Shape of the self-concept clarity change during group psychotherapy predicts the outcome: an empirical validation of the theoretical model of the self-concept change
| Autor: | Rafał Styła |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
accommodation
Psychotherapist medicine.medical_treatment media_common.quotation_subject lcsh:BF1-990 Neurosis Outcome (game theory) law.invention Group psychotherapy shape of change law dynamic systems theory medicine Psychology Personality General Psychology Original Research media_common assimilation Self self-concept clarity medicine.disease Neuroticism Personality disorders processes of change psychotherapy stomatognathic diseases lcsh:Psychology CLARITY process-outcome research |
| Zdroj: | Frontiers in Psychology, Vol 6 (2015) Frontiers in Psychology |
| ISSN: | 1664-1078 |
| DOI: | 10.3389/fpsyg.2015.01598 |
| Popis: | Background: Self-concept clarity describes the extent to which the schemas of the self are internally integrated, well defined, and temporally stable. This article presents a theoretical model that describes how different shapes of self-concept clarity change (especially stable increase and “V” shape) observed in the course of psychotherapy are related to the therapy outcome. Linking the concept of Jean Piaget and the dynamic systems theory, the study postulates that a stable self-concept clarity increase is needed for the participants with a rather healthy personality structure, while self-concept clarity change characterized by a “V” shape or fluctuations is optimal for more disturbed patients. Method: Correlational study in a naturalistic setting with repeated measurements (M=5.8) was conducted on the sample of 85 patients diagnosed with neurosis and personality disorders receiving intensive eclectic group psychotherapy under routine inpatient conditions. Participants filled in the Self-Concept Clarity Scale, Symptoms’ Questionnaire KS-II, and Neurotic Personality Questionnaire KON-2006 at the beginning and at the end of the course of psychotherapy. The Self-Concept Clarity Scale was also administered every two weeks during psychotherapy. Results: As hypothesized, among the relatively healthiest group of patients the stable self-concept clarity increase was related to positive treatment outcome, while more disturbed patients benefited from the fluctuations and “V” shape of self-concept clarity change. Conclusions: The findings support the idea that for different personality dispositions either a monotonic increase or transient destabilization of self-concept clarity is a sign of a good treatment prognosis. |
| Databáze: | OpenAIRE |
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