Well-Being Therapy. G.A. Fava

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Название Well-Being Therapy
Автор произведения G.A. Fava
Жанр Зарубежная психология
Серия
Издательство Зарубежная психология
Год выпуска 0
isbn 9783318058222



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Maybe it was the quality of our relationship, my stories, or something that happened to him in the course of therapy. I had found a road to recovery that was not the usual one, but I needed to test it in a scientific way.

      References

       Part I: THE DEVELOPMENT

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       The Process of Validation of Well-Being Therapy

      After finding a well-being-enhancing strategy, I realized that several steps were necessary to go further. Even though the first case involved a case of an acute invalidating obsessive-compulsive disorder, the area where I wanted to apply these methods was the residual phase of mood and anxiety disorders, particularly as to relapse prevention. The methodology that I needed to use had to be that of controlled investigations, as Robert Kellner had taught me. I had to involve my research group, i.e., the people who had believed in me and in my odd ideas.

      A characteristic of the studies I am going to describe is that they did not involve large populations (in Italy research funding is minimal), but were very careful in assessment and methodology. I personally knew each patient who was involved. The data were expressed by numbers, but I had in mind the actual patients, their faces, and our encounters. The first question was whether patients who were judged to be remitted upon pharmacological and/or psychological treatment from their mood or anxiety disorders displayed less well-being compared to healthy controls who were never ill.

      These preliminary results pointed to the feasibility of WBT in the residual stage of these disturbances. The improvement in residual symptoms may be explained on the basis of the balance between positive and negative affect [7]. If treatment of psychiatric symptoms induces improvement of well-being - and indeed subscales describing well-being are more sensitive to drug effects than subscales describing symptoms [3] - it is conceivable that changes in well-being may affect the balance of positive and negative affect. In this sense, the higher degree of symptomatic improvement that was observed with WBT in this study is not surprising: in the acute phase of affective illness, removal of symptoms may yield the most substantial changes, but the reverse may be true in its residual phase.

      The Big Challenge