Narrative innovations predict symptom improvement: Studying innovative moments in narrative therapy of depression

Miguel Gonçalves, Antonio Ribeiro, Joana Silva, Ines Mendes, Inês Sousa

Research output: Contribution to journalArticlepeer-review


Objective:Innovative moments (IMs) are moments in the therapeutic dialog that constitute exceptions toward the client's problems. These narrative markers of meaning transformation are associated with change in different models of therapy and diverse diagnoses. Our goal is to test if IMs precede symptoms change, or, on the contrary, are a mere consequence of symptomatic 15 change. Method: For this purpose, IMs and symptomatology (Outcome Questionnaire-10.2) were assessed at every session in a sample of 10 cases of narrative therapy for depression. Hierarchical linear modeling was conducted to explore whether (i) IMs in a given session predict patients' symptoms in the following session and/or (ii) symptoms in a given session predict IMs in the next session. Results: Results suggested that IMs are better predictors of symptoms than the reverse. Conclusions: These results are discussed considering the contribution of meanings and narrative processes' changes to symptomatic improvement.
Original languageEnglish
Pages (from-to)425-435
Number of pages11
JournalPsychotherapy Research
Issue number4
Early online date13 May 2016
Publication statusE-pub ahead of print - 13 May 2016

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