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Emotional processing in attachment-based family therapy for suicidal adolescents
Journal article   Peer reviewed

Emotional processing in attachment-based family therapy for suicidal adolescents

Chen Lifshitz, Noa Tsvieli, Eran Bar-Kalifa, Caroline Abbott, Guy S. Diamond, R. Roger Kobak and Gary M. Diamond
Psychotherapy research, v 31(2)
17 Feb 2021
PMID: 32228168

Abstract

adolescents depression emotional processing family therapy suicide
Objective: This study examined proposed sequential pathways through which suicidal adolescents are thought to shift from secondary global distress and rejecting anger to primary adaptive hurt, grief and assertive anger in the context of attachment-based family therapy (ABFT). Method: Participants were 39 suicidal adolescents who had received 16 weeks of ABFT as part of a randomized clinical trial, and who had been assigned to one of three outcome groups (i.e., good responders, slow responders and non-responders). Adolescents' in-session emotions were observationally coded using the Classification of Affective-Meaning States. Results: Across outcome groups, adolescents evidenced shifts from global distress to maladaptive shame, from maladaptive rejecting anger to adaptive assertive anger, and from adaptive assertive anger to adaptive grief/hurt. Adolescents who did not respond to treatment evidenced higher rates of maladaptive global distress. Conclusions: Findings are discussed in the context of ABFT and sequential emotional processing theories.

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Psychology, Clinical
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