Percorrer por autor "Aleixo, Ana"
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- In-session emotional experiencing in brief psychotherapy conducted by trainee psychologists: Process, alliance, and the role of therapist persuasivenessPublication . Soares, Andreia; Ladislau, Laura; Aleixo, Ana; Santos, João M.; Sousa, DanielDespite the recognition of emotional experiencing as a key change factor in psychotherapy, gaps remain regarding how clinical training influences this dimension, particularly in brief interventions conducted by trainees, and preliminary process data on this phenomenon in Portuguese clinical training contexts are scarce. This study examined emotional experiencing in brief psychotherapy conducted by trainee psychologists undergoing structured experiential training with deliberate practice, analyzing whether patients show a progressive increase in experiential depth across sessions, whether higher levels of emotional experiencing are associated with stronger therapeutic alliance and greater symptom reduction, and whether therapists’ persuasiveness predicts patients’ emotional experiencing at different session moments. A quantitative repeated measures design was adopted with 5 trainee psychologists and 15 adult patients in a university clinic. Four sessions per patient were analyzed by three independent researchers using standardized measures: the Outcome Questionnaire-45 (OQ-45), the Working Alliance Inventory – Short Revised (WAI-SR), the Experiencing Scale (EXP), and the Therapist Persuasiveness Rating Scale (TPRS). Mixed linear models were then applied to assess longitudinal changes and relationships among variables. A significant reduction in psychological distress and an increase in therapeutic alliance indices, particularly in the tasks and bond dimensions, were observed. No significant changes were found in the depth of emotional experiencing, nor robust associations of this variable with symptom improvement or alliance, except for a marginal negative relationship between goal consensus and modal emotional experiencing. These findings suggest a stability of emotional experiencing in brief intervention contexts, highlighting the central role of collaborative processes in clinical change.
- A Review of empirical studies investigating narrative, emotion and meaning-making modes and client process markers in psychotherapyPublication . Aleixo, Ana; Pires, António Pazo; Angus, Lynne; Dias Neto, David; Vaz, AlexandreDespite the importance of narrative, emotional and meaning-making processes in psychotherapy, there has been no review of studies using the main instruments developed to address these processes. The objective is to review the studies about client narrative and narrative-emotional processes in psychotherapy that used the Narrative Process Coding System or the Narrative-Emotion Process Coding System (1.0 and 2.0). To identify the studies, we searched The Book Collection, PsycINFO, PsycARTICLES, PsycBOOKS, PEP Archive, Psychology and Behavioral Sciences Collection, Academic Search Complete and the Web of Knowledge databases. We found 27 empirical studies using one of the three coding systems. The studies applied the Narrative Process Coding System and the Narrative-Emotion Process Coding System to different therapeutic modalities and patients with various clinical disorders. In some studies, early, middle and late phases of therapy were compared, while other studies conducted intensive case analyses of Narrative Process Coding System and Narrative-Emotion Process Coding System patterns comparing recovered vs unchanged clients. The review supports the importance to look for the contribution of narrative, emotion, meaning-making patterns or narrative-emotion markers, to treatment outcomes and encourages the application of these instruments in process-outcome research in psychotherapy.
