Abstract
Approximately 58 million people, or one in four adults in the United States, suffer with a diagnosable mental illness. Forty (40) million people are diagnosed with anxiety disorder, and approximately 14 million people are diagnosed with major depression. Psychotherapy has been shown to be effective for treating a wide array of mental illnesses. However, only 25% of individuals who have a diagnosable mental illness will come to therapy; and of those, approximately half will drop out after the first session. There is substantial published evidence that the success of therapy does not strongly depend on the type of therapy but depends instead on the human relationship between the therapist and client. Observational approaches that investigate the emotional expressions in the therapeutic relationship have not been systematically applied before. The current chapter details how an affect-based coding system (the Specific Affect Coding System, SPAFF), originally developed for couples, can be applied to counselors and clients in a therapy setting to determine the quality of the therapeutic relationship. Case studies of video recordings describing the application of this approach are included.
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References
Alexander, L. B., & Luborsky, L. (1987). The Penn helping alliance scales. In L. S. Greenberg & W. M. Pinsof (Eds.), The psychotherapeutic process: A research handbook (pp. 325–366). New York: Guilford Press.
Atzil-Slonim, D., Bar-Kalifa, E., Rafaeli, E., Lutz, W., Rubel, J., Schiefele, A., & Peri, T. (2015). Therapeutic bond judgments: Congruence and incongruence. Journal of Consulting and Clinical Psychology, 83, 773–784. https://doi.org/10.1037/ccp0000015
Burns, R. P., & Burns, R. (2008). Business research methods and statistics using SPSS. Sage Publications LTD. Retrieved from: http://www.uk.sagepub.com/burns/website%20material/Chapter%2025%20-20Discriminant%20Analysis.pdf
Crits-Christoph, P., Connolly Gibbons, M. B., Hamilton, J., Ring-Kurtz, S., & Gallop, R. (2011). The dependability of alliance assessments: The alliance-outcome correlation is larger than you might think. Journal of Consulting and Clinical Psychology, 79, 267–278. https://doi.org/10.1037/a0023668
Erzar, T., Rožič, T., Erzar, K. K., Čampa, B., & Čampa, V. M. (2012). Spremljanje čustvenih izrazov v terapevtskem procesu: priredba kodirnega sistema SPAFF (Specific Affect Coding System). / Adaptation of the Specific Affect Coding System (SPAFF). Psihološka Obzorja/Horizons of Psychology, 21(3–4), 47–56.
Falkenstrom, F., Granstrom, F., & Holmqvist, R. (2013). Therapeutic alliance predicts symptomatic improvement session by session. Journal of Counseling Psychology, 60, 317–328. https://doi.org/10.1037/a0032258
Fluckiger, C., Wampold, B. E., Del re, A., & Symonds, D. (2012). How central is the alliance in psychotherapy? A multilevel longitudinal meta-analysis. Journal of Counseling Psychology, 59, 10–17. https://doi.org/10.1037/a0025749
Gaston, L., & Marmar, C. R. (1994). The California psychotherapy alliance scales. The Working Alliance: Theory, Research, and Practice, 85–108.
Gaston, L., Marmar, C. R., Gallagher, D., & Thompson, L. W. (1991). Alliance prediction of outcome beyond in treatment symptomatic change as psychotherapy progresses. Psychotherapy Research, 1, 104–112. https://doi.org/10.1080/105033091123313355331
Gelso, C. J., & Carter, J. A. (1985). The relationship in counseling and psychotherapy: Components, consequences, and theoretical antecedents. The Counseling Psychologist, 13, 155–243. https://doi.org/10.1177/0011000085132001
Giese-Davis, J., Piemme, K. A., Dillon, C., & Twirbutt, S. (2005). Micro-variables in affective expression in women with breast cancer participating in support groups. In J. Harrigan, K. R. Scherer, & R. Rosenthal (Eds.), Nonverbal behavior in the affective sciences: A handbook of research methods (pp. 399–445). Oxford: Oxford University Press.
Gottman, J. M., McCoy, K., Coan, J., & Collier, H. (1996). The specific affect coding system. In J. Gottman (Ed.), What predicts divorce: The measures (pp. SPAFF 1–SPAF169). Hillsdale: Lawrence Erlbaum Associates, Inc.
Gottman, J. M., Woodin, E. M., & Coan, J. A. (1998). Specific affect coding system manual (20-code version 4.0). Seattle: University of Washington.
Gottman, J. M., Murray, J. D., Swanson, C. C., Tyson, R., & Swanson, K. R. (2002). The mathematics of marriage: Dynamic nonlinear models. Cambridge, MA: The MIT Press.
Hersoug, A. G., Monsen, J. T., Havik, O. E., & Høglend, P. (2002). Quality of early working alliance in psychotherapy: Diagnoses, relationship and intrapsychic variables as predictors. Psychotherapy and Psychosomatics, 71, 18–27. https://doi.org/10.1159/000049340
Heyman, R. E. (2001). Observation of couple conflicts: Clinical assessment applications, stubborn truths, and shaky foundations. Psychological Assessment, 13(1), 5–35. https://doi.org/10.1037/1040-3590.13.1.5
Horvath, A. O., & Greenberg, L. S. (1986). The development of the working alliance inventory. In L. S. Greenberg & W. M. Pinsof (Eds.), The psychotherapeutic process: A research handbook (pp. 529–556). New York: The Guilford Press.
Horvath, A. O., Del re, A., Fluckiger, C., & Symonds, D. (2011). Alliance in individual psychotherapy. In J. C. Norcross (Ed.), Alliance in individual psychotherapy (2nd ed., pp. 25–69). New York: Oxford University Press.
Johnson, J. E., Burlingame, G. M., Olsen, J. A., Davies, D. R., & Gleave, R. L. (2005). Group climate, cohesion, alliance, and empathy in group psychotherapy: Multilevel structural equation models. Journal of Counseling Psychology, 52, 310–321. https://doi.org/10.1037/0022-0167.52.3.310
Lambert, M. J., & Barley, D. E. (2001). Research summary on the therapeutic relationship and psychotherapy outcome. Psychotherapy: Theory, Research, Practice & Training, 38(4), 357–361. https://doi.org/10.1037/0033-3204.38.4.357
Langhoff, C., Baer, T., Zubraegel, D., & Linden, M. (2008). Therapist-patient alliance, patient-therapist alliance, mutual therapeutic alliance, therapist-patient concordance, and outcome of CBT in GAD. Journal of Cognitive Psychotherapy, 22, 68–79. https://doi.org/10.1891/0889.8391.22.1.68
Luedke, A. (2013). Affect coding within the therapeutic relationship (Doctoral dissertation). Retrieved from http://purl.flvc.org/fcla/dt/3362484
Luedke, A. J., Peluso, P. R., Diaz, P., Freund, R., & Baker, A. (2017). Predicting dropout in counseling using affect coding of the therapeutic relationship: An empirical analysis. Journal of Counseling & Development, 1995, 125–135. https://doi.org/10.1002/j.1556-6676.2014.00000.x
Main, A. (2015). Empathic communication during mother-adolescent conflict management. Dissertation Abstracts International: Section B: The Sciences and Engineering, Vol 75(8-B(E)), No Pagination Specified.
Meier, P. S., & Donmall, M. C. (2009). Differences in client and therapist views of the working alliance in drug treatment. Journal of Substance Use, 11, 73–80. https://doi.org/10.1080/14659890500137004
Mozdzierz, G., Peluso, P. R., & Lisiecki, J. (2014). Principles of counseling and psychotherapy: Learning the essential domains and nonlinear thinking of master practitioners (2nd ed.). New York: Routledge.
National Institute of Mental Health. (2010). The numbers count: Mental disorders in America. Retrieved from: http://www.nimh.nig.gov/health/publications/the-numbers-count-mental-disorders-in-america/index.shtml
Norcross, J. C. (2010). The therapeutic relationship. In B. L. Duncan, S. D. Miller, B. E. Wampold, & M. A. Hubble (Eds.), The heart and soul of change: Discovering what works in psychotherapy (2nd ed., pp. 113–139). Washington D.C.: American Psychological Association.
Norcross, J. C. (Ed.). (2011). Psychotherapy relationships that work: Evidence-based responsiveness (2nd ed.). New York: Oxford University Press.
Norcross, J. C., & Lambert, M. J. (2011). Evidence-based therapy relationships. In J. C. Norcross (Ed.), Psychotherapy relationships that work: Evidence-based responsiveness (2nd ed., pp. 3–21). New York: Oxford University Press.
Norcross, J. C., & Wampold, B. E. (2011). Evidence-based therapy relationships: Research conclusions and clinical practices. Psychotherapy, 48(1), 98–102. https://doi.org/10.1037/a0022161
O’Malley, S. S., Suh, C. S., & Strupp, H. H. (1983). The Vanderbilt Psychotherapy Process Scale: A report on the scale development and a process-outcome study. Journal of Consulting and Clinical Psychology, 51, 581–586.
Peluso, P. R. (2015). An Empirical Re-Weighting of the Specific Affect Coding System (SPAFF) for Therapist-Client Dyads. Unpublished manuscript, Florida Atlantic University.
Peluso, P. R., Liebovitch, L. S., Gottman, J. M., Norman, M. D., & Su, J. (2012). A mathematical model of psychotherapy: An investigation using dynamic non-linear equations to model the therapeutic relationship. Psychotherapy Research, 22(1), 40–55. https://doi.org/10.1080/10503307.2011.622314
Sharf, J., Primavera, L. H., & Deiner, M. J. (2010). Dropout and therapeutic alliance: A meta-analysis of adult individual psychotherapy. Psychotherapy Theory, Research, Practice, Training, 47, 637–645. https://doi.org/10.1037/a0021175
Van Walsum, K. L. (2005). Transference effects on student physicians’ affective interactions and clinical inferences in interviews with standardized patients: An experimental study (Doctoral dissertation). Retrieved from: http://repository.tamu.edu/bitstream/handle/1969.1/2548/etd-tamu-2005B-CPSY-van.pdf?sequence=1
Wampold, B. E. (2010). The research evidence for the common factors models: A historically situated perspective. In B. L. Duncan, S. D. Miller, B. E. Wampold, & M. A. Hubble (Eds.), The heart and soul of change: Delivering what works in therapy (2nd ed., pp. 49–81). Washington, DC: American Psychological Association.
Zandberg, L. J., Skriner, L. C., & Chu, B. C. (2015, April). Client-therapist alliance discrepancies and outcome in cognitive-behavioral therapy for youth anxiety. Journal of Clinical Psychology, 71, 313–322. https://doi.org/10.1002/jclp.22167
Zuroff, D. C., & Blatt, S. J. (2006). The therapeutic relationship in the brief treatment of depression: Contributions to clinical improvement and enhanced adaptive tendencies. Journal of Consulting and Clinical Psychology, 74, 130–140. https://doi.org/10.1037/0022-006X.74.1.130
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Peluso, P.R., Diaz, P., Tabib, G. (2018). Quantitative Video Coding of Therapist-Client Sessions. In: Strawinska-Zanko, U., Liebovitch, L. (eds) Mathematical Modeling of Social Relationships. Computational Social Sciences. Springer, Cham. https://doi.org/10.1007/978-3-319-76765-9_3
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