Article published In: Narrative Inquiry
Vol. 29:1 (2019) ► pp.157–184
Psychotherapist Interventions Coding System (PICS)
A systematic analysis of rhetoric mechanisms in psychotherapy
Published online: 2 July 2019
https://doi.org/10.1075/ni.18035.her
https://doi.org/10.1075/ni.18035.her
Abstract
The aim of the present study is to reformulate a descriptive
typology previously developed with grounded theory as a result of the
qualitative analysis of a good outcome case study. We developed a
transtheoretical and easily usable coding system. We describe the developing
process of this new coding system, which is focused on the use of language by
the psychotherapist. Four researchers were discussing every stage and basing
decisions on consensus. As a result, we have developed the Psychotherapist
Interventions Coding System (PICS). The resultant coding system is described
within 4 group of macro categories: (1) Discursive contract; (2) Facilitators of
the therapeutic relationship (3) Facilitators of the client’s speech; and (4)
Liberation of constraining speeches. The PICS aims to contribute to developing
knowledge on research and how therapist interventions contribute within
psychotherapeutic processes, acknowledge the kind of interventions therapists
are using in the sessions and assist teaching on novel therapists in training
programs.
Article outline
- Introduction
- Method
- Stage 1.Category analysis
- Stage 2.Unification of concordant/overlapping categories into prototypes
- Stage 3.Definition of the final categories
- Stage 4.Inclusion of clinical vignettes illustrating each category
- Stage 5.Defining core categories’ label
- Results
- Group 1.Discursive contract
- Group 2.Facilitators of the therapeutic relationship
- Group 3.Facilitators of the client’s speech
- Group 4.Liberation of constraining speeches
- Discussion
- Proposal on the use of the coding system
- Note
References
References (50)
Alves, D., Fernández-Navarro, P., Baptista, J., Ribeiro, E., Sousa, I., & Gonçalves, M. M. (2014). Innovative Moments in Grief Therapy: The Meaning Reconstruction
Approach and the Processes of Self-Narrative Transformation. Psychotherapy Research, 24(1), 25–41.
Alves, D., Mendes, I., Gonçalves, M. M., &, Neimeyer, R. (2012). Innovative Moments in Grief Therapy: Reconstructing Meaning
Following Perinatal Death. Death Studies, 36(9), 795–818.
Angus, L. E., Boritz, T., Bryntwick, E., Carpenter, N., Macaulay, C., & Khattra, J. (2017). The Narrative-Emotion Process Coding System 2.0: A
multi-methodological approach to identifying and assessing narrative-emotion
process markers in psychotherapy. Psychotherapy Research, 27(3), 253–269.
Angus, L., Levitt, H., & Hardtke, K. (1999). The Narrative Processes Coding System: Research applications and
implications for psychotherapy practice. Journal of clinical psychology, 55(10), 1255–1270.
Angus, L., Lewin, J., Boritz, T., Bryntwick, E., Carpenter, N., Watson-Gaze, J., & Greenberg, L. (2012). Narrative Processes Coding System: A Dialectical Constructivist
Approach to Assessing Client Change Processes in Emotion-Focused Therapy of
Depression. Research in Psychotherapy: Psychopathology, Process and Outcome, 15(2), 54–61.
Bakhtin, M. (1986). The problem of speech genres. In M. Bakhtin (Ed.). Speech genres and other late essays (pp. 60–102). Austin: University of Texas.
Banham, J. A., & Schweitzer, R. D. (2016). Trainee-therapists are not all equal: Examination of therapeutic
efficiency, effectiveness and early client dropout after 12 months of
clinical training. Psychology and psychotherapy, 89(2), 148–62.
Beutler, L. E., Machado, P. P. P., & Neufeldt, S. A. (1994). Therapist variables. In A. E. Bergin & S. L. Garfield (Eds.), Handbook of psychotherapy and behaviour change (pp. 229–269). Oxford, England: John Wiley & Sons.
Botella, L., & Herrero, O. (2000). A relational constructivist approach to narrative
therapy. European Journal of Psychotherapy and Counselling, 3(3), 407–418.
Botella, L., Herrero, O., Pacheco, M., & Corbella, S. (2004). Working With Narrative in Psychotherapy: A Relational
Constructivist Approach. In L. Angus & J. McLeod (Eds.), The Handbook of Narrative and Psychotherapy (pp. 119–136). CA: Sage.
Chui, H., Hill, C., Ain, S., Ericson, S., Del Pino, H., Hummel, A., & Spangler, P. (2014). Training Undergraduate Students to Use Challenges. The Counseling Psychologist, 42(6), 758–777.
Corbella, S., & Botella, L. (2004). Investigación en Psicoterapia: Proceso, Resultado y Factores
Comunes. Madrid: Editorial Vision Net.
Corbella, S., Fernández, H., Saúl, L. A., García, F., & Botella, L. (2008). Estilo personal del terapeuta y dirección de
intereses. Apuntes de Psicología, 26(2), 281–289.
Couto, A. B., Barbosa, E., Silva, S., Bento, T., Teixeira, A. S., & Cunha, C. (2016). Client’s immersed and distanced speech and therapist’s
interventions in emotion-focused therapy for depression: an intensive
analysis of a case study. Research in Psychotherapy: Psychopathology, Process and Outcome, 19(2), 136–149.
Cunha, C., Gonçalves, M. M., Hill, C. E., Mendes, I., Ribeiro, A. P., Sousa, I., Angus, L., & Greenberg, L. S. (2012). Therapist interventions and client innovative moments in
emotion-focused therapy for depression. Psychotherapy, 49(4), 536–48.
Fernández-Álvarez, H., & García, F. (1998). El estilo personal del terapeuta: Inventario para su
evaluación. In: S. Gril, A. Ibáñez, I. Mosca & P. L. R. Sousa (Eds.), Investigación en Psicoterapia (pp. 76–84). Pelotas: Educat.
Gelso, C. J., & Hayes, J. A. (1998). The psychotherapy relationship: Theory, research, and practice. Hoboken, NJ: John Wiley & Sons Inc.
Gonçalves, M. M., Gabalda, I. C., Ribeiro, A. P., Pinheiro, P., Borges, R., Sousa, I., & Stiles, W. B. (2013). The Innovative Moments Coding System and the Assimilation of
Problematic Experiences Scale: A case study comparing two methods to track
change in psychotherapy. Psychotherapy Research, 24(4), 442–455.
Gonçalves, M. M., Matos, M., & Santos, A. (2009). Narrative Therapy and the Nature Of “Innovative Moments” in the
Construction of Change. Journal of Constructivist Psychology 22(1), 1–23.
Gonçalves, M. M., & Ribeiro, A. P. (2012). Therapeutic Change, Innovative Moments, and the
Reconceptualization of the Self: A Dialogical Account. International Journal for Dialogical Science, 1(6), 81–98.
Gonçalves, M. M., Ribeiro, A. P., Mendes, I., Alves, D., Silva, J., Rosa, C., Braga, C., Batista, J., Fernández-Navarro, P., & Oliveira, J. T. (2017). Three narrative-based coding systems: Innovative moments,
ambivalence and ambivalence resolution. Psychotherapy Research, 27(3), 270–282.
Gonçalves, M. M., Ribeiro, A. P., Mendes, I., Matos, M. & Santos, A. (2011). Tracking novelties in psychotherapy process research: The
innovative moments coding system. Psychotherapy Research, 21(5), 497–509.
Hermans, H. J. M., & Dimaggio, G. (2004). (Eds.). The Dialogical Self in Psychotherapy. New York, NY: Brunner-Routledge.
Hermans, H. J. M., & Hermans-Konopka, A. (2010). Dialogical self theory. Positioning and Counter-Positioning in a
Globalizing Society. Cambridge, UK: Cambridge University Press.
Herrero, O., & Botella, L. (2002). La reconstrucción dialógica en un caso de duelo: Mecanismos
pragmático-retóricos en psicoterapia. Revista de Psicoterapia, 491, 47–76.
Herrero, O., & Neimeyer, R. (2006). Duelo, pérdida y reconstrucción narrativa. In L. Botella (Ed.), Construcciones, narrativas y relaciones: aportaciones constructivistas y
construccionistas a la psicoterapia (191–236). Barcelona, España: Edebé.
Hess, S., Knox, S., & Hill, C. E. (2006). Teaching graduate student trainees how to manage client anger: a
comparison of three types of training. Psychotherapy Research, 16(3), 282–292.
Hill, C. (2002). Development and Use of the Helping Skills Measure to Assess
Client Perceptions of the Effects of Training and of Helping Skills in
Sessions. Journal of Counseling Psychology, 49(2), 164–172.
(2004). Helping skills: facilitating exploration, insight, and action. 3rd ed. Washington, DC: American Psychiatric Association.
(2005). Therapist techniques, client involvement, and the therapeutic
relationship: inextricably intertwined in the therapy
process. Psychotherapy: Theory, Research, Practice, Training, 42(4), 431–442.
(2014). Helping skills: facilitating exploration, insight, and action. 4th ed. Washington, DC: American Psychiatric Association.
Hill, C. E., Helms, J. E., Tichenor, V., Spiegel, S. B., O’Grady, K. E., & Perry, E. S. (1988). Effects of therapist response modes in brief
psychotherapy. Journal of Counseling Psychology, 35(3), 222–233.
Hill, C., Baumann, E., Shafran, N., Gupta, S., Morrison, A., Rojas, A., & Gelso, C. (2015). Is training effective? A study of counseling psychology doctoral
trainees in a psychodynamic/interpersonal training clinic. Journal of Counseling Psychology, 62(2), 184–201.
Hill, C., Spangler, P., Chui, H., & Jackson, J. (2014). Training Undergraduate Students to Use Insight Skills: Overview
of the Rationale, Methods, and Analyses for Three Studies. The Counseling Psychologist, 42(6), 702–728.
Hill, C., Spangler, P., Jackson, J., & Chui, H. (2014). Training Undergraduate Students to Use Insight Skills:
Integrating the Results of Three Studies. The Counseling Psychologist, 42(6), 800–820.
Jackson, J., Hill, H., Spangler, P., Ericson, S., Merson, E., Liu, J., & Reen, G. (2014). Training Undergraduate Students to Use
Interpretation. The Counseling Psychologist, 42(6), 778–799.
Lambert, M. J., & Barley, D. E. (2001). Research summary on the therapeutic relationship and
psychotherapy outcome. Psychotherapy: Theory, Research & Practice, 38(4), 357–361.
Lent, R. W., Hill, C. E., & Hoffman, M. A. (2003). Development and Validation of the Counselor Activity
Self-Efficacy Scales. Journal of Counseling Psychology, 50(1), 97–108.
Matos, M., Santos, A., Gonçalves, M., & Martins, C. (2009). Innovative moments and change in narrative
therapy. Psychotherapy Research, 19(1), 68–80.
McAdams, D. P. (1993). The stories we live by: Personal myths and the making of the
self. New York: William Morrow.
McLeod, B. D., Smith, M. M., Southam-Gerow, M. A., Weisz, J. R., & Kendall, P. C. (2015). Measuring Treatment Differentiation for Implementation Research:
The Therapy Process Observational Coding System for Child Psychotherapy
Revised Strategies Scale. Psychological Assessment, 27(1), 314–325.
Montesano, A., Feixas, G., & Varlotta, N. (2009). Análisis de contenido de constructos personales en la
depresión. Salud Mental, 32(5), 371–379.
Neimeyer, R., Botella, L., Herrero, O., Pacheco, M., Figueres, S., & Werner-Wildner, L. A. (2002). The meaning of your absence: Traumatic loss and narrative
reconstruction. In J. Kauffman (Ed.), Loss of the Assumptive World: A Theory of Traumatic Loss (pp. 31–47). New York: Brunner-Routledge.
Neimeyer, R., Herrero, O., & Botella, L. (2006). Chaos to coherence: Psychotherapeutic integration of traumatic
loss. Journal of Constructivist Psychology, 19(2), 127–145.
Nuovo, S. (2011). Speaking about therapists. Old questions and some answers derived
from empirical evidence. Research in Psychotherapy: Psychopathology, Process and Outcome, 14(2), 52–75.
Ribeiro, A. P., Ribeiro, E., Loura, J., Gonçalves, M. M., Stiles, W. B., Horvath, A. O., & Sousa, I. (2013). Therapeutic collaboration and resistance: Describing the nature
and quality of the therapeutic relationship within ambivalence events using
the Therapeutic Collaboration Coding System. Psychotherapy Research, 24(3), 346–359.
Sarbin, T. R. (1986). The Narrative as a Root Metaphor for Psychology. In T. R. Sarbin (Ed.), Narrative Psychology (pp. 3–21). New York, NY: Praeger.
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