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Working with patients' strengths: a microprocess approach


Flückiger, Christoph; Caspar, Franz; Grosse Holtforth, Martin; Willutzki, Ulrike (2009). Working with patients' strengths: a microprocess approach. Psychotherapy Research, 19(2):213-223.

Abstract

Previous research has supported the immediate activation of patients' strengths (resource activation) as an important change mechanism in psychotherapy. Two different studies of integrative cognitive-behavioral therapy (CBT) treatments demonstrated that fostered strengths-oriented CBT treatments were more effective than the control conditions. Within these two studies, the authors tested the effect of specific resource-activating strategies at the beginning of therapy (Sessions 2, 5, and 8) using a pairwise matched control group design. The in-session processes were measured by video observer ratings (N=96 sessions). Results indicate that in the strengths-fostering treatments therapists and patients focus more strongly on patient competencies and personal goals in comparison to the control groups. These in-session processes have a direct impact on session outcome (particularly self-esteem, mastery, and clarification experiences). Results are discussed in regard to actively implementing resource-activating behavior as superordinate principles of change and their relevance for therapy outcome.

Abstract

Previous research has supported the immediate activation of patients' strengths (resource activation) as an important change mechanism in psychotherapy. Two different studies of integrative cognitive-behavioral therapy (CBT) treatments demonstrated that fostered strengths-oriented CBT treatments were more effective than the control conditions. Within these two studies, the authors tested the effect of specific resource-activating strategies at the beginning of therapy (Sessions 2, 5, and 8) using a pairwise matched control group design. The in-session processes were measured by video observer ratings (N=96 sessions). Results indicate that in the strengths-fostering treatments therapists and patients focus more strongly on patient competencies and personal goals in comparison to the control groups. These in-session processes have a direct impact on session outcome (particularly self-esteem, mastery, and clarification experiences). Results are discussed in regard to actively implementing resource-activating behavior as superordinate principles of change and their relevance for therapy outcome.

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25 citations in Web of Science®
32 citations in Scopus®
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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:06 Faculty of Arts > Institute of Psychology
Dewey Decimal Classification:150 Psychology
Date:2009
Deposited On:12 Nov 2012 10:05
Last Modified:05 Apr 2016 16:04
Publisher:Taylor & Francis
ISSN:1050-3307
Publisher DOI:https://doi.org/10.1080/10503300902755300
PubMed ID:19396652

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