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Narrative change in psychotherapy: differences between good and bad outcome cases in cognitive, narrative, and prescriptive therapies
Author(s) -
Moreira Paulo,
Beutler Larry E.,
Gonçalves Óscar F.
Publication year - 2008
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/jclp.20517
Subject(s) - narrative , psychology , outcome (game theory) , cognition , psychotherapist , narratology , coherence (philosophical gambling strategy) , narrative therapy , narrative review , narrative criticism , clinical psychology , narrative inquiry , psychiatry , philosophy , linguistics , physics , mathematics , mathematical economics , quantum mechanics
This study aimed to clarify the relationship between changes in the patients' narratives and therapeutic outcomes. Two patients were selected from three psychotherapeutic models (cognitive, narrative, and prescriptive therapies), one with good therapeutic outcome and the other with bad therapeutic outcome. Sessions from the initial, middle, and final phases for each patient were evaluated in terms of narrative structural coherence, process complexity, and content diversity. Differences between patients' total narrative production were found at the end of the therapeutic process. Good outcome cases presented a higher statistically significant total narrative change than poor outcome cases. © 2008 Wiley Periodicals, Inc. J Clin Psychol 64:1–14, 2008.