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Boritz TZ, Bryntwick E, Angus L, Greenberg LS, Constantino MJ. Narrative and emotion process in psychotherapy: An empirical test of the Narrative-Emotion Process Coding System (NEPCS). Psychother Res 2013; 24:594-607. [DOI: 10.1080/10503307.2013.851426] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Angus L, Lewin J, Boritz T, Bryntwick E, Carpenter N, Watson-Gaze J, Greenberg L. Narrative Processes Coding System: A Dialectical Constructivist Approach to Assessing Client Change Processes in Emotion-Focused Therapy of Depression. ACTA ACUST UNITED AC 2013. [DOI: 10.4081/ripppo.2012.105] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Drawing on a Dialectical Constructivist model of therapeutic change, this paper addresses the fundamental contributions of client narrative disclosure, emotional differentiation and reflexive meaning-making processes in emotion-focused treatments of depression. An overview of the multi-methodological steps undertaken to empirically investigate the contributions of client storytelling, emotional differentiation, and meaning-making processes, using the Narrative Processes Coding System (NPCS; Angus et al., 1999) are provided, followed by a summary of key research findings that informed the development of a narrative-informed approach to emotion-focused therapy of depression (Angus & Greenberg, 2011). Finally, therapy practice implications for the adoption of a research-informed approach to working with narrative and emotion processes in emotion-focused therapy are described and future research directions discussed.
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Heatherington L, Messer SB, Angus L, Strauman TJ, Friedlander ML, Kolden GG. The narrowing of theoretical orientations in clinical psychology doctoral training. CLINICAL PSYCHOLOGY-SCIENCE AND PRACTICE 2012. [DOI: 10.1111/cpsp.12012] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Gonçalves MM, Mendes I, Cruz G, Ribeiro AP, Sousa I, Angus L, Greenberg LS. Innovative moments and change in client-centered therapy. Psychother Res 2012; 22:389-401. [DOI: 10.1080/10503307.2012.662605] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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Angus L. Toward an integrative understanding of narrative and emotion processes in Emotion-focused therapy of depression: Implications for theory, research and practice. Psychother Res 2012; 22:367-80. [DOI: 10.1080/10503307.2012.683988] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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31
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Marcus M, Westra H, Angus L, Kertes A. Client experiences of motivational interviewing for generalized anxiety disorder: a qualitative analysis. Psychother Res 2011; 21:447-61. [PMID: 21644188 DOI: 10.1080/10503307.2011.578265] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Abstract
While Motivational Interviewing (MI) has demonstrated efficacy, little is known about the mechanisms through which MI achieves beneficial effects or how clients perceive the process of MI. The present study addressed this gap through a qualitative analysis of client accounts following four sessions of MI for generalized anxiety disorder. Clients identified increased motivation for treatment and change, experiencing the therapist as empathic and MI as a safe place to explore their feelings regarding change. MI was also described as deviant from client initial expectations. Overall, the emergent understanding of MI derived from clients' post-treatment narratives was consistent with MI principles and processes.
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Mendes I, Ribeiro AP, Angus L, Greenberg LS, Sousa I, Gonçalves MM. Narrative change in emotion-focused psychotherapy: A study on the evolution of reflection and protest innovative moments. Psychother Res 2011; 21:304-15. [PMID: 21480051 DOI: 10.1080/10503307.2011.565489] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Angus L, Mio JS. At the "Heart of the Matter": Understanding the Importance of Emotion-Focused Metaphors in Patient Illness Narratives. ACTA ACUST UNITED AC 2011. [DOI: 10.1215/00166928-1407540] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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34
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Boritz TZ, Angus L, Monette G, Hollis-Walker L, Warwar S. Narrative and emotion integration in psychotherapy: Investigating the relationship between autobiographical memory specificity and expressed emotional arousal in brief emotion-focused and client-centred treatments of depression. Psychother Res 2011; 21:16-26. [DOI: 10.1080/10503307.2010.504240] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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35
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Barkham M, Stiles WB, Connell J, Twigg E, Leach C, Lucock M, Mellor-Clark J, Bower P, King M, Shapiro DA, Hardy GE, Greenberg L, Angus L. Effects of psychological therapies in randomized trials and practice-based studies. BRITISH JOURNAL OF CLINICAL PSYCHOLOGY 2010; 47:397-415. [DOI: 10.1348/014466508x311713] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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36
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Moertl K, Boritz TZ, Bryntwick E, Angus L. Developing a Systematic Procedure for the Assessment of Self-Defining Memories in Psychodynamic Therapy: Promise and Pitfalls. PRAGMATIC CASE STUDIES IN PSYCHOTHERAPY 2010. [DOI: 10.14713/pcsp.v6i3.1043] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
The innovative approach to assessing autobiographical memory narratives that Singer and Bonalume (2010) demonstrate in their case study of Cynthia is an ambitious expression of integrative psychotherapy research. It brings together the rich research findings on self-defining memories derived from laboratory studies and therapy case analyses, and applies these to the multimodal assessment situation in a psychotherapy program. Further, Singer and Bonalume's case of Cynthia is grounded in a truly "common factor" that is essential to most if not all psychotherapies: patient narrative expression. However, the integration of findings across different research studies still needs further elaboration to clarify and explore when they are consistent and when they are inconsistent with one another. In our commentary we critically assess the following issues associated with Singer and Bonalume's narrative memory coding system and its application to the case of Cynthia: (a) the utilization of narrative analyses for the identification of themes; (b) challenges inherent in establishing criteria for the identification of clinically important autobiographical memory narratives in therapy sessions; (c) the degree of integrative processing that takes place in narrative expression; and (d) the process of formulating inferences based on client narrative expression in assessment interviews versus therapy sessions. The commentary concludes with a discussion of promising future directions for narrative research in psychotherapy.
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Mendes I, Ribeiro AP, Angus L, Greenberg LS, Sousa I, Gonçalves MM. Narrative change in emotion-focused therapy: How is change constructed through the lens of the innovative moments coding system? Psychother Res 2010; 20:692-701. [DOI: 10.1080/10503307.2010.514960] [Citation(s) in RCA: 44] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Levitt H, Korman Y, Angus L. A metaphor analysis in treatments of depression: Metaphor as a marker of change. COUNSELLING PSYCHOLOGY QUARTERLY 2010. [DOI: 10.1080/09515070050011042] [Citation(s) in RCA: 47] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
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39
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Westra HA, Aviram A, Barnes M, Angus L. Therapy was not what I expected: A preliminary qualitative analysis of concordance between client expectations and experience of cognitive–behavioural therapy. Psychother Res 2010; 20:436-46. [DOI: 10.1080/10503301003657395] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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40
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Ellison JA, Greenberg LS, Goldman RN, Angus L. Maintenance of gains following experiential therapies for depression. J Consult Clin Psychol 2009; 77:103-12. [PMID: 19170457 DOI: 10.1037/a0014653] [Citation(s) in RCA: 52] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Follow-up data across an 18-month period are presented for 43 adults who had been randomly assigned and had responded to short-term client-centered (CC) and emotion-focused (EFT) therapies for major depression. Long-term effects of these short-term therapies were evaluated using relapse rates, number of asymptomatic or minimally symptomatic weeks, survival times across an 18-month follow-up, and group comparisons on self-report indices at 6- and 18-month follow-up among those clients who responded to the acute treatment phase. EFT treatment showed superior effects across 18 months in terms of less depressive relapse and greater number of asymptomatic or minimally symptomatic weeks, and the probability of maintaining treatment gains was significantly more likely in the EFT treatment than in the CC treatment. In addition, follow-up self-report results demonstrated significantly greater effects for EFT clients on reduction of depression and improvement of self-esteem, and there were trends in favor of EFT, in comparison with CC, on reduction of general symptom distress and interpersonal problems. Maintenance of treatment gains following an empathic relational treatment appears to be enhanced by the addition of specific experiential and gestalt-derived emotion-focused interventions. Clinical and theoretical implications of these findings are presented.
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Valiente-Dobón JJ, Mengoni D, Gadea A, Farnea E, Lenzi SM, Lunardi S, Dewald A, Pissulla T, Szilner S, Broda R, Recchia F, Algora A, Angus L, Bazzacco D, Benzoni G, Bizzeti PG, Bizzeti-Sona AM, Boutachkov P, Corradi L, Crespi F, de Angelis G, Fioretto E, Görgen A, Gorska M, Gottardo A, Grodner E, Guiot B, Howard A, Królas W, Leoni S, Mason P, Menegazzo R, Montanari D, Montagnoli G, Napoli DR, Obertelli A, Pawłat T, Pollarolo G, Rubio B, Sahin E, Scarlassara F, Silvestri R, Stefanini AM, Smith JF, Steppenbeck D, Ur CA, Wady PT, Wrzesiński J, Maglione E, Hamamoto I. Lifetime measurements of the neutron-rich N = 30 isotones 50Ca and 51Sc: orbital dependence of effective charges in the fp shell. PHYSICAL REVIEW LETTERS 2009; 102:242502. [PMID: 19659003 DOI: 10.1103/physrevlett.102.242502] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/02/2008] [Indexed: 05/28/2023]
Abstract
The lifetimes of the first excited states of the N = 30 isotones (50)Ca and (51)Sc have been determined using the Recoil Distance Doppler Shift method in combination with the CLARA-PRISMA spectrometers. This is the first time such a method is applied to measure lifetimes of neutron-rich nuclei populated via a multinucleon transfer reaction. This extends the lifetime knowledge beyond the f_{7/2} shell closure and allows us to derive the effective proton and neutron charges in the fp shell near the doubly magic nucleus (48)Ca, using large-scale, shell-model calculations. These results indicate an orbital dependence of the core polarization along the fp shell.
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Boritz TZ, Angus L, Monette G, Hollis-Walker L. An empirical analysis of autobiographical memory specificity subtypes in brief emotion-focused and client-centered treatments of depression. Psychother Res 2008; 18:584-93. [DOI: 10.1080/10503300802123245] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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Angus L, Kagan F. Empathic relational bonds and personal agency in psychotherapy: Implications for psychotherapy supervision, practice, and research. ACTA ACUST UNITED AC 2007; 44:371-7. [DOI: 10.1037/0033-3204.44.4.371] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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44
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Frankel Z, Levitt HM, Murray DM, Greenberg LS, Angus L. Assessing silent processes in psychotherapy: an empirically derived categorization system and sampling strategy. Psychother Res 2006. [DOI: 10.1080/10503300600591635] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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45
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Goldman RN, Greenberg LS, Angus L. The effects of adding emotion-focused interventions to the client-centered relationship conditions in the treatment of depression. Psychother Res 2006. [DOI: 10.1080/10503300600589456] [Citation(s) in RCA: 67] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Angus L, Levitt H, Hardtke K. The narrative processes coding system: research applications and implications for psychotherapy practice. J Clin Psychol 1999; 55:1255-70. [PMID: 11045775 DOI: 10.1002/(sici)1097-4679(199910)55:10<1255::aid-jclp7>3.0.co;2-f] [Citation(s) in RCA: 80] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
The Narrative Processes model is focused on the strategies and processes by which a client and therapist transform the events of everyday life into a meaningful story that both organizes and represents the client's sense of self and others in the world. Some investigators have elected to use clients' within session descriptions of relationship events or micronarratives as their unit of narrative analysis. In contrast, we are centrally interested in the development of the macronarrative framework in which the singular events described in a therapy relationship-micronarratives-come to be articulated, experienced, and linked together in such a way that the client's sense of his or her life story-in essence, the sense of self-may be transformed at the conclusion of the therapeutic relationship. The following paper details the Narrative Processes theory of therapy and the coding system that has been developed to identify and evaluate empirically key components of the model. Findings emerging from the analyses of successful psychotherapy dyads are described and the implications for future research and practice are discussed.
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Jasmin BJ, Gramolini AO, Adatia FA, Angus L, Boudreau-Larivière C, Chan RY, Krupa AM, Lunde JA, Mankal FA, Wu J. Nerve-derived trophic factors and DNA elements controlling expression of genes encoding synaptic proteins in skeletal muscle fibers. CANADIAN JOURNAL OF APPLIED PHYSIOLOGY = REVUE CANADIENNE DE PHYSIOLOGIE APPLIQUEE 1998; 23:366-76. [PMID: 9677433 DOI: 10.1139/h98-021] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
The neuromuscular junction represents an excellent model system for studying various critical issues in neurobiology at the molecular, cellular, and physiological levels. Our understanding of the basic events underlying synpase formation, maintenance, and plasticity has progressed considerably over the last few years primarily because of the numerous studies that have focused on this synapse and used sophisticated recombinant DNA technology. Recent data indicate that myonuclei located in the vicinity of the postsynaptic membrane are in a differential state of transcription compared to nuclei of the extrasynaptic sarcoplasm. Thus, renewal of postsynaptic membrane proteins appears to occur via a mechanism involving the local transcriptional activation of genes encoding these specialized proteins and extracellular cues originating from motoneurons. Such interaction between presynaptic nerve terminals and the postsynaptic sarcoplasm indicates that the entire signal transduction pathway is compartmentalized at the level of the neuromuscular junction. Expression of these genes appears less coregulated than originally anticipated, indicating that maintenance of the postsynaptic membrane requires the contribution of multiple extracellular signals, which ultimately urge target transcription factors to distinct DNA regulatory elements via various second messenger systems.
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Whitby M, Angus L, Nimmo G, Hill V. Complicated urinary infection in spinal injury patients: fleroxacin compared with ciprofloxacin. Chemotherapy 1996; 42:468-72. [PMID: 8957583 DOI: 10.1159/000239482] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
The efficacy and safety of fleroxacin and ciprofloxacin were evaluated in a single-centre, prospective, randomised, blinded study of patients with complicated urinary infection in a spinal injury unit. Patients were randomised to receive oral fleroxacin 400 mg once daily (n = 68) or oral ciprofloxacin 500 mg twice daily (n = 65) for 10 days. Clinical cure assessed 5-9 days after therapy was obtained in 41 of 42 (98%) assessable patients in the fleroxacin group, and in 41 of 43 (95%) of the ciprofloxacin group, and was maintained at the 6-week follow-up visit in all but 1 patient in each group. Bacteriological eradication rates 5-9 days after therapy exceeded 88% in the fleroxacin group and 86% in the ciprofloxacin group, and 69 and 65%, respectively, 6 weeks after completion of therapy. Adverse events occurred in a similarly low percentage of patients (19 and 20%) in both treatment groups, and consisted primarily of nausea. Once daily fleroxacin appears to be as safe and effective as twice daily ciprofloxacin and both represent efficacious treatment in complicated urinary infection in spinal injury patients.
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Rasmussen B, Angus L. Metaphor in psychodynamic psychotherapy with borderline and non-borderline clients: A qualitative analysis. ACTA ACUST UNITED AC 1996. [DOI: 10.1037/0033-3204.33.4.521] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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