Yazar "Cavdar, Alev" seçeneğine göre listele
Listeleniyor 1 - 9 / 9
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe An Empirical Study of Verb Use as Indicator of Emotional Access in Therapeutic Discourse(Educational Publishing Foundation-American Psychological Assoc, 2017) Halfon, Sibel; Fisek, Guler; Cavdar, AlevVerbs are the primary linguistic vehicles connecting one to his or her affective bodily core. Previous studies have shown that an increase in patient's verb repetitions in psychoanalysis is indicative of sensory affective arousal that cannot be narrated in words. If the treatment is operating effectively, the patient can use the therapeutic medium to transform the raw affect into a coherent emotional narrative. Using this premise, this study empirically investigated the effectiveness of a psychoanalytic treatment, whose success has been controversial in the past. Using a single-case design with primarily quantitative linguistic methods, measures of verb repetitions, affect dictionaries, and a computerized measure of Referential Activity (a measure of imagistic emotional language) were applied to verbatim recordings of 30 psychoanalytic sessions representing different years of treatment. Results showed that the verb repetition measure was able to differentiate significantly the sessions in terms of level of affective arousal, and there was a significant decrease in mean verb repetitions across the year. Further quantitative and clinical analyses supported that an increase in the repetition of action verbs and affective verbs was associated with intense affective sensory arousal that disrupts the patient's ability to think where as an increase in stative verb repetitions helped the patient organize a meaningful emotional narrative. Results suggest that a systematic study of verbs can reveal crucial information about patient's affective states and provide pointers for the clinicians in terms the kinds of interventions needed according to the patient's linguistic choices.Öğe Emotions and Symptom Change in Psychodynamic Psychotherapy: A Longitudinal Study(Turkish Psychologists Assoc, 2022) Cavdar, AlevThe aim of this study is to study the level, range, and trend of experiencing certain emotions in open-ended psychodynamic psychotherapy, and their association with symptomatic improvement. For this aim, pre- and post-therapy symptoms were assessed for 54 clients and 12 intern therapists and emotion ratings were collected for 899 sessions. Emotions with the highest averages were happiness, sadness, relief, and surprise; whereas emotions with the lowest averages were contempt, disgust, fear, and envy. Linear Mixed Modeling revealed that higher ranges of clients' guilt and lower levels of therapists' anger predicted symptom improvement. It was discussed that sadness and guilt of the client might point to a capacity to grieve and to take responsibility; and anger of the therapist might have instigated indifference and rupture. Emotion trends were studied using Multi-level Modeling, and linear trends were observed for clients' surprise, and therapists' happiness and relief. This finding was interpreted in relation to the type of termination. The associations between clients' and therapists' emotion trends were analyzed by Multi-Level Vector Autoregression; and a strong association between the contemporaneous happiness and sadness of the client and the therapist was found. This state of laugh together cry together was considered as mutual attunement. Results were supportive of emotion literature and psychodynamic literature as well as promising in terms of the longitudinal study of the process experience of the client and the therapist as a dyad.Öğe Here-and-Now Defensiveness and Interactive Regulation: A Relational Perspective on the Psychoanalytic Process(Educational Publishing Foundation-American Psychological Assoc, 2018) Cavdar, Alev; Fisek, GulerRecent advances in psychoanalytic theory emphasize the role of relationships in the psychoanalytic process. These advances are reflected in the notion of defense as an interpersonal process that is coconstructed in the relationship. This study aimed at systematically examining a broad notion of here-and-now defensiveness as it unfolds within the relational context. The sample was 10 fully transcribed sessions from a psychoanalysis. The transcripts were evaluated by 3 raters on several aspects of defensiveness that were conceptualized by taking into account core relational processes: here-and-now defensiveness, self-regulation and interactive regulation in the patient's discourse, and type and relational quality of the analyst's interventions. The results indicated that a definition that emphasizes the defensiveness in the here and now offered a reliable and meaningful understanding. The change in the here-and-now defensiveness over the course of the psychoanalysis was presented and discussed. The interactive regulatory aspect demonstrated a statistically and clinically significant pattern. In addition, unusual qualities of the analyst's interventions were associated with defensiveness.Öğe Mentalization, Session-to-Session Negative Emotion Expression, Symbolic Play, and Affect Regulation in Psychodynamic Child Psychotherapy(Amer Psychological Assoc, Div Psychotherapy, 2019) Halfon, Sibel; Yilmaz, Meltem; Cavdar, AlevInternalizing and externalizing problems have been related to negative emotionality, and affect regulation deficits in several studies. Certain psychodynamic models of treatment use children's symbolic play activity as a medium to mentalize negative emotions in order to develop children's affect regulation. However, the complex associations among these constructs and their associations with outcome have not been examined. This study aimed to investigate, first. whether average mentalization practices in treatment, as well as session-to-session expression of negative emotions and symbolic play predict gains in affect regulation and. second, whether changes in these variables are associated with clinically significant change in symptoms and global function. The sample included 40 outpatient children, who underwent long-term psychodynamic treatment. Nine hundred seventy-five sessions were coded for children's symbolic play, affect expression (anger and dysphoric affect). and affect regulation characteristics, and each treatment was scored for average adherence to mentalizing principles. Time Series Panel Analyses (TSPA) indicated session-to session use of symbolic play predicted gains in affect regulation. A significant 2-way interaction indicated that dysphoric affect expression in high mentalization adherent treatments was associated with higher affect regulation than in low adherent treatments. Partial correlation analyses indicated that mentalization adherence in treatment was associated with symptomatic improvement at trend level of significance, and changes in affect regulation and symbolic play were significantly associated with gains in global function. Findings point to the importance of use of symbolic play, and dysphoric affect expression in the context of mentalization practices for gains in affect regulation and outcome.Öğe Monitoring Nonlinear Dynamics of Change in a Single Case of Psychodynamic Play Therapy(Soc Chaos Theory Psychology & Life Sciences, 2019) Halfon, Sibel; Cavdar, Alev; Paoloni, Giulia; Andreassi, Silvia; Giuliani, Alessandro; Orsucci, Franco F.; de Felice, GiulioA systematic single case study with a mixed quantitative and qualitative methodology was conducted to investigate the nonlinear dynamics of change in play profiles of a child in psychodynamic play therapy. The first aim of the study was to cluster the different features of play characteristics (i.e., descriptive, cognitive, affective, and social characteristics of play, and the defensive strategies used in play) in order to construct the different play profiles of this child, and secondly to assess the transitions between profiles over the course of treatment. It was expected that there would be an increase in critical fluctuations during the transitions between the profiles and an increase in the variability of play profiles. Results showed that the child's play characteristics clustered into eight states and three attractors. The Markov Transition Matrix showed how play profiles evolved over time. Entropy analyses comparing the first and the second half of therapy showed an increase in variability. Qualitative analyses indicated the importance of expression of the child's underlying fear, and its integration with overt anger in the generation of the new play profiles. The results indicate an increase in variability, and a destabilization of old play profiles that were used towards generating new play profiles.Öğe Romantic Relationship Experiences and Emotion Regulation Strategies of Regular Mindfulness Meditation Practitioners: A Qualitative Study(Wiley, 2021) Erkan, Itir; Kafescioglu, Nilufer; Cavdar, Alev; Zeytinoglu-Saydam, SenemUsing attachment theory as the framework, this qualitative study focused on the romantic relationship experiences of regular mindfulness meditators and their meditation-naive or nonregularly meditating partners (NMPs). The sample consisted of eight heterosexual and two same-sex couples. Thematic analysis (TA) yielded seven themes on three levels. Three intrapersonal themes were (a) meta-awareness of one's emotional strategies; (b) shift in emotion regulation strategies; and (c) shift in relationship with oneself. The relationship-level themes of meditators emerged as (d) experiential shift in stressful situations; (e) transformation of the emotional bond; and (f) transformation of the romantic relationship; the nonmeditating partners confirmed the relational and individual shifts due to their partner's practice. Integrating attachment theory with meditation practice can thus be a valuable approach for couple and family therapy. A regular meditation practice of even just one of the partners may be beneficial for the couple relationship.Öğe Sexual Stereotypes and Practices of University Students in Turkey(Springer/Plenum Publishers, 2012) Boratav, Hale Bolak; Cavdar, AlevThis article is based on a study of young people and sexuality in Turkey. The focus of this study included messages about sexuality, sexual beliefs, sexual experiences with a view to consent and resistance, religiosity, and certain interrelations therein. A total of 471 students (273 women, M age = 20.5 years, and 198 men, M age = 21 years) from four different universities in Turkey participated in a survey with measures of restrictive and permissive messages about sexuality received from various sources, beliefs about sexual roles of men and women in relationships, and questions about a range of sexual experiences, including coital and non-coital. The incidence and characteristics of ideal sexual partnership and incidence and dynamics of experiences involving token resistance and consent to unwanted sex were specifically investigated. The results provided a snapshot of the sexual lives of students in this country at the crossroads of secularism and traditional Muslim mores. Both commonalities and differences were found across gender. Both men and women received more restrictive than permissive messages. The most important message source was same-sex friends for men and parents for women. Men had more dating and sexual partners than women. The correlations of religiosity and messages with sexual experiences and attitudes were mostly in the expected direction. Women were more likely to have a token resistance incidence and both genders were equally unlikely to consent to unwanted sex. The results were discussed in relation to the cultural context and the relevant literature, and recommendations are offered for future research.Öğe Therapeutic Alliance Trajectories and Associations With Outcome in Psychodynamic Child Psychotherapy(Amer Psychological Assoc, 2019) Halfon, Sibel; Ozsoy, Deniz; Cavdar, AlevObjective: This study investigated therapeutic alliance (TA) trajectories, their demographic and symptomatic predictors, and associations with outcome in psychodynamic child psychotherapy. Method: The sample included 89 Turkish children (M-age = 6.87, SD = 2.11. 46% girls) with internalizing (37.11%), externalizing (21.14%). and comorbid (38.20%) problems; 12% of the children were in the nonclinical range. Independent raters coded 328 sessions from different phases of treatment using the Therapy Process Observational Coding System-Alliance Scale. Outcome measures were collected at intake and termination (Children's Behavior Checklist and Teacher Rating Form). Results: Multilevel growth curve modeling indicated that TA showed a quadratic trend (high-low-high) over the course of treatment. The shape-of-change methodology indicated three subgroups following a stable pattern, a slow and an accelerated quadratic TA trajectory. Externalizing problems (teacher report) negatively predicted average TA strength. Boys and children with internalizing problems showed a declining TA trajectory, whereas children with externalizing problems (teacher report) showed an upward TA trajectory. Multivariate multiple regression analyses showed that the average TA (i.e., intercept) and the positive quadratic slope (the high-low-high pattern) positively predicted changes in internalizing and externalizing problems (teacher report). Discussion: This study was the first to show the course of TA development in psychodynamic child psychotherapy, identify a number of child characteristics that facilitate and impede TA. Investigating both the strength and patterns of TA development when examining associations with outcome is important.Öğe WHEN INTERVENTIONS MAKE AN IMPACT: An Empirical Investigation of Analyst's Communications and Patient's Productivity(Educational Publishing Foundation-American Psychological Assoc, 2015) Vegas, Monica; Halfon, Sibel; Cavdar, Alev; Kaya, HeysemPsychoanalysis can be thought of as a scene that is created by the analyst, the patient and the analytic work. The work comprises the interactional patterns of the dyad which evolve over time to create new possibilities for functioning of the patient. Taking this framework as a starting point, this study presents an empirically based investigation of the psychoanalytic process, paying close attention to the interplay between the analyst's interventions and the patient's linguistic productivity. The measures used assessed 2 dimensions: (a) variables coding the nature of the therapist's interventions (explorations, linking interventions, interpretations); and (b) variables assessing the patient's linguistic productivity as affected by her cognitive-affective states (use of repetition, level of symbolization and emotional engagement as measured by referential activity). Using a single-case design with a mixed quantitative/qualitative methodology, these measures were applied to psychoanalytically coherent segments of the sessions. Quantitative results showed significant differences between the type of intervention used by the analyst and patient's preceding or ensuing linguistic productivity. It was found that the analyst is significantly more likely to make interventions with exploratory functions, which have a greater disorganizing potential, when the patient is at a level of functioning where she can handle the inherent tension derived from the exploration of conflict-laden representations. Moreover, the analyst is significantly more likely to make a linking intervention- predicted to bring together different elements of the patient's representations in new ways that allow for a progressive reorganization of the patient's internal landscape-when the patient is adhering to the fundamental rule, a good working alliance, and the potential for symbolization and discovery is within reach. These results provide new insight into the way the psychoanalytic process operates bringing an empirical eye to the mix of controversy around questions of technique in psychoanalysis.
