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What Process Works for Whom: Individual Differences and the Impact of Therapy Techniques and Treatment Mechanisms

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서명/저자사항What Process Works for Whom: Individual Differences and the Impact of Therapy Techniques and Treatment Mechanisms.
개인저자Keefe, John Raymond.
단체저자명University of Pennsylvania. Psychology.
발행사항[S.l.]: University of Pennsylvania., 2019.
발행사항Ann Arbor: ProQuest Dissertations & Theses, 2019.
형태사항129 p.
기본자료 저록Dissertations Abstracts International 81-06A.
Dissertation Abstract International
ISBN9781088351079
학위논문주기Thesis (Ph.D.)--University of Pennsylvania, 2019.
일반주기 Source: Dissertations Abstracts International, Volume: 81-06, Section: A.
Advisor: DeRubeis, Robert J
이용제한사항This item must not be sold to any third party vendors.
요약While 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
일반주제명Clinical psychology.
Therapy.
언어영어
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