Insight and Symptom Reduction in Time-Limited Psychoanalytic Counseling

The contention that client insight "causes" symptom reduction was examined for 12 clients who completed 20 sessions of psychotherapy. Clients rated target complaints before each counseling session and completed the Important Events Questionnaire (IEQ; A. L. Cummings, J. Martin, E. T. Hallb...

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Bibliographic Details
Published in:Journal of counseling psychology 2000-01, Vol.47 (1), p.50-58
Main Authors: Kivlighan, Dennis M, Multon, Karen D, Patton, Michael J
Format: Article
Language:English
Subjects:
Biological and medical sciences
Brief Psychotherapy
Counseling
Counselling
Factors
Female
Human
Individual psychotherapy
Insight
Insight (Psychotherapeutic Process)
Male
Medical sciences
Outcomes of Treatment
Psychoanalysis
Psychoanalytic perspectives
Psychological Services
Psychological Studies
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotherapeutic Outcomes
Psychotherapeutic Techniques
Psychotherapies. Psychological and clinical counseling
Reduction
Self Concept
Symptoms
Symptoms (Individual Disorders)
Treatment Duration
Treatments
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Summary:The contention that client insight "causes" symptom reduction was examined for 12 clients who completed 20 sessions of psychotherapy. Clients rated target complaints before each counseling session and completed the Important Events Questionnaire (IEQ; A. L. Cummings, J. Martin, E. T. Hallberg, & A. G. Slemon, 1992 ) after each counseling session. Counselors rated target complaints for their clients after each session. Three judges rated the IEQs using the Insight Rating Scale (IRS; R. W. Morgan, L. Luborsky, P. Crits-Christoph, H. Curtis, & J. Solomon, 1982 ). Validity of the IRS was established by examining the relationship between IRS ratings, counselor-judged insight, and counts of client insight statements. Regression analyses showed that clients had significant linear increases in insight and significant linear decreases in target complaint distress across the 20 counseling sessions. Time-series analyses showed that increases in insight led reductions in target complaints. These results support the importance of insight for symptom reduction.
ISSN:0022-0167
1939-2168
DOI:10.1037/0022-0167.47.1.50