CIPsi - Psychology Research Centre, School of Psychology, University of Minho, Braga, Portugal.
Department of Mathematics and Applications, University of Minho, Braga, Portugal.
Psychother Res. 2022 Nov;32(8):1034-1046. doi: 10.1080/10503307.2022.2062267. Epub 2022 Apr 11.
Patient ambivalence towards change is a central therapeutic target in the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP). However, we do not know if and how patients resolve ambivalence across the sessions and modules of the UP. Previous studies have identified two types of ambivalence resolution-dominance and negotiation-and different patterns of resolution for recovered and unchanged cases. : This exploratory single case study aimed to describe the frequency of observed ambivalence resolution strategies across UP sessions and evaluate the impact of distinct ambivalence resolution strategies on ambivalence. : Sixteen sessions of a recovered case were coded with observational measures of ambivalence and ambivalence resolution. : Observed ambivalence significantly decreased; dominance remained highly frequent across sessions, and negotiation increased from the beginning to the middle phase of treatment but not from the middle to the final phase. Negotiation was significantly associated with ambivalence reduction. : The progression of ambivalence resolution strategies differed from previous studies with distinct therapeutic approaches; promoting negotiation between the different parts of the client's inner conflict across the whole therapy may be valuable in dealing with patient ambivalence in UP treatment.
患者对改变的矛盾态度是情绪障碍综合诊断治疗方案（UP）的一个核心治疗目标。然而，我们不知道患者是否以及如何在 UP 的各个疗程和模块中解决矛盾心理。先前的研究已经确定了两种矛盾心理解决方式——主导和协商，以及对恢复和未改变病例的不同解决方式。本探索性单病例研究旨在描述 UP 疗程中观察到的矛盾心理解决策略的频率，并评估不同矛盾心理解决策略对矛盾心理的影响。对一个已恢复病例的 16 个疗程进行了观察性矛盾心理和矛盾心理解决措施的编码。观察到的矛盾心理显著减少；主导地位在整个疗程中仍然非常频繁，协商从治疗的早期到中期阶段增加，但从中期到最后阶段没有增加。协商与矛盾心理的减少显著相关。矛盾心理解决策略的进展与具有不同治疗方法的先前研究不同；在整个治疗过程中促进客户内心冲突不同部分之间的协商可能对 UP 治疗中处理患者矛盾心理很有价值。
