Comparing Narrative and Emotion Processing in Two Versions of Emotion-Focused Therapy for Trauma: Imaginal Confrontation vs. Empathic Exploration
| dc.contributor.advisor | Angus, Lynne | |
| dc.creator | Carpenter, Naomi Reidun | |
| dc.date.accessioned | 2018-05-28T12:49:28Z | |
| dc.date.available | 2018-05-28T12:49:28Z | |
| dc.date.copyright | 2017-11-27 | |
| dc.date.issued | 2018-05-28 | |
| dc.date.updated | 2018-05-28T12:49:28Z | |
| dc.degree.discipline | Psychology(Functional Area: Clinical Psychology) | |
| dc.degree.level | Doctoral | |
| dc.degree.name | PhD - Doctor of Philosophy | |
| dc.description.abstract | A 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. | |
| dc.identifier.uri | http://hdl.handle.net/10315/34513 | |
| dc.language.iso | en | |
| dc.rights | Author owns copyright, except where explicitly noted. Please contact the author directly with licensing requests. | |
| dc.subject | Clinical psychology | |
| dc.subject.keywords | Narrative | |
| dc.subject.keywords | Emotion | |
| dc.subject.keywords | Emotion-Focused Therapy for Trauma | |
| dc.subject.keywords | Narrative emotion integration | |
| dc.subject.keywords | Narrative-Emotion Process Coding System | |
| dc.subject.keywords | NEPCS | |
| dc.subject.keywords | Imaginal Confrontation | |
| dc.subject.keywords | Empathic Exploration | |
| dc.title | Comparing Narrative and Emotion Processing in Two Versions of Emotion-Focused Therapy for Trauma: Imaginal Confrontation vs. Empathic Exploration | |
| dc.type | Electronic Thesis or Dissertation |
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