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Cullati dalla psicoterapia [EN]

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Elitsa Dermendzhiyska spiega su Aeon come funziona il rapporto tra psicoterapeuta e paziente, concludendo che quando la terapia funziona, il rapporto mima quello tra genitori e figli.

When you delve into it, the question of how people change through therapy can make your head swim. Here’s a psychological intervention that seems to work as well as drugs (and, studies suggest, possibly better over the long term), and yet what is it, precisely, that works? Two people sit in a room and talk, every week, for a set amount of time, and at some point one of them walks out the door a different person, no longer beleaguered by pain, crippled by fear or crushed by despair. Why? How? […]

To complicate matters, numerous studies over the past few decades have reached what seems a counterintuitive conclusion: that all psychotherapies have roughly equal effects. This is known as the ‘dodo bird verdict’ – named after a character in Alice in Wonderland (1865) who declares after a running contest: ‘Everybody has won and all must have prizes.’ […]

The emotional bond and the collaboration between client and therapist – called the alliance – have emerged as a strong predictor of improvement, even in therapies that don’t emphasise relational factors. Until recently, most studies of this alliance could show only that it correlates with better mental health in clients, but advances in research methods now find evidence for a causal link, suggesting that the therapy relationship might indeed be healing. Similarly, research into the traits of effective therapists has revealed that their greater experience with or a stricter adherence to a specific approach do not lead to improved outcomes whereas empathy, warmth, hopefulness and emotional expressiveness do.

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