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Treating affect phobias: Therapeutic alliance as a moderator of the emotional experience effect on outcomes

dc.contributor.authorFerreira, Laura Inês
dc.contributor.authorJaneiro, Luís
dc.date.accessioned2022-07-12T10:08:29Z
dc.date.available2022-07-12T10:08:29Z
dc.date.issued2022-03
dc.description.abstractPsychodynamic-oriented psychotherapies have demonstrated their efficacy in emotional disorders' treatment. However, it remains unclear what are the specific mechanisms accounting for change. In psychodynamic psychotherapeutic models as the Affect Phobia Therapy (APT), emphasis is placed on therapeutic relationship and the ability of clients to regain adaptive contact with their emotions. Specifically, it is argued that there must be a high therapeutic alliance for the emotions' exposure to lead to positive outcomes. This exploratory study aimed to examine whether the level of therapeutic alliance (high vs. low) moderates the contribution of emotional experience to outcomes. Twenty-six clients (65% females; Mage= 25; SD= 7.26) with depressive and/or anxiety symptoms undergoing a psychodynamic psychotherapy on a university counselling centre were included. After each weekly session, clients answered measures of therapeutic alliance, emotional experience, and outcomes (Psychological Well-Being and Subjective Discomfort). Data were analysed using Hierarchical Linear Models for longitudinal data. Results indicated that effect of emotional experience on outcomes depends on levels of therapeutic alliance. In clients with low therapeutic alliance, higher levels of emotional experience contributed to a decrease in Psychological Well-Being and an increase in Subjective Discomfort across sessions. In clients with higher levels of alliance, both outcomes decreased significantly between sessions, regardless of the emotional experience effect. Our findings highlight that it is important to consider that exposure to adaptive emotions may have adverse effects when a strong alliance is not established.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.eissn1989-2780
dc.identifier.urihttp://hdl.handle.net/10400.1/17964
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherAACpt_PT
dc.relationPsychology Research Center
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectPsychodynamic therapypt_PT
dc.subjectTherapeutic alliancept_PT
dc.subjectEmotional experiencept_PT
dc.subjectModeratorpt_PT
dc.subjectChange mechanismspt_PT
dc.titleTreating affect phobias: Therapeutic alliance as a moderator of the emotional experience effect on outcomespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitlePsychology Research Center
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB%2F04345%2F2020/PT
oaire.citation.endPage75pt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage64pt_PT
oaire.citation.titleInternational Journal of Psychology and Psychological Therapypt_PT
oaire.citation.volume22pt_PT
oaire.fundingStream6817 - DCRRNI ID
person.familyNameFerreira
person.familyNameJaneiro
person.givenNameLaura Inês
person.givenNameLuís
person.identifier.ciencia-idED1D-EC06-2C18
person.identifier.orcid0000-0003-3156-3319
person.identifier.orcid0000-0003-3699-5401
person.identifier.scopus-author-id57190609503
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication67150a76-be5d-4904-aba1-878bee3cde67
relation.isAuthorOfPublicatione60c8481-5a02-4ba7-9800-32ca87b99d46
relation.isAuthorOfPublication.latestForDiscoverye60c8481-5a02-4ba7-9800-32ca87b99d46
relation.isProjectOfPublicationbba2b45c-adf8-4ee0-8b6f-e9c4fd3930b4
relation.isProjectOfPublication.latestForDiscoverybba2b45c-adf8-4ee0-8b6f-e9c4fd3930b4

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