Psychotherapy of depression: A self-confirmation model.
- 1 January 1989
- journal article
- Published by American Psychological Association (APA) in Psychological Review
- Vol. 96 (4) , 576-607
- https://doi.org/10.1037/0033-295x.96.4.576
Abstract
The concepts of self-confirmation, interpersonal diagnosis, and prototype construction are used to integrate research and clinical findings concerning depression. The person is conceptualized as sustaining his or her self-concept through a feedback loop that provides both interpersonal and intrapsychic confirmation. The personality styles specified in interpersonal diagnosis are viewed as prototypes that characterize the self-confirmation strategies used by different sorts of individuals. It is argued that various theories of depression reflect distinct segments of the depressive self-confirmation feedback cycle, and hence the stages of that cycle provide a systematic basis for deriving prototype features at both descriptive and causal levels. Various interventions are targeted toward different links in the self-confirmation cycle, and all effective interventions can lead, in different ways, to rechanneling the cycle as a whole. For this reason, combinations of interventions will often be particularly valuable. The therapeutic relationship also helps to redirect the depressive client's self-confirmation patterns and should be coordinated with target-specific interventions in order to attain maximum therapeutic impact.Keywords
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