AUTHOR=Braga Cátia , Ribeiro António P. , Sousa Inês , Gonçalves Miguel M. 

TITLE=Ambivalence Predicts Symptomatology in Cognitive-Behavioral and Narrative Therapies: An Exploratory Study

JOURNAL=Frontiers in Psychology

VOLUME=10

YEAR=2019

URL=https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2019.01244

DOI=10.3389/fpsyg.2019.01244

ISSN=1664-1078

ABSTRACT=<p><bold>Background:</bold> The identification of poor outcome predictors is essential if we are to prevent therapeutic failure. Ambivalence – defined as a conflictual relationship between two positions of the self: one favoring change and another one favoring problematic stability – has been consistently associated with poor outcomes. However, the precise relationship between ambivalence and clients’ symptomatology remains unclear.</p><p><bold>Objective:</bold> This study aims at assessing ambivalence’s power to predict symptomatology, using a longitudinal design.</p><p><bold>Methods:</bold> The complete 305 sessions of 16 narrative and cognitive-behavioral cases have been analyzed with the Ambivalence Coding System and outcome measures have been used for each session.</p><p><bold>Results:</bold> Ambivalence emerged as a significant predictor of subsequent symptomatology suggesting that ambivalence is not only related to treatment outcomes, but that it represents a strong predictor of subsequent symptomatology.</p><p><bold>Discussion:</bold> The implications of ambivalence’s power to predict outcomes for research and clinical practice are discussed.</p>