Integrating affect and cognition: A perspective on the process of therapeutic change

Cognitive Therapy and Research - Tập 8 - Trang 559-578 - 1984
Leslie S. Greenberg1, Jeremy D. Safran2
1University of British Columbia, Canada
2Clark Institute of Psychiatry, USA

Tóm tắt

There is a growing recognition among clinicians of the need for a comprehensive model of emotion, which illuminates the role of affective processes in psychotherapy. In the present article, we employ a constructive model in which emotion is viewed as resulting from a synthesis of components. This emotional synthesis model is used to explore some of the ways in which “feeling” and “thinking” interact, both in clinical problems and in therapeutic change. It is suggested that many clinical problems involve a breakdown in the emotional synthesis process and that an important focus of therapy should be the integration of the different levels of processing involved in the construction of emotional experience. It is also argued that affect does not play a simple, uniform role in therapeutic change but instead should be viewed as operating in different ways in different change events. For this reason, it is important to begin delineating different mechanisms through which changes in emotional processing can bring about therapeutic change. To this end, three such mechanisms are proposed: the synthesis of adaptive emotional experience, de-automating dysfunctional emotional habits, and modifying state-dependent learning.

Tài liệu tham khảo

Abelson, R. P. (1963). Computer simulation of “hot cognitions.” In S. Tomkins & S. Messick (Eds.),Computer simulations of personality. New York: Wiley. Arnkoff, D. B. (1980). Psychotherapy from the perspective of cognitive theory. In M. Mahoney (Ed.),Psychotherapy process: Current issues and future directions. New York: Plenum Press. Arnold, M. B. (1960).Emotion and personality. New York: Columbia University Press. Beck, A. T. (1976).Cognitive therapy and the emotional disorders. New York: International Universities Press. Bower, G. H. (1981). Mood and memory.American Psychologist, 36 129–148. Davison, G. (1980). Psychotherapy process. Special issue, M. Goldfried (Ed.).Cognitive Therapy and Research, 4 269–306. Dixon, N. (1981).Preconscious processing. New York: Wiley. Gendlin, E. (1980).Focusing. New York: Bantam. Gibson, J. J. (1979).The ecological approach to visual perception. Boston: Houghton Mifflin. Goldfried, M. (1979). Cognitive behavioral interventions. In P. C. Kendall & S. D. Hollon (Eds.),Anxiety reduction through cognitive behavioral interventions. New York: Plenum Press. Goldfried, M. (1982).Converging themes in psychotherapy. New York: Springer. Greenberg, L. (1982). Resolving decisional conflict with Gestalt two-chair dialogue: Relating process to outcome.Journal of Counseling Psychology, 29 468–477. Greenberg L. (1984). A task analysis of intrapersonal conflict resolution. In L. Rice & L. Greenberg (Eds.),Patterns of change. Intensive analysis of psychotherapeutic process. New York: Guilford Press. Greenberg L., & Safran J. (1981). Encoding and cognitive therapy: Changing what clients attend to.Psychotherapy: Theory, Research, and Practice, 18 163–169. Greenberg, L., & Safran, J. (1980). Encoding, information processing and cognitive/behaviour therapy.Canadian Psychologist, 21 59–66. Izard, C. (1977).Human emotions. New York: Plenum Press. Kiesler, D. J. (1966). Basic methodological issues implicit in psychotherapy process research.American Journal of Psychotherapy, 20 135–155. Lang, P. (1977). Imagery in therapy. An information processing analysis of fear.Behavior Therapy, 8 862–886. Lang, P. (1979). A bio-informational theory of emotional imagery.Psychophysiology, 16 495–512. Lazarus R. (1982). Thoughts on the relation between emotion and cognition.American Psychologist, 37 1019–1024. Lazarus R., Coyne, J., & Folkman, S. (1982). Cognition, emotion and motivation: The doctoring of Humpty-Dumpty. In R. W. J. Neufeld (Ed.),Psychological stress and psychopathology. New York: McGraw-Hill. Leventhal, H. (1979). A perceptual motor processing model of emotion. In P. Pliner, K. R. Blankstein, & I. M. Spigel (Eds.),Advances in the study of communication and affect, Vol. 5. Perception of emotions in self and others. New York: Plenum. Mahoney, M. (1980). Psychotherapy and the structure of personal revolutions. In M. Mahoney (Ed.),Psychotherapy process: Current issues and future directions New York: Plenum Press. Meichenbaum. D. (1977).Cognitive-behavior modification: An integrative approach. New York: Plenum Press. Neisser, U. (1976).Cognition and reality. San Francisco: Freeman. Norman, D. A. (1976).Memory and attention: An introduction to human information processing. New York: Wiley. Perls, F. (1973).The Gestalt approach and eyewitness to therapy. New York: Bantam. Perls, F., Hefferline, R., & Goodman, P. (1951).Gestalt therapy. New York: Dell. Plutchik, R. (1980).Emotion: A psychorevolutionary synthesis. New York: Harper & Row. Polanyi, M. (1966).The tacit dimension. Garden City, New York: Doubleday. Rachman, S. (1980). Emotional processing.Behaviour Research and Therapy, 18 51–60. Rachman, S. (1981). The primacy of affect: Some theoretical implications.Behaviour Research and Therapy, 19 279–290. Rice, L. (1974). The evocative function of the therapist. In D. Wexler & L. Rice (Eds.),Innovations in client-centered therapy. New York: Wiley-Interscience. Rice, L., & Greenberg, L. (1984).Patterns of change: Intensive analysis of psychotherapeutic process. New York Guilford Press. Safran, J. (1982). The functional asymmetry of negative and positive self-statements.British Journal of Clinical Psychology, 21 223–224. Safran, J. (1984). Some implications of Sullivan's interpersonal theory for cognitive therapy. In M. Reda & M. Mahoney (Eds.),Cognitive psychotherapies: Recent developments in theory, research and practice. Cambridge: Ballinger. Safran, J., & Greenberg, L. (1982). Cognitive appraisal and reappraisal: Implications for clinical practice.Cognitive Therapy and Research, 6 251–258. Safran, J., & Greenberg, L. (1982b). Eliciting “hot cognitions” in cognitive therapy.Canadian Psychology, 23 83–87. Shevrin, H. Dickman, S. (1980). The psychological unconscious.American Psychologist, 35 421–434. Strongman, K. (1978).Theories of emotion. London: Wiley. Tomkins, S. S. (1962).Affect, imagery, consciousness (Vol. 1 & 2), New York: Springer. Tulving. E. (1972). Episodic and semantic memory. In E. Tulving & W. Donalds (Eds.),Organization of memory. New York: Academic Press. Wexler, D. (1974). A cognitive theory of experiencing self actualization and therapeutic process. In D. Wexler & L. Rice (Eds.),Innovations in client-centered therapy. New York: Wiley-Interscience, 1974. Wine, J. (1971). Test anxiety and direction of attention.Psychological Bulletin, 76 92–104. Zajonc, R. (1980). Feeling and thinking: Preferences need no inferences.American Psychologist, 35 151–175.