Nonverbal synchrony of head- and body-movement in psychotherapy: different signals have different associations with outcome

Objective: The coordination of patient’s and therapist’s bodily movement – nonverbal synchrony – has been empirically shown to be associated with psychotherapy outcome. This finding was based on dynamic movement patterns of the whole body. The present paper is a new analysis of an existing dataset (...

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Main Authors: Fabian eRamseyer, Wolfgang eTschacher
Format: Article
Language:English
Published: Frontiers Media S.A. 2014-09-01
Series:Frontiers in Psychology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fpsyg.2014.00979/full
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author Fabian eRamseyer
Wolfgang eTschacher
author_facet Fabian eRamseyer
Wolfgang eTschacher
author_sort Fabian eRamseyer
collection DOAJ
description Objective: The coordination of patient’s and therapist’s bodily movement – nonverbal synchrony – has been empirically shown to be associated with psychotherapy outcome. This finding was based on dynamic movement patterns of the whole body. The present paper is a new analysis of an existing dataset (Ramseyer & Tschacher, 2011), which extends previous findings by differentiating movements pertaining to head and upper-body regions. Method: In a sample of 70 patients (37 female, 33 male) treated at an outpatient psychotherapy clinic, we quantified nonverbal synchrony with an automated objective video-analysis algorithm (Motion Energy Analysis, MEA). Head- and body-synchrony was quantified during the initial 15 minutes of video-recorded therapy sessions. Micro-outcome was assessed with self-report post-session questionnaires provided by patients and their therapists. Macro-outcome was measured with questionnaires that quantified attainment of treatment goals and changes in experiencing and behavior at the end of therapy. Results: The differentiation of head- and body-synchrony showed that these two facets of motor coordination were differentially associated with outcome. Head-synchrony predicted global outcome of therapy, while body-synchrony did not, and body-synchrony predicted session outcome, while head-synchrony did not. Conclusions: The results pose an important amendment to previous findings, which showed that nonverbal synchrony embodied both outcome and interpersonal variables of psychotherapy dyads. The separation of head- and body-synchrony suggested that distinct mechanisms may operate in these two regions: Head-synchrony embodied phenomena with a long temporal extension (overall therapy success), while body-synchrony embodied phenomena of a more immediate nature (session-level success). More explorations with fine-grained analyses of synchronized phenomena in nonverbal behavior may shed additional light on the embodiment of psychotherapy process.
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spelling doaj.art-00d6d6e795c7479baeecaefd32686f7e2022-12-22T02:36:31ZengFrontiers Media S.A.Frontiers in Psychology1664-10782014-09-01510.3389/fpsyg.2014.00979101957Nonverbal synchrony of head- and body-movement in psychotherapy: different signals have different associations with outcomeFabian eRamseyer0Wolfgang eTschacher1University of BernUniversity of BernObjective: The coordination of patient’s and therapist’s bodily movement – nonverbal synchrony – has been empirically shown to be associated with psychotherapy outcome. This finding was based on dynamic movement patterns of the whole body. The present paper is a new analysis of an existing dataset (Ramseyer & Tschacher, 2011), which extends previous findings by differentiating movements pertaining to head and upper-body regions. Method: In a sample of 70 patients (37 female, 33 male) treated at an outpatient psychotherapy clinic, we quantified nonverbal synchrony with an automated objective video-analysis algorithm (Motion Energy Analysis, MEA). Head- and body-synchrony was quantified during the initial 15 minutes of video-recorded therapy sessions. Micro-outcome was assessed with self-report post-session questionnaires provided by patients and their therapists. Macro-outcome was measured with questionnaires that quantified attainment of treatment goals and changes in experiencing and behavior at the end of therapy. Results: The differentiation of head- and body-synchrony showed that these two facets of motor coordination were differentially associated with outcome. Head-synchrony predicted global outcome of therapy, while body-synchrony did not, and body-synchrony predicted session outcome, while head-synchrony did not. Conclusions: The results pose an important amendment to previous findings, which showed that nonverbal synchrony embodied both outcome and interpersonal variables of psychotherapy dyads. The separation of head- and body-synchrony suggested that distinct mechanisms may operate in these two regions: Head-synchrony embodied phenomena with a long temporal extension (overall therapy success), while body-synchrony embodied phenomena of a more immediate nature (session-level success). More explorations with fine-grained analyses of synchronized phenomena in nonverbal behavior may shed additional light on the embodiment of psychotherapy process.http://journal.frontiersin.org/Journal/10.3389/fpsyg.2014.00979/fullPsychotherapyembodimenthead movementbody movementprocess-outcome researchnonverbal synchrony
spellingShingle Fabian eRamseyer
Wolfgang eTschacher
Nonverbal synchrony of head- and body-movement in psychotherapy: different signals have different associations with outcome
Frontiers in Psychology
Psychotherapy
embodiment
head movement
body movement
process-outcome research
nonverbal synchrony
title Nonverbal synchrony of head- and body-movement in psychotherapy: different signals have different associations with outcome
title_full Nonverbal synchrony of head- and body-movement in psychotherapy: different signals have different associations with outcome
title_fullStr Nonverbal synchrony of head- and body-movement in psychotherapy: different signals have different associations with outcome
title_full_unstemmed Nonverbal synchrony of head- and body-movement in psychotherapy: different signals have different associations with outcome
title_short Nonverbal synchrony of head- and body-movement in psychotherapy: different signals have different associations with outcome
title_sort nonverbal synchrony of head and body movement in psychotherapy different signals have different associations with outcome
topic Psychotherapy
embodiment
head movement
body movement
process-outcome research
nonverbal synchrony
url http://journal.frontiersin.org/Journal/10.3389/fpsyg.2014.00979/full
work_keys_str_mv AT fabianeramseyer nonverbalsynchronyofheadandbodymovementinpsychotherapydifferentsignalshavedifferentassociationswithoutcome
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