Frontiers in Psychology (May 2019)

Ambivalence Predicts Symptomatology in Cognitive-Behavioral and Narrative Therapies: An Exploratory Study

  • Cátia Braga,
  • António P. Ribeiro,
  • Inês Sousa,
  • Miguel M. Gonçalves

DOI
https://doi.org/10.3389/fpsyg.2019.01244
Journal volume & issue
Vol. 10

Abstract

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Background: The identification of poor outcome predictors is essential if we are to prevent therapeutic failure. Ambivalence – defined as a conflictual relationship between two positions of the self: one favoring change and another one favoring problematic stability – has been consistently associated with poor outcomes. However, the precise relationship between ambivalence and clients’ symptomatology remains unclear.Objective: This study aims at assessing ambivalence’s power to predict symptomatology, using a longitudinal design.Methods: The complete 305 sessions of 16 narrative and cognitive-behavioral cases have been analyzed with the Ambivalence Coding System and outcome measures have been used for each session.Results: Ambivalence emerged as a significant predictor of subsequent symptomatology suggesting that ambivalence is not only related to treatment outcomes, but that it represents a strong predictor of subsequent symptomatology.Discussion: The implications of ambivalence’s power to predict outcomes for research and clinical practice are discussed.

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