Desensitizationofconflictedfeelings:using theATOStomeasureearlychangeinasingle-case affect phobia therapy treatment
Bibliographic record
Abstract
Summary Aim. This single-case study investigated adaptive shifts in behaviour observed in the early stage of a successful course of Affect Phobia Therapy (APT), a form of Short Term Dynamic Psychotherapy (STDP) with the goal to discover whether early gains could be made by a patient presenting with anxiety, relationship difficulties, and low self-worth, and what mechanisms of change would facilitate these gains. Methods. Eight early sessions were rated using the Achievement of Therapeutic Objectives Scale (ATOS), which measures the extent of beneficial effects of therapy achieved by the patient. Patient symptoms and functioning was assessed using the Symptoms Checklist 90 Revised (SCL-90-R), the Inventory of Interpersonal Problems (IIP) and the Rosenberg Self-Esteem Scale (RSE). It was hypothesized that exposure to conflicted feelings would lead to desensitization (i.e., the conflicted feeling being tolerated with reduced levels of anxiety or shame). Results. Results confirm that desensitization did occur and strong improvement was noted by session 10 on all measures. Conclusions. Findings suggest that significant changes can occur early in therapy and the key mechanisms of change are exposure to warded off feelings and lowering of inhibition. These findings are of interest in light of the current trend towards brief therapies and the search for mechanisms of change.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".