Resolving "unfinished business": efficacy of experiential therapy using empty-chair dialogue.

In this study, 34 clients with unresolved feelings related to a significant other were randomly assigned to either experiential therapy using a Gestalt empty-chair dialogue intervention or an attention-placebo condition. The latter was a psychoeducational group offering information about "unfinished business." Treatment outcomes were evaluated before and after the treatment period in each condition and at 4 months and 1 year after the experiential therapy. Outcome instruments targeted general symptomotology, interpersonal distress, target complaints, unfinished business resolution, and perceptions of self and other in the unfinished business relationship. Results indicated that experiential therapy achieved clinically meaningful gains for most clients and significantly greater improvement than the psychoeducational group on all outcome measures. Treatment gains for the experiential therapy group were maintained at follow-up.

[1]  L. Horowitz,et al.  Inventory of interpersonal problems: psychometric properties and clinical applications. , 1988, Journal of consulting and clinical psychology.

[2]  J Hart,et al.  A psychophysiological analysis of fear modification using an automated desensitization procedure. , 1970, Journal of abnormal psychology.

[3]  M. Kozak,et al.  Emotional processing of fear: exposure to corrective information. , 1986, Psychological bulletin.

[4]  C. Marmar,et al.  Brief dynamic psychotherapy of post-traumatic stress disorders: Management of narcissistic regression , 1988 .

[5]  A. Bergin,et al.  The effectiveness of psychotherapy. , 1994 .

[6]  A. Beck Cognition and therapy. , 1984, Archives of general psychiatry.

[7]  Windy Dryden,et al.  Handbook of Psychotherapy and Behavior Change , 1987, Journal of Cognitive Psychotherapy.

[8]  C. Marmar,et al.  Individual psychotherapy: process and outcome. , 1990, Annual review of psychology.

[9]  R. Daldrup Focused Expressive Psychotherapy: Freeing the Overcontrolled Patient , 1988 .

[10]  M. Drake Diagnostic and Statistical Manual of Mental Disorders (3rd ed. rev.) , 1988 .

[11]  V. Follette,et al.  Individual predictors of outcome in group treatment for incest survivors. , 1991, Journal of consulting and clinical psychology.

[12]  L. Greenberg,et al.  Resolving decisional conflict by Gestalt two-chair dialogue: Relating process to outcome. , 1982 .

[13]  R. Daldrup,et al.  Inability to express intense affect: a common link between depression and pain? , 1986, Journal of consulting and clinical psychology.

[14]  R. Daldrup,et al.  Predictors of differential response to cognitive, experiential, and self-directed psychotherapeutic procedures. , 1991, Journal of consulting and clinical psychology.

[15]  J. Bradshaw Homecoming: Reclaiming and Championing Your Inner Child , 1990 .

[16]  Leslie S. Greenberg,et al.  Facilitating Emotional Change: The Moment-by-Moment Process , 1995 .

[17]  R. B. Basham Scientific and practical advantages of comparative design in psychotherapy outcome research. , 1986, Journal of consulting and clinical psychology.

[18]  David H. Malan,et al.  The Frontier of Brief Psychotherapy: An Example of the Convergence of Research and Clinical Practice , 1976 .

[19]  N. M. Meara,et al.  Internalization of therapeutic relationships in short-term psychotherapy. , 1990 .

[20]  A. Horvath,et al.  Development and validation of the Working Alliance Inventory. , 1989 .

[21]  N. Jacobson,et al.  Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. , 1991, Journal of consulting and clinical psychology.

[22]  L. Greenberg,et al.  Emotion in Psychotherapy , 1986, Journal of Cognitive Psychotherapy.

[23]  B. Rothbaum,et al.  Treatment of posttraumatic stress disorder in rape victims: a comparison between cognitive-behavioral procedures and counseling. , 1991, Journal of consulting and clinical psychology.

[24]  R. Lazarus Emotion and Adaptation , 1991 .

[25]  Jacob Cohen,et al.  Weighted kappa: Nominal scale agreement provision for scaled disagreement or partial credit. , 1968 .

[26]  L. Greenberg Research on the process of change , 1991 .

[27]  R. Hoehn-Saric,et al.  Target complaints as criteria of improvement. , 1966, American journal of psychotherapy.

[28]  Lr Derogatis,et al.  SCL-90-R, Administration, Scoring, and Procedures Manual-II for the R(evised) Version and Other Instruments of the Psychopathology Rating Scale Series , 1983 .