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Emotional change in resolving depressive self-criticism during experiential treatment

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Choi, Bryan Hon Yan

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The goal of this study was to empirically demonstrate emotional changes that differentiate successful versus unsuccessful resolution of depressive self-criticism during experiential treatment. Emotion episodes occurring during five sessions across three phases of experiential treatment (early, middle, and late) were sampled for nine highly self-critical depressed clients (five good resolvers of self-criticism and four poor resolvers) from the York II depression project. Emotion episodes were then coded using two emotion process coding measures: the Classification of Affective-Meaning States (CAMS) and the Object Valence Scale (OVS), and later analyzed employing three analytic procedures: graphical/descriptive; linear mixed modeling; and pattern analysis using THEME. Convergent evidence that EFT emotional change processes generally hold within experiential treatment for self-criticism was found. Compared to poor resolvers, good resolvers expressed: 1) greater decreases in secondary emotions (mainly in rejecting anger) and greater increases in expression of needs and primary adaptive emotions, and 2) more frequent transformations of secondary to primary adaptive emotions, and secondary to primary maladaptive to primary adaptive emotions. Good outcome cases also displayed 3) greater increases in positive emotional self-states and greater decreases in both negative emotional self states and other-negative emotional states. Future directions of this research are discussed.

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