{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T03:12:07Z","timestamp":1789960327876,"version":"4.0.1"},"reference-count":35,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2014,4,10]],"date-time":"2014-04-10T00:00:00Z","timestamp":1397088000000},"content-version":"unspecified","delay-in-days":3631,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Span. J. Psychol."],"published-print":{"date-parts":[[2004,5]]},"abstract":"<jats:p>The Multi-Center Dilemma Project is a collaborative research endeavour aimed at determining the role of dilemmas \u2014a kind of cognitive conflict, detected by using an adaptation of Kelly's Repertory Grid Technique\u2014 in a variety of clinical conditions. Implicative dilemmas appear in one third of the non-clinical group (<jats:italic>n<\/jats:italic>= 321) and in about half of the clinical group (<jats:italic>n<\/jats:italic>= 286), the latter having a proportion of dilemmas that doubles that of the non-clinical sample. Within the clinical group, we studied 87 subjects, after completing a psychotherapy process, and found that therapy helps to dissolve those dilemmas. We also studied, independently, a group of subjects diagnosed with social phobia (<jats:italic>n<\/jats:italic>= 13) and a group diagnosed with irritable bowel syndrome (<jats:italic>n<\/jats:italic>= 13) in comparison to non-clinical groups. In both health related problems, dilemmas seem to be quite relevant. Altogether, these studies, though preliminary (and with a small group size in some cases), yield a promising perspective to the unexplored area of the role of cognitive conflicts as an issue to consider when trying to understand some clinical conditions, as well as a focus to be dealt with in psychotherapy when dilemmas are identified.<\/jats:p>","DOI":"10.1017\/s1138741600004765","type":"journal-article","created":{"date-parts":[[2014,4,10]],"date-time":"2014-04-10T15:25:20Z","timestamp":1397143520000},"page":"69-78","source":"Crossref","is-referenced-by-count":40,"title":["The Multi-Center Dilemma Project: An Investigation on the Role of Cognitive Conflicts in Health"],"prefix":"10.1017","volume":"7","author":[{"given":"Guillem","family":"Feixas","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis \u00c1ngel","family":"Sa\u00fal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2014,4,10]]},"reference":[{"key":"S1138741600004765_ref034","first-page":"342","volume-title":"Experimenting with personal construct psychology","author":"Winter","year":"1988"},{"key":"S1138741600004765_ref031","first-page":"47","article-title":"Cognitive assessment in depression: A comparison of some existing measures","volume":"8","author":"Neimeyer","year":"1992","journal-title":"European Journal of Psychological Assessment"},{"key":"S1138741600004765_ref028","volume-title":"The psychology of personal constructs (2 vols.)","author":"Kelly","year":"1955"},{"key":"S1138741600004765_ref025","doi-asserted-by":"publisher","DOI":"10.1080\/00223980.1946.9917275"},{"key":"S1138741600004765_ref024","volume-title":"A manual for repertory grid technique","author":"Fransella","year":"2004"},{"key":"S1138741600004765_ref020","volume-title":"Constructivismo y psicoterapia","author":"Feixas","year":"2000"},{"key":"S1138741600004765_ref018","first-page":"5","article-title":"Implicaciones terap\u00e9uticas de los conflictos cognitivos","volume":"X","author":"Feixas","year":"2001","journal-title":"Revista Argentina de Cl\u00ednica Psicol\u00f3gica"},{"key":"S1138741600004765_ref017","volume-title":"Advances in personal construct psychotherapy","author":"Feixas"},{"key":"S1138741600004765_ref021","volume-title":"Gu\u00eda de tratamientos psicol\u00f3gicos eficaces II: Psicolog\u00eda de la salud","author":"Fern\u00e1ndez","year":"2003"},{"key":"S1138741600004765_ref016","volume-title":"Dilemma project internal report (Database, April, 2003)","author":"Feixas","year":"2003"},{"key":"S1138741600004765_ref012","unstructured":"Feixas G. , & Cornejo J. 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