Fluctuation in the assimilation of problematic experiences: A comparison of two contrasting cases of Emotion Focused Therapy.

Publisher: Routledge Country of Publication: England NLM ID: 9110958 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1468-4381 (Electronic) Linking ISSN: 10503307 NLM ISO Abbreviation: Psychother Res Subsets: MEDLINE

Publication: 2005- : London : Routledge
Original Publication: New York, NY, USA : Guilford Publications, [1991-

Emotion-Focused Therapy*; Humans

The assimilation model suggests that therapeutic change occurs through a gradual assimilation of problematic experiences. Previous case studies have suggested that both good- and poor-outcome cases exhibit a fluctuating pattern of assimilation progress, characterized by advances and setbacks. Our study examined more closely how this fluctuating pattern is related to symptom change across therapy. We analyzed the longitudinal relations among assimilation ratings, instability (fluctuation) in assimilation ratings, and clinical symptom intensity in two contrasting cases of emotion-focused therapy for depression, one good and one poor outcome. We used the assimilation of problematic experiences scales (APES) to measure assimilation and the outcome- questionnaire (OQ-10) to measure clinical symptom intensity. To assess assimilation instability, we used a fluctuation measure that calculated the amplitude and the frequency of changes in assimilation levels. The results showed that in the good-outcome case, assimilation levels and instability tended to increase and symptom intensity tended to decrease, particularly in the final phase of treatment. In the poor-outcome case, assimilation levels and instability did not change much across sessions.

Keywords: assimilation model; instability; setbacks; therapeutic change process

Date Created: 20210322 Date Completed: 20211011 Latest Revision: 20211011

20240105

10.1080/10503307.2021.1892231

33749524