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Title: Relational schemas as mediators of innovative moments in symptom improvement in major depression
Authors: Batista, João
Silva, Joana
Freitas, Sara
Alves, Daniela
Machado, Anabela
Sousa, Inês
Fernández-Navarro, Pablo
Magalhães, Carina
Gonçalves, Miguel M.
Keywords: CCRT
Innovative moments
Process-outcome research
Process research
Relational schemas
Issue Date: 5-Aug-2017
Publisher: Francis & Taylor
Citation: Batista, J., Silva, J., Freitas, S., Alves, D., Machado, A., Sousa, …Gonçalves, M. M. (2017). Relational schemas as mediators of innovative moments in symptom improvement in major depression. Psychotherapy Research, 1-12. Disponível no Repositório UPT,
Abstract: Objectives: Innovative moments (IMs) are exceptions to the maladaptive framework of meaning that typically motivates clients to seek psychotherapy, and previous studies have shown that IMs are associated with psychotherapy outcomes. While IMs are exceptions that occur at the level of the therapeutic conversation, relational schemas are more stable patterns, and their increased flexibility may facilitate change during psychotherapy. With this in mind, we tested the hypothesis that IMs contribute to outcomes by improving the flexibility of relational schemas. Method: The Core Conflictual Relationship Theme (CCRT) was used to assess relational schemas. IMs were evaluated using the Innovative Moments Coding System. The sample included 22 clients diagnosed with major depressive disorder. The flexibility of the three components of the CCRT (Wishes, responses of the self (RS), and responses of others (RO)) were tested as mediators between IMs and outcomes. Results: The flexibility of the RS was a mediator between IMs and outcomes, but Wishes and RO were not. Conclusion: These findings align with previous research showing that RS is the component most open to change, whereas the other components seem less sensitive to change during brief therapy.
ISSN: 1468-4381
Appears in Collections:INPP - Artigos em Revistas Internacionais / Papers in International Journals

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