Therapeutic interventions and patient's cognitive-emotional regulation in a standard cognitive therapy
The present study inquires the relationship between the therapist"s interventions, and the patient"s emotional-cognitive response towards them, in a standard cognitive treatment. For the scoring of the therapeutic interventions, the Comprehensive Psychotherapy Interventions Rating Scale (CPIRS) was used, whereas for evaluating the patient"s emotional status and cognitive activation the tools provided by the Therapeutic Cycles Model (TCM) were applied. Both the Resonating Minds Theory (RMT), and the principles of the standard cognitive treatment stress the importance of the role played by the therapist"s techniques in bringing about psychotherapy change: Using certain kinds of interventions, the therapist helps the patient overcome his problems, by focusing primarily on cognitive errors and maladaptive ways of thinking, but also on distressful emotions and feelings, considered to be the main causes of psychological disorders. Although these theoretical notions are usually taken for granted in psychotherapy practice, the mechanisms through which the therapist"s interventions may lead to relevant changes in the patient"s ways of behaving remain unclear. The present study was primarily conceived as a pilot study, whose aim was to develop a methodology that could be useful to inquire the effect of the therapist"s interventions on the patient"s cognitive-emotional regulation. The findings support the clinically relevant notion that certain kinds of interventions may be related to specific reactions of the patient, in terms of emotional and cognitive activation, thus providing ground for psychological change. Despite the limitations of the study design, the presented methodology was revealed to be useful in order to better understand the mechanisms of change, and to clarify the effects of the interventions used by the therapist in the psychotherapy sessions.
Subject HeadingsKognitive Psychotherapie [GND]
Cognitive therapy [MeSH]