The Innovative Moments Coding System (Gonçalves et al., 2011) is a reliable tool to assess process markers from psychotherapy transcripts. Innovative Moments (IMs) are narrative innovations (e.g., Action, Reflection, Reconceptualization, etc.) that emerge in the therapeutic process. Previous efforts in literature have shown that during the elaboration of high level IMs, patients showed a distinctive pattern of psychophysiological activity, yet no information in regard to therapist’s physiology were provided. Crucially, the study of simultaneous, interpersonal physiology (IP), is being increasingly studied and employed as a tool to assess the quality of clinical relationship, and the dynamics of key clinical processes, such as empathy and alliance. In this study we aimed to replicate and extend current literature by analysing the data from a patient and a therapist involved in a brief psychodynamic therapy of 16 sessions. Each session was audio-video recorded, and simultaneous electrodermal activity was acquired for both participants. IMs were assessed by two reliable coders, while the dyadic physiological data was analysed through moving windows cross-correlations. Across the 16 sessions, 21.4% of the entire narrative discourse was devoted to IMs. Inter-rater agreement on IMs was 85.68% and Cohen’s Kappa for IM categories was .94, with the most complex form of IM, Reconceptualization, being the most common (8.6%). The results of our ideographic single-case design showed only a partial association between IMs and dyadic physiological patterns with an increased physiological synchronization in the Action and Reconceptualization categories. Notably these high-synchrony sequences were also characterized by the patient leading the physiological co-regulation process, with the therapist following. The discussion will regard the implications of using innovative tools, bridging the gap between verbal and nonverbal content in the study of process in psychotherapy research.
The Relation between narrative markers of change and psychophysiological measures in the therapeutic process: a case study / Esposito, Giovanna; Kleinbub Johann, R.; Cutolo Anna, S.; Mannarini, Stefania; Gonçalves Miguel, M.. - In: MEDITERRANEAN JOURNAL OF CLINICAL PSYCHOLOGY. - ISSN 2282-1619. - 6:2(2018), pp. 123-123. (Intervento presentato al convegno XX NATIONAL CONGRESS ITALIAN PSYCHOLOGICAL ASSOCIATION CLINICAL AND DYNAMIC SECTION tenutosi a Urbino nel 7-9 Settembre 2018) [10.6092/2282-1619/2018.6.1938].
The Relation between narrative markers of change and psychophysiological measures in the therapeutic process: a case study.
Esposito Giovanna
Conceptualization
;
2018
Abstract
The Innovative Moments Coding System (Gonçalves et al., 2011) is a reliable tool to assess process markers from psychotherapy transcripts. Innovative Moments (IMs) are narrative innovations (e.g., Action, Reflection, Reconceptualization, etc.) that emerge in the therapeutic process. Previous efforts in literature have shown that during the elaboration of high level IMs, patients showed a distinctive pattern of psychophysiological activity, yet no information in regard to therapist’s physiology were provided. Crucially, the study of simultaneous, interpersonal physiology (IP), is being increasingly studied and employed as a tool to assess the quality of clinical relationship, and the dynamics of key clinical processes, such as empathy and alliance. In this study we aimed to replicate and extend current literature by analysing the data from a patient and a therapist involved in a brief psychodynamic therapy of 16 sessions. Each session was audio-video recorded, and simultaneous electrodermal activity was acquired for both participants. IMs were assessed by two reliable coders, while the dyadic physiological data was analysed through moving windows cross-correlations. Across the 16 sessions, 21.4% of the entire narrative discourse was devoted to IMs. Inter-rater agreement on IMs was 85.68% and Cohen’s Kappa for IM categories was .94, with the most complex form of IM, Reconceptualization, being the most common (8.6%). The results of our ideographic single-case design showed only a partial association between IMs and dyadic physiological patterns with an increased physiological synchronization in the Action and Reconceptualization categories. Notably these high-synchrony sequences were also characterized by the patient leading the physiological co-regulation process, with the therapist following. The discussion will regard the implications of using innovative tools, bridging the gap between verbal and nonverbal content in the study of process in psychotherapy research.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
