635
document
Couple-responsible therapy process : positive proximal outcomes . Therapist-couple struggle vs. cooperation is linked to clinical outcome . This research conceptualizes and investigates treatment process as it relates to the occurrence of struggle versus cooperation . Models of couple-responsible and therapist-responsible process in couple therapy were developed . Couple-responsible process consists of enactments , accommodation , and inductive process . Therapist-responsible process consists of primary therapist-couple interaction , therapist interpretation , and direct instruction . In counterbalanced order , 25 couples were exposed to couple-responsible and therapist-responsible episodes during one therapy session . Couples reviewed videotapes of the episodes and completed measures of responsibility , struggle , and cooperation . Perceived responsibility was higher and struggle was lower during couple-responsible episodes . No difference in cooperation was found . Presence or absence of a contrast condition , where couples reported on one therapist process after already experiencing its opposite , led to main effects for responsibility and struggle , and mediated effects of struggle and cooperation . Generally speaking , responsibility was even higher during couple-responsible episodes and even lower during therapist-responsible episodes when contrast was present . Similarly , struggle was even lower during couple-responsible episodes and even higher during therapist-responsible episodes when contrast was present . For both couple-responsible and therapist-responsible episodes , cooperation was negatively affected by a shift from the prior , opposite therapist process . Significant proportions of the variance in responsibility , struggle , and cooperation , however , were not accounted for by therapist process alone .
636
Intervention_Psychological
Couple-responsible therapy process :
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Intervention_Psychological
couple-responsible and therapist-responsible process
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Intervention_Psychological
couple therapy
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Intervention_Psychological
Couple-responsible process consists of enactments , accommodation , and inductive process . Therapist-responsible process consists of primary therapist-couple interaction , therapist interpretation , and direct instruction .
640
Intervention_Psychological
couple-responsible and therapist-responsible episodes
641
Intervention_Psychological
couple-responsible episodes .
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Intervention_Physical
therapist process
643
Intervention_Psychological
couple-responsible episodes
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Intervention_Psychological
therapist-responsible episodes
645
Intervention_Psychological
couple-responsible episodes
646
Intervention_Physical
therapist-responsible episodes
647
Outcome_Other
positive proximal outcomes
648
Outcome_Other
Perceived responsibility
649
Outcome_Other
struggle
650
Outcome_Mental
cooperation
651
Outcome_Mental
responsibility
652
Outcome_Mental
struggle
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Outcome_Other
cooperation
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Outcome_Mental
responsibility , struggle , and cooperation
655
Participant_Condition
couples