dominance), and establishing negotiations between the innovative and the pro status quo parts (negotiation). The present exploratory study examined ambivalence resolution in a sample of clients diagnosed with complicated grief. Results revealed that, in recovered cases, negotiation increases and dominance decreases from the beginning until the middle sessions of therapy and the opposite tendency is observed from the middle to the final sessions. Unchanged cases reveal an overall high proportion of dominance and an overall low proportion of negotiation. These results are partially divergent from those reported in previous studies with samples of clients diagnosed with major depression.
在心理治疗中，矛盾心理可以被概念化为两种截然不同的动机之间的冲突：一种有利于改变（赞成改变），另一种则有利于维持有问题的模式（赞成现状）。先前的研究确定了客户解决这种冲突的两个过程：强加创新部分和抑制有问题的部分（支配），以及在创新部分和赞成现状部分之间建立谈判（谈判）。本探索性研究在一组被诊断为复杂悲伤的客户样本中检查了矛盾心理的解决情况。结果表明，在恢复的情况下，从治疗开始到中期，谈判增加，支配减少，而从中期到后期则观察到相反的趋势。未改变的情况显示出总体上较高的支配比例和总体上较低的谈判比例。这些结果与之前对被诊断为重度抑郁症的客户样本进行的研究报告的结果略有不同。
