Abstract:
OBJECTIVES:In previous studies, reconceptualization innovative moments were associated with successful psychotherapy. Reconceptualization has two components-(a) a positive temporal contrast between the past self and the present self (contrasting self [CS]) and (b) a description of how and/or why this change has occurred (change process [CP])-from the perspective of the client. The aim of this study is to analyse if CS and CP have the same association with outcomes as reconceptualization. METHOD:Sixteen cases of clients with major depression (305 sessions) were analysed. Longitudinal regression models were used to explore if proportions of CS, CP, and reconceptualization predicted outcome measures and if outcome measures predicted CS, CP, and reconceptualization. RESULTS:Reconceptualization is less frequent than CS and CP taken separately, but reconceptualization was a better predictor of treatment outcomes than were its separate components. Moreover, symptom improvement did not predict reconceptualization. CONCLUSION:The construction of new meanings is important in improving depressive symptomatology. Psychotherapists can elicit these new meanings in their regular practice by posing questions that may help clients to conceptualize what is changing in themselves (CS) and questions of how this change is occurring (CP). The construction of an integrative account of these new meanings is associated with psychotherapeutic gains, and thus, reconceptualizing change could improve symptoms of depression.
journal_name
Clin Psychol Psychotherjournal_title
Clinical psychology & psychotherapyauthors
Fernández-Navarro P,Rosa C,Sousa I,Moutinho V,Antunes A,Magalhães C,Ribeiro AP,Gonçalves MMdoi
10.1002/cpp.2306subject
Has Abstractpub_date
2018-11-01 00:00:00pages
765-773issue
6eissn
1063-3995issn
1099-0879journal_volume
25pub_type
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