Innovative Moments and Case Formulation

Finding Resources at the Onset of the Therapy

Autores/as

DOI:

https://doi.org/10.33898/rdp.v33i123.35947

Palabras clave:

resources, FIND protocol, innovative moments, case formulation

Resumen

At the beginning of the therapeutic process, clients frequently feel immersed in their problems, and demoralized, with a negative perspective of different areas of their lives. The clients´ discourse is specially focused on difficulties and previous ineffective attempts to overcome their problems. Even though positive aspects of the clients’ life continue to exist, such as resources and strengths, they have little visibility in the clients’ speech and, consequently, in the therapist’s assessment and intervention planning. Moreover, most psychotherapy models emphasize a focus on the deficits of the clients, centered on the correction of difficulties as a way to achieve mental health. In this context, we highlight the importance of integrating resources and strengths of the clients’ life in case assessment, clinical formulation, and treatment planning. This information can be collected in the assessment phase, but in order to make it explicit the relevance of this information we created a protocol designed for this purpose (Feedback Initiated Narrative Development Protocol [FIND]). The first component of FIND invites clients to reflect on aspects beyond their problem like their personal strengths, significant values, positive autobiographical episodes, and useful strategies that have been adopted in the past. This interview was largely influenced by narrative therapy and innovative moments research, and it provides information regarding clients’ resources that may be useful to psychotherapists from different approaches. In this paper, we presented a clinical case formulation considering resources evaluated with the FIND protocol.

Descargas

Los datos de descargas todavía no están disponibles.

Citas

Aspinwall, L. G., & Staudinger, U. M. (Eds.). (2003). A psychology of human strengths: Fundamental questions and future directions for a positive psychology (1st ed.). American Psychological Association. https://doi.org/10.1037/10566-000

Barlow, D. H., Ellard, K. K., Fairholme, C. P., Farchione, T. J., Boisseau, C. L., Allen, L. B., & Ehrenreich-May, J. T. (2011). Unified protocol for transdiagnostic treatment of emotional disorders: Workbook. Oxford University Press.

Bluck, S., & Alea, N. (2002). Exploring the functions of autobiographical memory: Why do I remember the autumn? In J. D. Webster, & B. K. Haight (Eds.), Critical advances in reminiscence work: From theory to application (1st ed., pp. 61-75). Springer Publishing Company.

Bolier, L., Haverman, M., Westerhof, G. J., Riper, H., Smit, F., & Bohlmeijer, E. (2013). Positive psychology interventions: A meta-analysis of randomized controlled studies. BMC Public Health, 13, 119. https://doi.org/10.1186/1471-2458-13-119

Cacioppo, J. T., Berntson, G. G., Norris, C. J., & Gollan, J. K. (2011). The evaluative space model. In P. A. M. Van Lange, A. W. Kruglanski, & E. T. Higgins (Eds.), Handbook of theories of social psychology (1st ed., Vol. 1, pp. 50-72). SAGE Publishing. https://doi.org/10.4135/9781446249215

Carr, A., Cullen, K., Keeney, C., Canning, C., Mooney, O., Chinseallaigh, E., & O’Dowd, A (2020). Effectiveness of positive psychology interventions: A systematic review and meta-analysis. The Journal of Positive Psychology, 16(6), 749-769. https://doi.org/10.1080/17439760.2020.1818807

Cheavens, J. S., Strunk, D. R., Lazarus, S. A., & Goldstein, L. A. (2012). The compensation and capitalization models: A test of two approaches to individualizing the treatment of depression. Behaviour research and therapy, 50(11), 699-706. https://doi.org/10.1016/j.brat.2012.08.002

De Shazer, S. (1988). Clues: Investigating solutions in brief therapy. Norton.

Eells, T. D. (2010). The unfolding case formulation: The interplay of description and inference. Pragmatic Case Studies in Psychotherapy, 6(4), 225-254. https://doi.org/10.14713/pcsp.v6i4.1046

Eells, T. D. (2015). Psychotherapy case formulation (1st ed.). American Psychological Association. https://doi.org/10.1037/14667-000

Eells, T. D. (2022). Handbook of psychotherapy case formulation (3rd ed.). Guilford Press.

Eells, T. D., Lombart, K. G., Kendjelic, E. M., Turner, L. C., & Lucas, C. P. (2005). The quality of psychotherapy case formulations: A comparison of expert, experienced, and novice cognitive-behavioral and psychodynamic therapists. Journal of Consulting and Clinical Psychology, 73(4), 579-589. https://doi.org/10.1037/0022-006X.73.4.579

Elliott, R., Bohart, A. C., Watson, J. C., & Murphy, D. (2018). Therapist empathy and client outcome: An updated meta-analysis. Psychotherapy, 55(4), 399-410. https://doi.org/10.1037/pst0000175

Eifert, G. H., & Forsyth, J. P. (2005). Acceptance and commitment therapy for anxiety disorders: A practitioner’s treatment guide to using mindfulness, acceptance, and values-based behavior change. New Harbinger Publications.

Eubanks, C. F., Muran, J. C., & Safran, J. D. (2018). Alliance rupture repair: A meta-analysis. Psychotherapy, 55(4), 508-519. https://doi.org/10.1037/pst0000185

Fava, G. A., & Ruini, C. (2003). Development and characteristics of a well-being enhancing psychotherapeutic strategy: Well-being therapy. Journal of Behavior Therapy and Experimental Psychiatry, 34(1), 45-63. https://doi.org/10.1016/s0005-7916(03)00019-3

Flückiger, C., Caspar, F., Holtforth, M. G., & Willutzki, U. (2009). Working with patients’ strengths: A microprocess approach. Psychotherapy Research, 19(2), 213-223. https://doi.org/10.1080/10503300902755300

Flückiger, C., Del Re, A. C., Horvath, A. O., Symonds, D., Ackert, M., & Wampold, B. E. (2013). Substance use disorders and racial/ethnic minorities matter: A meta-analytic examination of the relation between alliance and outcome. Journal of Counseling Psychology, 60(4), 610-616. https://doi.org/10.1037/a0033161

Flückiger, C., & Wüsten, G. (2008). Ressourcenaktivierung. Ein Manual für die Praxis [Resource activation. A manual for practice]. Huber.

Frank, J. D. (1961). Persuasion and healing: A comparative study of psychotherapy. Johns Hopkins University Press.

Frank, J. D. (1973). Persuasion and healing: A comparative study of psychotherapy (Rev. ed.). Schocken.

Frank, J. D., & Frank, J. (1991). Persuasion and healing: A comparative study of psychotherapy (3rd ed.). Johns Hopkins University Press.

Fredrickson, B. L. (1998). What good are positive emotions? Review of General Psychology, 2(3), 300-319. https://doi.org/10.1037/1089-2680.2.3.300

Freedman, J., & Combs, G. (1996). Narrative therapy: The social construction of preferred realities. Norton.

Gassmann, D., & Grawe, K. (2006). General change mechanisms: The relation between problem activation and resource activation in successful and unsuccessful therapeutic interactions. Clinical Psychology & Psychotherapy: An International Journal of Theory & Practice, 13(1), 1-11.

Gonçalves, M. M., Fernández-Navarro, P., Magalhães, C., Braga, C., Milhazes, A., Batista, J., & Neimeyer, R. A. (2021). FIND: A feedback initiated narrative development protocol to elicit resources in psychotherapy. Journal of Constructivist Psychology, 34(2), 138-150. https://doi.org/10.1080/10720537.2020.1717139

Gonçalves, M. M., Ribeiro, A. P., Mendes, I., Alves, D., Silva, J., Rosa, C., Braga, C., Batista, J., Fernández-Navarro, P., & Oliveira, J. T. (2017). Three narrative-based coding systems: Innovative moments, ambivalence and ambivalence resolution. Psychotherapy Research, 27(3), 270-282. https://doi.org/10.1080/10503307.2016.1247216

Gonçalves, M. M., Ribeiro, A. P., Mendes, I., Matos, M., & Santos, A. (2011). Tracking novelties in psychotherapy process research: The innovative moments coding system. Psychotherapy Research, 21(5), 497-509. https://doi.org/10.1080/10503307.2011.560207

Gonçalves, M. M., & Silva, J. R. (2014). Momentos de inovação em psicoterapia: Das narrativas aos processos dialógicos [Moments of innovation in psychotherapy: From narratives to dialogic processes]. Análise Psicológica, 32(1), 27-43. https://doi.org/10.14417/ap.837

Grawe, K. (1997). Research-informed psychotherapy. Psychotherapy Research, 7(1), 1-19. https://doi.org/10.1080/10503309712331331843

Grawe, K. (2004). Psychological therapy. Hogrefe & Huber Publishers.

Grawe, K., & Grawe-Gerber, M. (1999). Ressourcenaktivierung. Ein primäres wirkprinzip der psychotherapie resource activation [Resource activation. A primary principle of psychotherapy resource activation]. Psychotherapeut, 44, 63-73. Springer.

Holtforth, M. G., & Michalak, J. (2012). Motivation in psychotherapy. In R. M. Ryan (Ed.), The oxford handbook of human motivation (pp. 441-462). Oxford University Press.

Howard, K. I., Lueger, R. J., Maling, M. S., & Martinovich, Z. (1993). A phase model of psychotherapy outcome: Causal mediation of change. Journal of Consulting and Clinical Psychology, 61(4), 678-685. https://doi.org/10.1037/0022-006X.61.4.678

Kramer, U. (2019). Introduction. In U. Kramer (Ed.). Case formulation for personality disorders: Tailoring psychotherapy to the individual cliente (1st ed., pp. XIX-XXXI. Academic Press. https://doi.org/10.1016/C2016-0-04810-6

Kuyken, W., Padesky, C. A. y Dudley, R. (2009). Collaborative case conceptualization: Working effectively with clients in cognitive-behavioral therapy. Guilford Press.

Macneil, C. A., Hasty, M. K., Philippe, C., & Berk, M. (2012). Is diagnosis enough to guide interventions in mental health? Using case formulation in clinical practice. BMC Medicine, 10(1), 111. https://doi.org/10.1186/1741-7015-10-111

Mendes, I., Ribeiro, A. P., Angus, L., Greenberg, L. S., Sousa, I., & Gonçalves, M. M. (2010). Narrative change in emotion-focused therapy: How is change constructed through the lens of the innovative moments coding system? Psychotherapy Research, 20(6), 692-701. https://doi.org/10.1080/10503307.2010.514960

Mendes, I., Ribeiro, A. P., Angus, L., Greenberg, L. S., Sousa, I., & Gonçalves, M. M. (2011). Narrative change in emotion-focused psychotherapy: A study on the evolution of reflection and protest innovative moments. Psychotherapy Research, 21(3), 304-315. https://doi.org/10.1080/10503307.2011.565489

Morissette, S. B., Lenton-Brym, A. P., & Barlow, D. H. (2020). Panic disorder and agoraphobia. In Antony, M. M., & Barlow, D. H. (Eds.), Handbook of assessment and treatment planning for psychological disorders (3rd ed., pp. 138-179). The Guilford Press.

Munder, T., Flückiger, C., Leichsenring, F., Abbass, A. A., Hilsenroth, M. J., Luyten, P., Rabung, S., Steinert, C., & Wampold, B. E. (2019). Is psychotherapy effective? A re-analysis of treatments for depression. Epidemiology and Psychiatric Sciences, 28(3), 268-274. https://doi.org/10.1017/S2045796018000355

Persons, J. B. (1989). Cognitive therapy in practice: A case formulation approach (1st ed.). Norton.

Santos, A., Gonçalves, M., Matos, M., & Salvatore, S. (2010). Innovative moments and change pathways: A good outcome case of narrative therapy. Psychology and Psychotherapy: Theory, Research and Practice, 82(4), 449-466. https://doi.org/10.1348/147608309X462442

Seligman, M., Rashid, T., & Parks, A. C. (2006). Positive psychotherapy. The American Psychologist, 61(8), 774-788. https://doi.org/10.1037/0003-066X.61.8.774

Tolin, D. F., Gilliam, C., Wootton, B. M., Bowe, W., Bragdon, L. B., Davis, E., Hannan S. E., Steinman, S. A., Worden, B., & Hallion, L. S. (2016). Psychometric properties of a structured diagnostic interview for DSM-5 anxiety, mood, and obsessive-compulsive and related disorders. Assessment, 25(1), 3-13. https://doi.org/10.1177/1073191116638410

White, M. (2007). Maps of narrative practice. Norton.

White, M., & Epston, D. (1990). Narrative means to therapeutic ends (1st ed.). Norton.

Willutzki, U. (2008). Ressourcendiagnostik in der klinischen psychologie und psychotherapie [Resource diagnostics in clinical psychology and psychotherapy]. Klinische Diagnostik und Evaluation, 1(2), 126-145.

Wood, A. M., & Tarrier, N. (2010). Positive clinical psychology: A new vision and strategy for integrated research and practice. Clinical Psychology Review, 30(7), 819-829. https://doi.org/10.1016/j.cpr.2010.06.003

Descargas

Publicado

2022-11-01

Cómo citar

Magalhães, C., Pinheiro, P., Gonçalves, M., & Silva, J. (2022). Innovative Moments and Case Formulation: Finding Resources at the Onset of the Therapy. Revista De Psicoterapia, 33(123), 173–190. https://doi.org/10.33898/rdp.v33i123.35947

Número

Sección

Open Access: Artículos de monográfico