Citation

Lifshitz C, Tsvieli N, Bar-Kalifa E, Abbott C, Diamond GS, Roger Kobak R, Diamond GM. Psychother. Res. 2021; 31(2): 267-279.

Copyright

(Copyright © 2021, Society for Psychotherapy Research, Publisher Informa - Taylor and Francis Group)

DOI

10.1080/10503307.2020.1745315

PMID

32228168

Abstract

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.

Language: en

Keywords

Humans; Adolescent; adolescents; Emotions; suicide; Suicidal Ideation; depression; Grief; Object Attachment; family therapy; Family Therapy; emotional processing