title: What interventions facilitate client progress through the assimilation model? A task analysis of interventions in the psychodynamic treatment of depression.
abstract: A variation of task analysis was used to build an empirical model of how therapists may facilitate client assimilation process, described in the Assimilation of Problematic Experiences Scale. A rational model was specified and considered in light of an analysis of therapist in-session performances (N = 117) drawn from six inpatient therapies for depression. The therapist interventions were measured by the Comprehensive Psychotherapeutic Interventions Rating Scale. Consistent with the rational model, confronting interventions were particularly useful in helping clients elaborate insight. However, rather than there being a small number of progress-related interventions at lower levels of assimilation, therapists' use of interventions was broader than hypothesized and drew from a wide range of therapeutic approaches. Concerning the higher levels of assimilation, there was insufficient data to allow an analysis of the therapist's progress-related interventions.
authors.affiliation: a Department of Psychiatry - CHUV , Institute of Psychotherapy , Lausanne , Switzerland.
authors.forename: Claudia
authors.initials: C
authors.lastname: Meystre
authors.forename: Antonio
authors.initials: A
authors.lastname: Pascual-Leone
authors.forename: Yves
authors.initials: Y
authors.lastname: de Roten
authors.forename: Jean-Nicolas
authors.initials: JN
authors.lastname: Despland
authors.forename: Ueli
authors.initials: U
authors.lastname: Kramer
mesh_terms: D000328:Adult; D003865:Major Depressive Disorder / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D011369:Professional-Patient Relations; D064889:Psychotherapy, Psychodynamic / Q000379:methods*
keywords: assimilation process; case study; task analysis; therapist intervention