Ambivalence Predicts Symptomatology in Cognitive-Behavioral and Narrative Therapies: An Exploratory Study

Background: The identification of poor outcome predictors is essential if we are to prevent therapeutic failure. Ambivalence – defined as a conflictual relationship between two positions of the self: one favoring change and another one favoring problematic stability – has been consistently associate...

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Main Authors: Cátia Braga, António P. Ribeiro, Inês Sousa, Miguel M. Gonçalves
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-05-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpsyg.2019.01244/full
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author Cátia Braga
António P. Ribeiro
Inês Sousa
Miguel M. Gonçalves
author_facet Cátia Braga
António P. Ribeiro
Inês Sousa
Miguel M. Gonçalves
author_sort Cátia Braga
collection DOAJ
description Background: The identification of poor outcome predictors is essential if we are to prevent therapeutic failure. Ambivalence – defined as a conflictual relationship between two positions of the self: one favoring change and another one favoring problematic stability – has been consistently associated with poor outcomes. However, the precise relationship between ambivalence and clients’ symptomatology remains unclear.Objective: This study aims at assessing ambivalence’s power to predict symptomatology, using a longitudinal design.Methods: The complete 305 sessions of 16 narrative and cognitive-behavioral cases have been analyzed with the Ambivalence Coding System and outcome measures have been used for each session.Results: Ambivalence emerged as a significant predictor of subsequent symptomatology suggesting that ambivalence is not only related to treatment outcomes, but that it represents a strong predictor of subsequent symptomatology.Discussion: The implications of ambivalence’s power to predict outcomes for research and clinical practice are discussed.
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spelling doaj.art-6417b425548441da80daf8566e5e59092022-12-21T19:06:11ZengFrontiers Media S.A.Frontiers in Psychology1664-10782019-05-011010.3389/fpsyg.2019.01244446571Ambivalence Predicts Symptomatology in Cognitive-Behavioral and Narrative Therapies: An Exploratory StudyCátia Braga0António P. Ribeiro1Inês Sousa2Miguel M. Gonçalves3Department of Applied Psychology, Psychology Research Center (CIPsi), University of Minho, Braga, PortugalDepartment of Applied Psychology, Psychology Research Center (CIPsi), University of Minho, Braga, PortugalDepartment of Mathematics and Applications, Center of Mathematics University of Minho, Braga, PortugalDepartment of Applied Psychology, Psychology Research Center (CIPsi), University of Minho, Braga, PortugalBackground: The identification of poor outcome predictors is essential if we are to prevent therapeutic failure. Ambivalence – defined as a conflictual relationship between two positions of the self: one favoring change and another one favoring problematic stability – has been consistently associated with poor outcomes. However, the precise relationship between ambivalence and clients’ symptomatology remains unclear.Objective: This study aims at assessing ambivalence’s power to predict symptomatology, using a longitudinal design.Methods: The complete 305 sessions of 16 narrative and cognitive-behavioral cases have been analyzed with the Ambivalence Coding System and outcome measures have been used for each session.Results: Ambivalence emerged as a significant predictor of subsequent symptomatology suggesting that ambivalence is not only related to treatment outcomes, but that it represents a strong predictor of subsequent symptomatology.Discussion: The implications of ambivalence’s power to predict outcomes for research and clinical practice are discussed.https://www.frontiersin.org/article/10.3389/fpsyg.2019.01244/fullambivalenceambivalence coding systemambivalence resolutionpoor outcome predictorsinnovative moments
spellingShingle Cátia Braga
António P. Ribeiro
Inês Sousa
Miguel M. Gonçalves
Ambivalence Predicts Symptomatology in Cognitive-Behavioral and Narrative Therapies: An Exploratory Study
Frontiers in Psychology
ambivalence
ambivalence coding system
ambivalence resolution
poor outcome predictors
innovative moments
title Ambivalence Predicts Symptomatology in Cognitive-Behavioral and Narrative Therapies: An Exploratory Study
title_full Ambivalence Predicts Symptomatology in Cognitive-Behavioral and Narrative Therapies: An Exploratory Study
title_fullStr Ambivalence Predicts Symptomatology in Cognitive-Behavioral and Narrative Therapies: An Exploratory Study
title_full_unstemmed Ambivalence Predicts Symptomatology in Cognitive-Behavioral and Narrative Therapies: An Exploratory Study
title_short Ambivalence Predicts Symptomatology in Cognitive-Behavioral and Narrative Therapies: An Exploratory Study
title_sort ambivalence predicts symptomatology in cognitive behavioral and narrative therapies an exploratory study
topic ambivalence
ambivalence coding system
ambivalence resolution
poor outcome predictors
innovative moments
url https://www.frontiersin.org/article/10.3389/fpsyg.2019.01244/full
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AT antoniopribeiro ambivalencepredictssymptomatologyincognitivebehavioralandnarrativetherapiesanexploratorystudy
AT inessousa ambivalencepredictssymptomatologyincognitivebehavioralandnarrativetherapiesanexploratorystudy
AT miguelmgoncalves ambivalencepredictssymptomatologyincognitivebehavioralandnarrativetherapiesanexploratorystudy