{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T18:11:41Z","timestamp":1776363101381,"version":"3.51.2"},"reference-count":20,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2017,9,14]],"date-time":"2017-09-14T00:00:00Z","timestamp":1505347200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institute of Health Research","doi-asserted-by":"crossref","award":["MOP -114909"],"award-info":[{"award-number":["MOP -114909"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>In a trial examining whether cognitive\u2010behavioral therapy (CBT) could be improved by integrating motivational interviewing (MI) to target resistance, MI\u2010CBT outperformed CBT over 12\u2010month follow\u2010up (Westra, Constantino, &amp; Antony, 2016). Given that effectively addressing resistance is both a theoretically and an empirically supported mechanism of MI's additive effect, we explored qualitatively patients\u2019 experience of resistance, possibly as a function of treatment. For 5 patients from each treatment who exhibited early in\u2010session change ambivalence, and thus were at risk for later resistance, we conducted interpersonal process recall interviews after a session. Transcripts were analyzed with grounded theory and consensual qualitative research. A salient contrast in patient narratives was a sense of <jats:italic>compliance<\/jats:italic> engendered in standard CBT versus <jats:italic>connection<\/jats:italic> in MI\u2010CBT. Yet both narratives supported the superordinate category of resistance as an interpersonal process triggered by patient perceptions of therapist beliefs and behaviors. Findings contribute to the conceptualization of resistance from patients\u2019 first\u2010hand accounts.<\/jats:p>","DOI":"10.1002\/jclp.22527","type":"journal-article","created":{"date-parts":[[2017,9,14]],"date-time":"2017-09-14T16:57:53Z","timestamp":1505408273000},"page":"1523-1533","source":"Crossref","is-referenced-by-count":13,"title":["Using interpersonal process recall to compare patients\u2019 accounts of resistance in two psychotherapies for generalized anxiety disorder"],"prefix":"10.1002","volume":"73","author":[{"given":"Nicholas R.","family":"Morrison","sequence":"first","affiliation":[{"name":"University of Massachusetts Amherst"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael J.","family":"Constantino","sequence":"additional","affiliation":[{"name":"University of Massachusetts Amherst"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henny A.","family":"Westra","sequence":"additional","affiliation":[{"name":"York University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela","family":"Kertes","sequence":"additional","affiliation":[{"name":"York University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brien J.","family":"Goodwin","sequence":"additional","affiliation":[{"name":"University of Massachusetts Amherst"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin M.","family":"Antony","sequence":"additional","affiliation":[{"name":"Ryerson University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,9,14]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000100"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/16506073.2014.959038"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1348\/147608304322874263"},{"key":"e_1_2_5_5_1","first-page":"1","article-title":"Context\u2010responsive psychotherapy integration as a framework for a unified clinical science: Conceptual and empirical considerations","volume":"2","author":"Constantino M. J.","year":"2013","journal-title":"Journal of Unified Psychotherapy and Clinical Science"},{"key":"e_1_2_5_6_1","article-title":"Specific and common processes as mediators of the long\u2010term effects of cognitive\u2010behavioral therapy integrated with motivational interviewing for generalized anxiety disorder","author":"Constantino M. J.","year":"2017","journal-title":"Psychotherapy Research"},{"key":"e_1_2_5_7_1","unstructured":"Coyne A. E. Constantino M. J. Westra H. A. &Antony M. M.(2017).Moving \u201cBeyond Baron and Kenny\u201d to unpack competing indirect effects in a comparative trial for generalized anxiety disorder. 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