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Biomedical subjects

S Wiser

Publications and source records attributed to S Wiser.

6 recordsLinked to original sources
PubMed2001

Emotional experiencing: to facilitate or regulate?

In the preceding several decades, both empirical research and advances in the theoretical literatures of diverse schools of thought suggest that greater client in-session emotional experiencing is related to therapeutic change. What has yet to be explored and explicated are the variables that indicate when, and with whom, facilitating emotional experiencing may be most and least helpful. This article offers an exploration of the clinical and empirical literatures that bear on this issue. It also suggests preliminary client and therapist variables that point either toward or away from the therapeutic facilitation of client emotional experiencing.

Adaptation, Psychological↗
PubMed1999

Dialectical behavior therapy for Binge-Eating Disorder.

Binge-eating episodes have alternately been described as stemming from strict dieting behaviors driven by overvalued ideas of weight and shape, or as arising from problematic interpersonal experiences. A third way of conceptualizing an eating binge is as a maladaptive emotion-regulation strategy, suggesting that facilitating more adaptive and effective affect regulation capacities may be a useful treatment. Dialectical Behavior Therapy (DBT), a treatment aimed at increasing emotion regulation skill, is currently being adapted for use with a binge-eating disorder population. Assumptions underlying the treatment, methods in treatment delivery, and goals of the treatment package are discussed. A pilot study currently underway of group DBT therapy for individuals with Binge-Eating Disorder is described.

Adaptation, Psychological↗
PubMed1998

Therapist interventions and client emotional experiencing in expert psychodynamic-interpersonal and cognitive-behavioral therapies.

Eighteen sessions of cognitive-behavioral (CB) and 13 sessions of psychodynamic-interpersonal therapy obtained from experienced clinicians in a naturalistic setting were investigated to determine the various therapeutic interventions associated with high and low emotional experiencing (EXP). Clients receiving reflections and acknowledgments, affiliative and noncontrolling interventions, or interventions highlighting nonspecific client content were associated with maintained high EXP. Lengthier interventions and interventions rated as affiliative but moderately controlling were associated with shifts to low EXP. For clients of CB therapists, questions, interventions rated affiliative but controlling, and highlighting minimal emotional content were also associated with shifts to low EXP. Male therapists were associated with clients who maintained high EXP and female therapists were associated with clients who shifted to low EXP.

Adult↗
PubMed1996

Predicting the effect of cognitive therapy for depression: a study of unique and common factors.

The ability of several process variables to predict therapy outcome was tested with 30 depressed clients who received cognitive therapy with or without medication. Two types of process variables were studied: 1 variable that is unique to cognitive therapy and 2 variables that this approach is assumed to share with other forms of treatment. The client's improvement was found to be predicted by the 2 common factors measured: the therapeutic alliance and the client's emotional involvement (experiencing). The results also indicated, however, that a unique aspect of cognitive therapy (i.e., therapist's focus on the impact of distorted cognitions on depressive symptoms) correlated negatively with outcome at the end of treatment. Descriptive analyses that were conducted to understand this negative correlation suggest that therapists sometimes increased their adherence to cognitive rationales and techniques to correct problems in the therapeutic alliance. Such increased focus, however, seems to worsen alliance strains, thereby interfering with therapeutic change.

Adult↗
PubMed1993

Comparative study of emotional experiencing in psychodynamic-interpersonal and cognitive-behavioral therapies.

Despite increased interest in the role of emotion in the process of psychotherapy, we currently lack a valid gauge of its importance in the change process. Significant sessions obtained from 13 experienced psychodynamic-interpersonal and 17 experienced cognitive-behavior therapists were examined to determine the extent of affective exploration and therapists' views of these client states. Results indicate that affective experiencing is present in equivalent amounts in the change sessions of these two orientations. However, therapists' clinical views were dissimilar. Psychodynamic-interpersonal therapists viewed portions containing higher affective experiencing as more critical to the change process, whereas cognitive-behavior therapists viewed lower levels of experiencing as being therapeutically more significant. These findings suggest that, with regard to emotional experiencing, psychodynamic-interpersonal therapists may share common ground with experiential therapists, whereas cognitive-behavior therapists appear to have a unique perspective.

Adaptation, Psychological↗