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Draining the Pathogenic Reservoir of Guilt? : A study of the relationship between Guilt and Self-Compassion in Intensive Short-Term Dynamic Psychotherapy

Objective: One of the main theoretical proposals of Intensive Short-term Dynamic Psychotherapy (ISTDP; Davanloo, 1990) is that experiencing of previously unconscious guilt over aggressive impulses associated with attachment trauma leads to increase in self-compassion. The present study aimed to test this assumption. Method: Videotaped sessions from five therapies from a randomized controlled trial of 20-sessions of time-limited ISTDP for treatment-refractory depression were rated with the Achievement of Therapeutic Objectives Scale (ATOS; McCullough, Larsen, Schanche, Andrews& Kuhn, 2003b). Degree of patient guilt arousal and self-compassion were rated on all available sessions. Data were analyzed using a replicated single-subject time-series approach. Results: Guilt arousal was not shown to positively predict self-compassion for any of the five patients. For one patient guilt arousal negatively predicted self-compassion two sessions ahead in time. Conclusion: The current study yields no support that the experience of guilt over aggressive feelings and impulses leads to increases in self-compassion. On the contrary, the finding that guilt negatively predicted self-compassion for one patient must be considered as an indication that this treatment process might negatively impact self-compassion for some patients in some contexts. However, there are several methodological limitations to the current study in the light of which the results should be regarded as tentative.

Identiferoai:union.ndltd.org:UPSALLA1/oai:DiVA.org:liu-119217
Date January 2015
CreatorsNygren, Tomas, Johansson, Claes
PublisherLinköpings universitet, Institutionen för beteendevetenskap och lärande, Linköpings universitet, Filosofiska fakulteten, Linköpings universitet, Institutionen för beteendevetenskap och lärande, Linköpings universitet, Filosofiska fakulteten
Source SetsDiVA Archive at Upsalla University
LanguageEnglish
Detected LanguageEnglish
TypeStudent thesis, info:eu-repo/semantics/bachelorThesis, text
Formatapplication/pdf
Rightsinfo:eu-repo/semantics/openAccess

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