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Testing the Integrative Psychotherapy Model: an Integration of Psychoanalysis, Cognitive- Behaviorism, and Humanism Lindsay A Walden University ScholarWorks Walden Dissertations and Doctoral Studies Walden Dissertations and Doctoral Studies Collection 2014 Testing the Integrative Psychotherapy Model: An Integration of Psychoanalysis, Cognitive- Behaviorism, and Humanism Lindsay A. Sterious Walden University Follow this and additional works at: https://scholarworks.waldenu.edu/dissertations Part of the Counseling Psychology Commons This Dissertation is brought to you for free and open access by the Walden Dissertations and Doctoral Studies Collection at ScholarWorks. It has been accepted for inclusion in Walden Dissertations and Doctoral Studies by an authorized administrator of ScholarWorks. For more information, please contact [email protected]. Walden Universit y College of Social and Behavioral Sciences This is to certify that the doctoral dissertation by Lindsay Sterious has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Martha Giles, Committee Chairperson, Psychology Faculty Dr. Tom Diebold, Committee Member, Psychology Faculty Dr. Kimberley Cox, University Reviewer, Psychology Faculty Chief Academic Officer Eric Riedel, Ph.D. Walden University 2014 Abstract Testing the Integrative Psychotherapy Model: An Integration of Psychoanalysis, Cognitive-Behaviorism, and Humanism by Lindsay Parsons-Sterious MA, Eastern University, 2001 BA, Millersville University, 1998 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Clinical Psychology Walden University October 2014 Abstract The integrated psychotherapy model (IPM) is an insight-oriented, integrative therapeutic approach that weaves psychoanalytic, cognitive-behavioral, and humanistic approaches into a treatment methodology. This model is new and untested; therefore, its therapeutic effectiveness is unknown. The purpose of this study was to measure the treatment effectiveness of IPM using Bell’s Object Relations and Reality Testing Inventory, the Constructive Thinking Inventory, and the Working Alliance Inventory. Participants in the study included 19 undergraduate psychology students volunteering for extra credit and 11 clients of counseling psychology graduate students. This quasi-experimental, pretest- posttest, nonequivalent group study involved 9 sessions of IPM for the treatment group and 9 classes in a general psychology course for the comparison group. An analysis of covariance using the pre-post testing of object relations and reality testing, productive and unproductive thinking, and working alliance measured changes in these constructs and determined the therapeutic effectiveness of IPM. Results revealed that there were no differences between the experimental and comparison groups. Although no significant differences were demonstrated when comparing pre and post testing, this study demonstrated that 9 sessions of IPM did not harm those who underwent the treatment; this finding is positive given the need for further research to potentially validate the IPM as a new and effective integrative model for psychotherapy. It is recommended that a similar study be repeated with more seasoned IPM therapists, a longer treatment period, and the focus of change on client symptoms. Testing the Integrative Psychotherapy Model: An Integration of Psychoanalysis, Cognitive-Behaviorism, and Humanism by Lindsay Parsons-Sterious MA, Eastern University, 2001 BA, Millersville University, 1998 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Clinical Psychology Walden University October 2014 Acknowledgments There are several people I would like to acknowledge and express my gratitude towards. Without the support of these people, I would not have been able to finish this process. I owe a very special thanks to Dr. Giles. It has been an honor being your student and having you as the chairwoman for my dissertation. Learning from the wisdom and experience you bring to the classroom has enriched my time as a student at Walden. Thank you Dr. Diebold for your enthusiastic love for statistics. Without your knowledgebase and desire to teach I would not have been able to complete this process. I am appreciative for the love and support of my friends and colleagues. Thank you Dr. White for your guidance and mentorship over the years. Thank you for birthing the qualitative aspects of this project. Thanks to Dr. Malone, your influence over the years keeps my mind reaching for the depths – thanks for the inspiration. And thanks to my dear Paula Padget, your love and encouragement, and laughter has made this difficult process a bit easier. Dr. Stokes Simms thanks for your encouragement over the years. To my family Rachel Morin, Laura Hardin, Bill and Deanna Sterious, Chris and Despe Sterious, Uncle John and Aunt Vas Gianopulos, without your love support and prayers this feat would not be possible. Thank you. And to my parents, Mike and Jan Parsons, you have inspired me to learn, grow, and achieve for as long as I can recall. Your support in my education has carried me through this long process. I am forever grateful for your love and encouragement. And last but certainly not least, my husband, Ted Sterious, thank you for your faithful Saturday mornings distracting our kids. The kids were not missing me while I was busy doing my schoolwork; they were excited to be with their Dad. When I started on this journey, it was my choice, but in the end I could not have completed this journey without your support and help. Table of Contents List of Tables ..................................................................................................................... iv List of Figures ......................................................................................................................v Chapter 1: Introduction to the Study ....................................................................................1 Introduction ....................................................................................................................1 Background of the Problem ...........................................................................................5 Statement of the Problem ...............................................................................................5 Purpose of the Study ......................................................................................................6 Theoretical Framework of the Study .............................................................................6 Psychoanalysis ........................................................................................................ 6 Cognitive Theory .................................................................................................... 7 Humanism ............................................................................................................... 7 Integrative Psychotherapy Model ........................................................................... 8 Research Questions and Hypotheses ...........................................................................11 Definition of Terms......................................................................................................13 Significance of the Study .............................................................................................15 Assumptions and Limitations ......................................................................................16 Summary ......................................................................................................................17 Chapter 2: Literature Review .............................................................................................19 Introduction ..................................................................................................................19 Literature Search Strategy............................................................................................20 Overview of Psychotherapy Integration ......................................................................21 i Short-Term Restructuring Psychotherapy............................................................. 25 Integrative Cognitive Therapy for Depression ..................................................... 27 Schema Focused Therapy ..................................................................................... 28 The Theoretical Foundations of Integrative Psychotherapy Model ...................... 30 Integrative Psychotherapy Model ................................................................................40 Case Conceptualization ......................................................................................... 40 Treatment Application: Integrative Psychotherapy Model ................................... 48 Chapter 3: Research Method ..............................................................................................53 Introduction ..................................................................................................................53 Purpose of the Study ....................................................................................................53 Research Design and Approach ...................................................................................54 Setting and Sample ......................................................................................................56 Treatment Group ..................................................................................................
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