자료유형 | 학위논문 |
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서명/저자사항 | What Process Works for Whom: Individual Differences and the Impact of Therapy Techniques and Treatment Mechanisms. |
개인저자 | Keefe, John Raymond. |
단체저자명 | University of Pennsylvania. Psychology. |
발행사항 | [S.l.]: University of Pennsylvania., 2019. |
발행사항 | Ann Arbor: ProQuest Dissertations & Theses, 2019. |
형태사항 | 129 p. |
기본자료 저록 | Dissertations Abstracts International 81-06A. Dissertation Abstract International |
ISBN | 9781088351079 |
학위논문주기 | Thesis (Ph.D.)--University of Pennsylvania, 2019. |
일반주기 |
Source: Dissertations Abstracts International, Volume: 81-06, Section: A.
Advisor: DeRubeis, Robert J |
이용제한사항 | This item must not be sold to any third party vendors. |
요약 | While psychotherapy treatment manuals define the broad structure and targets of a therapy, therapists must decide how to implement treatments with a specific patient. Yet, patients are heterogeneous even within a disorder class, and there is little systematic research to guide a therapist to make principled adaptations. We examined the question of whether individual differences moderate the treatment effects of therapist interventions and both in-session and between-session processes of change, using data from a randomized controlled trial for panic disorder comparing panic-focused psychodynamic psychotherapy (PFPP) to cognitive-behavioral therapy. In Chapter 1, adherence to PFPP (n = 65) was observer rated in Sessions 2 and 10 to predict panic change after the rated session. Panic-specific interpretations predicted improvements, while non-panic-focused interventions did not. Concordant with dynamic theory, patients with more interpersonal problems benefitted especially from heightened focus on the interplay between interpersonal-emotional conflict and panic. In Chapter 2, we examined whether higher levels of observer-rated emotional expression-a marker of therapeutic engagement-across early PFPP sessions predicted subsequent panic improvements. We hypothesized that this relationship would be moderated by certain personality disorder traits related to emotionality: (1) borderline traits, which denote heightened, labile, dysregulated emotionality |
일반주제명 | Clinical psychology. Therapy. |
언어 | 영어 |
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