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The impactful paradoxical interventi...

Goldsmith, David.

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The impactful paradoxical intervention in individual psychotherapy: A phenomenological approach.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	The impactful paradoxical intervention in individual psychotherapy: A phenomenological approach./
作者:	Goldsmith, David.
面頁冊數:	547 p.
附註:	Source: Dissertation Abstracts International, Volume: 51-05, Section: B, page: 2620.
Contained By:	Dissertation Abstracts International51-05B.
標題:	Psychology, Clinical. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9028280

The impactful paradoxical intervention in individual psychotherapy: A phenomenological approach.
Goldsmith, David.

The impactful paradoxical intervention in individual psychotherapy: A phenomenological approach. - 547 p.

Source: Dissertation Abstracts International, Volume: 51-05, Section: B, page: 2620.

Thesis (Ph.D.)--Duquesne University, 1989.

The study was undertaken in order to elucidate the experience of the impactful paradoxical intervention (PDI) in individual psychotherapy. Existing empirical studies focus on questions of efficacy, omit the patient-perspective, and rely on theoretical hypotheses regarding mechanisms of change. In order to achieve a fuller comprehension, an empirical-phenomenological approach was utilized. Therapists and patients in ongoing psychotherapy provided open-ended descriptions of PDI. The analysis yielded three General Structures--Therapist, Patient, and Dyadic--which reveal the interrelated constituents of PDI.Subjects--Topical Terms:

524864
Psychology, Clinical.

The impactful paradoxical intervention in individual psychotherapy: A phenomenological approach.
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245 1 4 $a The impactful paradoxical intervention in individual psychotherapy: A phenomenological approach.
300 $a 547 p.
500 $a Source: Dissertation Abstracts International, Volume: 51-05, Section: B, page: 2620.
500 $a Director: Anthony Barton.
502 $a Thesis (Ph.D.)--Duquesne University, 1989.
520 $a The study was undertaken in order to elucidate the experience of the impactful paradoxical intervention (PDI) in individual psychotherapy. Existing empirical studies focus on questions of efficacy, omit the patient-perspective, and rely on theoretical hypotheses regarding mechanisms of change. In order to achieve a fuller comprehension, an empirical-phenomenological approach was utilized. Therapists and patients in ongoing psychotherapy provided open-ended descriptions of PDI. The analysis yielded three General Structures--Therapist, Patient, and Dyadic--which reveal the interrelated constituents of PDI.
520 $a PDI is a relational process, which must be understood in the context of the patient's personal history and the specific therapeutic relationship. Therapists and patients have multiple intentions. The therapist's primary intention is to disrupt the patient's habitual constellation of ambivalence in the hope that healthier restructuration will occur, while the patient ambivalently intends to be free of and to retain the problematic behavior. Therapists express a tragicomic vision of healing, and convey a sense of indeterminacy through PDI. Four circular, overlapping phases are--quizzical protest, compliance, acceptance, and partial integration--which emerge from personal meanings evoked by the intervention. Neither patients nor therapists have complete control over or complete access to the meanings of the intervention. The PDI can be described as a metaphor which disrupts the patient's constellation of ambivalence and creates confusion from which novel meanings may emerge. The PDI results in the ironic reversal of a network of interrelated behaviors rather than being confined to the focal problematic behavior. While there is temporary and lasting impact, the participants agree that the patient attains greater insight, control, freedom, and unity between thought, affect, and action.
520 $a The findings contribute to psychology in theoretical and pragmatic ways. Several concepts are introduced--constellation of ambivalence, therapist indeterminacy, ironic reversal, tragicomic vision, and PDI as metaphor--and the General Structures offer a contextual view of PDI. Therapists can familiarize themselves with the unfolding phases and attitudinal constituents. PDI is neither ethical nor unethical in-itself, but must be viewed in the relational context. Further studies should examine PDI in contexts other than individual psychotherapy.
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