Angus, Lynne2018-05-282018-05-282017-11-272018-05-28http://hdl.handle.net/10315/34513A goal of Emotion-Focused Therapy for Trauma (EFTT) is narrative and emotion integration for trauma recovery (Paivio & Pascual-Leone, 2010). EFTT employs two re-experiencing interventions. Clients in Imaginal Confrontation (IC) imagine the perpetrator of abuse in an empty chair across from him/her and express thoughts and feelings. Clients in Empathic Exploration (EE) imagine the perpetrator in their minds eye and expresses thoughts and feelings to the therapist. EE is considered a less emotionally evocative alternative to IC. EFTT-IC and EFTT-EE are equally effective (Paivio et al., 2010), and may evidence unique pathways to recovery. The Narrative-Emotion Process Coding System (NEPCS; Angus et al., 2017) is a behavioural coding system that identifies 10 markers that are clustered into Problem, Transition, and Change Markers. The NEPCS markers and subgroups represent narrative-emotion process indicators occurring within one-minute time segments from videotaped therapy sessions. The current study investigated differences in the proportion of NEPCS markers and subgroups between the EFTT-IC and EFTT-EE conditions, and the relation to treatment outcome. The NEPCS was applied to two early, two middle and two late videotaped therapy sessions from four recovered and four unchanged EFTT-IC and EFTT-EE clients (N=16). In regard to Problem Markers, Negative Binomial Regression analysis revealed a main effect for Problem Markers, and a main effect and stage by condition interaction for Superficial Storytelling for EFTT-EE versus EFTT-IC. There was a stage by outcome interaction for Unstoried Emotion for unchanged versus recovered EFTT-IC clients. In regard to Transition Markers, there was a stage by condition interaction for the Transition Markers in EFTT-IC than EFTT-EE, and a stage by outcome interaction for Inchoate Storytelling for recovered versus unchanged EFTT-EE clients. In regard to Change Markers, a stage by outcome interaction was present for Unexpected Outcome Storytelling and Discovery Storytelling for recovered versus unchanged EFTT-IC and EFTT-EE clients. Finally, there was a main effect and a stage by condition interaction for No Client Marker for EFTT-IC versus EFTT-EE clients, and a stage by outcome interaction for recovered versus unchanged EFTT-EE clients. Implications for EFTT therapists, limitations of the current study and directions for future research are discussed.enAuthor owns copyright, except where explicitly noted. Please contact the author directly with licensing requests.Clinical psychologyElectronic Thesis or Dissertation2018-05-28NarrativeEmotionEmotion-Focused Therapy for TraumaNarrative emotion integrationNarrative-Emotion Process Coding SystemNEPCSImaginal ConfrontationEmpathic Exploration