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Psychotherapy
Article
Data sources: UnpayWall
Psychotherapy
Article . 2014 . Peer-reviewed
Data sources: Crossref
Psychotherapy
Article . 2015
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Ambivalence and innovative moments in grief psychotherapy: The cases of Emily and Rose.

Authors: Daniela Alves; Pablo Fernández-Navarro; António P. Ribeiro; Eugénia Ribeiro; Miguel M. Gonçalves;

Ambivalence and innovative moments in grief psychotherapy: The cases of Emily and Rose.

Abstract

Several studies have suggested that the process of narrative change in psychotherapy occurs through the emergence and expansion of moments of novelty, known as innovative moments (IMs), that allow changes in the problematic self-narrative responsible for the client's suffering. However, as these IMs challenge typical (and problematic) ways of acting, feeling, and thinking, they may also generate discrepancy or uncertainty. Clients may reduce uncertainty by returning to the problematic self-narrative immediately after the emergence of an IM, thus ensuring the homeostasis of the previous meaning system. This cyclical movement is a form of ambivalence, which can maintain problematic stability across therapy and lead to therapeutic failure. In this study, we identified return to the problem markers (RPMs), which are empirical indicators of the ambivalence process, for all IMs in two cases of constructivist grief psychotherapy. Both cases evidenced a high percentage of IMs with RPMs, and the evolution of IMs and RPMs along treatment was significantly correlated. We suggest that stability of the ambivalence process in grief psychotherapy may represent a form of self-protection from the anxiety or guilt of releasing pain as a disconnection from the deceased.

Country
Portugal
Related Organizations
Keywords

Adult, Portugal, Constructivist grief psychotherapy, Emotions, Middle Aged, Self Concept, Psychotherapy, Ambivalence, Treatment Outcome, Surveys and Questionnaires, Adaptation, Psychological, Humans, Female, Grief, Innovative moments

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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