A comparative analysis of the therapeutic focus in cognitive-behavioral and psychodynamic-interpersonal sessions

Marvin R. Goldfried, Adele M. Hayes, Louis G. Castonguay, John F. Drozd, David A. Shapiro

Research output: Contribution to journalArticle

54 Scopus citations

Abstract

This study compared therapeutic loci in a sampling of 30 cognitive- behavioral and 27 psychodynamic-interpersonal manual-driven treatments for depression. High- and low-impact sessions were coded for each client, with the Coding System of Therapeutic Focus. Results indicated that psychodynamic- interpersonal sessions focused more on such variables as emotion, patterns, incongruities, the impact that others made on clients, clients' expected reaction of others, the tendency to avoid therapeutic progress, therapists themselves, clients' parents, and links between people and time periods in clients' lives. Cognitive-behavioral sessions placed greater emphasis on external circumstances and clients' ability to make decisions, gave more support and information and encouraged between-session experiences, and focused more on the future. Relatively few differences emerged as a function of session impact. Results are discussed in terms of the different and similar theoretical conceptions of the change process.

Original languageEnglish (US)
Pages (from-to)740-748
Number of pages9
JournalJournal of consulting and clinical psychology
Volume65
Issue number5
DOIs
StatePublished - Oct 1997

All Science Journal Classification (ASJC) codes

  • Clinical Psychology
  • Psychiatry and Mental health

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