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Cited by 131Psychotherapy Techniques and ApplicationsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychological Treatments and Assessments

A Pilot Investigation of Emotion‐Focused Two‐Chair Dialogue Intervention for Self‐Criticism

Shahar, Ben, Carlin, Erica R., Engle, David E., Hegde, Jayanta, Szepsenwol, Ohad, Arkowitz, Hal·2012·Clinical Psychology & Psychotherapy
DOI 10.1002/cpp.762
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Abstract

Unlabelled Self-criticism plays a key role in many psychological disorders and predicts poor outcome in psychotherapy. Yet, psychotherapy research directly targeting self-critical processes is limited. In this pilot study, we examined the efficacy of an emotion-focused intervention, the two-chair dialogue task, on self-criticism, self-compassion and the ability to self-reassure in times of stress, as well as on depressive and anxiety symptoms among nine self-critical clients. Results showed that the intervention was associated with significant increases in self-compassion and self-reassuring, and significant reductions in self-criticism, depressive symptoms and anxiety symptoms. Effect sizes were medium to large, with most clients exhibiting low and non-clinical levels of symptomatology at the end of therapy, and maintaining gains over a 6-month follow-up period. Although preliminary, these finding suggest that emotion-focused chair work might be a promising intervention addressing self-criticism. Key practitioner message Self-criticism is an important process in a variety of clinical disorders and predicts poor outcome in brief therapy for depression. Yet, little is known about how self-criticism can be effectively addressed in psychological treatment. Practitioners can benefit from increasing their awareness of self-critical processes in their clinical work, and from directly working with emotions in addressing self-criticisim. Emotion-focused two-chair dialogue interventio…

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  • Chairwork has widespread and effective use in reducing self-criticism and guilt.

    “Despite a widespread and effective use of chairwork in reducing self-criticism and guilt (e.g., Shahar et al., 2012), its systematic application in the psychological treatments of OCD is described only in a small number of studies (Basile et al., 2018b; Thiel et al., 2016).”

    From TREATING GUILT-INDUCING SELF-TALK IN OCD WITH DRAMATIZED SOCRATIC DIALOGUE: A STEP BY STEP INTERVENTION (2024) · cites this paper as Shahar et al., 2012

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Authors
Shahar, B., Carlin, E. R., Engle, D. E., Hegde, J., Szepsenwol, O., & Arkowitz, H.
Affiliations
  • Reichman University (IL)
  • University of Arizona (US)
  • Private Practice Tucson Arizona USA
Corresponding author
Shahar, Ben
ORCID
Venue
Clinical Psychology & Psychotherapy
Publisher
Wiley
Published
2011-06-28
Volume
19
Issue
6
Pages
496-507
ISSN
  • 1063-3995 (ISSN-L)
  • 1099-0879
DOI
10.1002/cpp.762
OpenAlex
W1798668482
Cited by
131
References
13
Citations by year
2026: 8 · 2025: 8 · 2024: 12 · 2023: 17 · 2022: 10 · 2021: 11 · 2020: 8 · 2019: 11 · 2018: 10 · 2017: 8 · 2016: 3 · 2015: 4 · 2014: 13 · 2013: 5 · 2012: 3
FWCI
7.23
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Clinical Psychology & Psychotherapy (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
Keywords
self-criticism, emotion-focused therapy, self-compassion, self-reassurance, depressive symptoms, anxiety symptoms, brief psychotherapy, maintenance of treatment effects
MeSH terms
Adult, Anxiety, Mental Disorders, Depression, Emotions, Empathy, Female, Humans, Middle Aged, Pilot Projects, Psychotherapy, Brief, Self-Assessment, Self Concept, Psychotherapeutic Processes

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