{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T21:37:30Z","timestamp":1781905050540,"version":"3.54.5"},"reference-count":140,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T00:00:00Z","timestamp":1769126400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:p>\n                    Chairwork refers to a set of experiential psychotherapeutic interventions in which the physical positioning of the chairs facilitates internal and interpersonal dialogue. This study is an attempt to rectify the lack of a systematic review of the research on the effectiveness of Chairwork by offering a systematic review of randomized controlled trials (RCTs) that assess the effectiveness of Chairwork-based interventions used in various psychotherapeutic approaches for the treatment of psychological disorders, difficulties, and mental health conditions. It considers various psychotherapy modalities and formats, including individual, couple, group, and family therapies. We followed the updated criteria of the Preferred Reporting Items for Systematic Review. Our systematic review examines the relevant literature from two scientometric databases: Web of Science and Scopus published up to August 30, 2024. An independent assessment of the risk of bias in the studies was performed using the Cochrane Risk of Bias 2.0 along with a certainty assessment. A total of 22 RCTs were included in the final analysis, providing robust empirical support for Chairwork\u2019s efficacy across several clinical domains, including depression, childhood trauma, unfinished business, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), social anxiety, and eating disorders. The results demonstrated efficacy across different therapeutic approaches, with Chairwork utilized both as a core experiential component within broader frameworks (e.g., EFT) and as a stand-alone intervention. Effect sizes (Cohen\u2019s d) varied depending on the outcome measure, ranging from small (\n                    <jats:italic>d<\/jats:italic>\n                    \u202f=\u202f0.20) to large (\n                    <jats:italic>d<\/jats:italic>\n                    \u202f=\u202f1.73). Our findings show that Chairwork seems to be a promising psychotherapeutic intervention for individuals, groups, and families. We provide a detailed analysis of these findings. We did not find any relevant studies relating to couple therapy.\n                  <\/jats:p>","DOI":"10.3389\/fpsyg.2025.1692630","type":"journal-article","created":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T06:47:18Z","timestamp":1769150838000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Experiential therapies including Chairwork: a systematic review of randomized controlled trials"],"prefix":"10.3389","volume":"16","author":[{"given":"Lenka","family":"Ottingerov\u00e1","sequence":"first","affiliation":[{"name":"Faculty of Social and Economic Sciences, Institute of Applied Psychology, Comenius University in Bratislava","place":["Bratislava, Slovakia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00falia","family":"Halamov\u00e1","sequence":"additional","affiliation":[{"name":"Faculty of Social and Economic Sciences, Institute of Applied Psychology, Comenius University in Bratislava","place":["Bratislava, Slovakia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dagmar","family":"Szit\u00e1s","sequence":"additional","affiliation":[{"name":"Faculty of Social and Economic Sciences, Institute of Applied Psychology, Comenius University in Bratislava","place":["Bratislava, Slovakia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,23]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"923","DOI":"10.1080\/15374416.2022.2079130","article-title":"Efficacy of emotion-focused parenting programs for children\u2019s internalizing and externalizing symptoms: a randomized clinical study","volume":"51","author":"Ansar","year":"2022","journal-title":"J. Clin. Child Adolesc. Psychol."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/03069885.2024.2373175","article-title":"Cognitive analytic therapy (CAT) in borderline personality disorder: a case report on the efficacy of longer treatment duration","author":"Argyropoulos","year":"2024","journal-title":"Br. J. Guid. Counsell."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"559","DOI":"10.1080\/17439760.2016.1152593","article-title":"The effects of a program to enhance self-compassion in Japanese individuals: a randomized controlled pilot study","volume":"11","author":"Arimitsu","year":"2016","journal-title":"J. Posit. Psychol."},{"key":"ref4","doi-asserted-by":"crossref","first-page":"210","DOI":"10.4324\/9781351171847-13","article-title":"Schema therapy for couples","volume-title":"Creative methods in schema therapy","author":"Atkinson","year":"2020"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"732","DOI":"10.1080\/10503307.2013.816882","article-title":"Client emotional productivity\u2014optimal client in-session emotional processing in experiential therapy","volume":"23","author":"Auszra","year":"2013","journal-title":"Psychother. Res."},{"key":"ref6","volume-title":"Effects of chairwork in individual psychotherapy: a meta-analytic and systematic review (dissertation). University of Windsor; Windsor, ON, Canada","author":"Baher","year":"2023"},{"key":"ref7","volume-title":"Cognitive therapy of depression","author":"Beck","year":"1979"},{"key":"ref8","first-page":"561","article-title":"An inventory for measuring depression","volume-title":"Arch. Gen. Psychiatry","author":"Beck","year":"1961"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1002\/jclp.23295","article-title":"Schema chemistry: an interpersonal framework for making sense of intimate partner violence","volume":"78","author":"Beckley","year":"2022","journal-title":"J. Clin. Psychol."},{"key":"ref11","first-page":"77","article-title":"The paradoxical theory of change","volume":"1","author":"Beisser","year":"1970","journal-title":"Gestalt Therapy Now"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"e22","DOI":"10.1017\/S1754470X21000180","article-title":"Multiple emotions, multiple selves: compassion focused therapy chairwork","volume":"14","author":"Bell","year":"","journal-title":"Cogn. Behav. Ther."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1037\/int0000240","article-title":"\u201cSuddenly you are King Solomon\u201d: multiplicity, transformation and integration in compassion focused therapy chairwork","volume":"31","author":"Bell","year":"","journal-title":"J. Psychother. Integr."},{"key":"ref14","volume-title":"Autobiographical memory in process experiential treatment for unfinished business: an exploratory intensive case analysis (dissertation). York University; Toronto, ON, Canada.","author":"Bouffard","year":"2003"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"165","DOI":"10.26650\/SP2021-935379","article-title":"A helix of anxiety: a qualitative analysis of the personal experiences of individuals with health anxiety","volume":"42","author":"Bulut","year":"2022","journal-title":"Psikoloji \u00c7al\u0131\u015fmalar\u0131\/Stud. Psychol."},{"key":"ref16","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1080\/03069885.2020.1782833","article-title":"Two-chair dialogue: an emotion-focused technique applied to career counselling","volume":"49","author":"Cardoso","year":"2021","journal-title":"Br. J. Guid. Couns."},{"key":"ref17","volume-title":"Anger expression as a predictor of outcome in emotion focused therapy with adult survivors of childhood abuse- follow up to outcome study (dissertation). University of Windsor; Windsor, ON, Canada","author":"Carriere","year":"2004"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1017\/S1352465803004053","article-title":"Two chairs, self-schemata and a person-based approach to psychosis","volume":"31","author":"Chadwick","year":"2003","journal-title":"Behav. Cogn. Psychother."},{"key":"ref19","author":"Chagigiorgis","year":"2009"},{"key":"ref20","volume-title":"The empty chair in the pastor\u2019s study: an exploration of repentance and faith during the season of pastoral transition (dissertation)","author":"Chastain","year":"2018"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1080\/00377317.2012.638895","article-title":"Connecting the strengths of gestalt chairs to Asian clients","volume":"82","author":"Cheung","year":"2012","journal-title":"Smith Coll. Stud. Soc. Work"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"600","DOI":"10.1002\/cpp.2652","article-title":"Interviewing anorexia: how do individuals give a diagnosis of anorexia nervosa experience voice dialogue with their eating disorder voice? A qualitative analysis","volume":"29","author":"Chua","year":"2022","journal-title":"Clin. Psychol. Psychother."},{"key":"ref23","author":"Clarke","year":"1981"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1037\/h0088470","article-title":"The effect of the ABCs of rational emotive therapy and the empty-chair technique of gestalt therapy on anger reduction","volume":"20","author":"Conoley","year":"1983","journal-title":"Psychother. Theory Res. Pract."},{"key":"ref25","doi-asserted-by":"publisher","first-page":"537","DOI":"10.1007\/s13311-017-0549-4","article-title":"Evidence-based psychotherapy: advantages and challenges","volume":"14","author":"Cook","year":"2017","journal-title":"Neurotherapeutics"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1590\/S1516-44462008000100003","article-title":"Trial-based thought record (TBTR): preliminary data on a strategy to deal with core beliefs by combining sentence reversion and the use of analogy with a judicial process","volume":"30","author":"de Oliveira","year":"2008","journal-title":"Rev. Bras. Psiquiatr."},{"key":"ref28","doi-asserted-by":"publisher","first-page":"328","DOI":"10.1111\/j.1365-2710.2011.01299.x","article-title":"Efficacy of the trial-based thought record, a new cognitive therapy strategy designed to change core beliefs, in social phobia","volume":"37","author":"de Oliveira","year":"2012","journal-title":"J. Clin. Pharm. Ther."},{"key":"ref29","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1590\/0101-60830000000078","article-title":"Changing negative core beliefs with trial-based thought record","volume":"43","author":"Delavechia","year":"2016","journal-title":"Arch. Clin. Psychiatry (S\u00e3o Paulo)"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1037\/pst0000025","article-title":"Attachment-based family therapy and emotion-focused therapy for unresolved anger: the role of productive emotional processing","volume":"53","author":"Diamond","year":"2016","journal-title":"Psychotherapy"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1017\/S1092852920001455","article-title":"A randomized clinical trial to assess the efficacy of trial-based cognitive therapy compared to prolonged exposure for post-traumatic stress disorder: preliminary findings","volume":"26","author":"Duran","year":"2020","journal-title":"CNS Spectr."},{"key":"ref32","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1037\/h0101127","article-title":"Multiple voices in process-experiential therapy: dialogues between aspects of the self","volume":"7","author":"Elliott","year":"1997","journal-title":"J. Psychother. Integr."},{"key":"ref33","first-page":"493","article-title":"Research on experiential psychotherapies","volume-title":"Bergin and Garfield\u2019s handbook of psychotherapy and behavior change","author":"Elliott","year":"2004"},{"key":"ref34","first-page":"465","article-title":"Research on humanistic-experiential psychotherapies: updated review","volume-title":"Bergin and Garfield\u2019s handbook of psychotherapy and behavior change","author":"Elliott","year":"2021"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1037\/a0014653","article-title":"Maintenance of gains following experiential therapies for depression","volume":"77","author":"Ellison","year":"2009","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref36","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1002\/jclp.1141","article-title":"A gestalt-experiential perspective on resistance","volume":"58","author":"Engle","year":"2002","journal-title":"J. Clin. Psychol."},{"key":"ref37","doi-asserted-by":"publisher","first-page":"e111933","DOI":"10.1371\/journal.pone.0111933","article-title":"Embodying compassion: a virtual reality paradigm for overcoming excessive self-criticism","volume":"9","author":"Falconer","year":"2014","journal-title":"PLoS One"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"210","DOI":"10.1007\/BF01250340","article-title":"The \u201cvoice\u201d: the dual nature of guilt reactions","volume":"47","author":"Firestone","year":"1987","journal-title":"Am. J. Psychoanal."},{"key":"ref39","author":"Firestone","year":"2018"},{"key":"ref40","doi-asserted-by":"crossref","DOI":"10.1891\/9780826197757","volume-title":"The essential Moreno: writings on psychodrama, group method, and spontaneity by JL","author":"Fox","year":"1987"},{"key":"ref41","volume-title":"The use of action techniques in increasing self-disclosure and accurate empathy within married couples (dissertation). York University; Toronto, ON, Canada","author":"Glass","year":"1995"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1186\/s40337-020-00358-5","article-title":"The feasibility of emotion-focused therapy for binge-eating disorder: a pilot randomised wait-list control trial","volume":"9","author":"Glisenti","year":"2021","journal-title":"J. Eat. Disord."},{"key":"ref43","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1080\/14779757.2017.1330705","article-title":"Case formulation in emotion-focused therapy","volume":"16","author":"Goldman","year":"2017","journal-title":"Pers.-Cent. Exp. Psychother."},{"key":"ref44","doi-asserted-by":"publisher","first-page":"1627","DOI":"10.1002\/jclp.23472","article-title":"Guiding task work in the context of an emotion-focused relationship","volume":"79","author":"Goldman","year":"2023","journal-title":"J. Clin. Psychol."},{"key":"ref45","doi-asserted-by":"publisher","first-page":"537","DOI":"10.1080\/10503300600589456","article-title":"The effects of adding emotion-focused interventions to the client-centered relationship conditions in the treatment of depression","volume":"16","author":"Goldman","year":"2006","journal-title":"Psychother. Res."},{"key":"ref46","doi-asserted-by":"crossref","DOI":"10.1037\/10447-000","volume-title":"Emotion-focused therapy: coaching clients to work through their feelings","author":"Greenberg","year":"2002"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1002\/cpp.388","article-title":"Emotion\u2013focused therapy","volume":"11","author":"Greenberg","year":"2004","journal-title":"Clin. Psychol. Psychother."},{"key":"ref48","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1080\/10503300600720390","article-title":"A guide to conducting a task analysis of psychotherapeutic change","volume":"17","author":"Greenberg","year":"2007","journal-title":"Psychother. Res."},{"key":"ref49","doi-asserted-by":"crossref","DOI":"10.1037\/14692-000","volume-title":"Emotion-focused therapy: coaching clients to work through their feelings","author":"Greenberg","year":"2015"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"288","DOI":"10.1037\/0022-0167.28.4.288","article-title":"Specific effects of gestalt two-chair dialogue on intrapsychic conflict in counseling","volume":"28","author":"Greenberg","year":"1981","journal-title":"J. Couns. Psychol."},{"key":"ref51","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1037\/0022-006X.64.3.439","article-title":"Task analysis exemplified: the process of resolving unfinished business","volume":"64","author":"Greenberg","year":"1996","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref52","doi-asserted-by":"publisher","first-page":"221","DOI":"10.1037\/0022-0167.27.3.221","article-title":"Effects of two-chair dialogue and focusing on conflict resolution","volume":"27","author":"Greenberg","year":"1980","journal-title":"J. Couns. Psychol."},{"key":"ref53","doi-asserted-by":"publisher","first-page":"406","DOI":"10.1037\/0022-006X.70.2.406","article-title":"Resolving unfinished business: relating process to outcome","volume":"70","author":"Greenberg","year":"2002","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref54","doi-asserted-by":"publisher","first-page":"611","DOI":"10.1002\/jclp.20252","article-title":"Emotion in psychotherapy: a practice\u2010friendly research review","volume":"62","author":"Greenberg","year":"2006","journal-title":"J. Clin. Psychol."},{"key":"ref55","volume-title":"Facilitating emotional change: the moment-by-moment process","author":"Greenberg","year":"1996"},{"key":"ref56","doi-asserted-by":"crossref","DOI":"10.1007\/978-1-4757-9779-4_9","article-title":"Experiential therapy","volume-title":"Comprehensive handbook of cognitive therapy","author":"Greenberg","year":"1989"},{"key":"ref57","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1037\/0022-0167.55.2.185","article-title":"Differential effects of emotion-focused therapy and psychoeducation in facilitating forgiveness and letting go of emotional injuries","volume":"55","author":"Greenberg","year":"2008","journal-title":"J. Couns. Psychol."},{"key":"ref58","doi-asserted-by":"publisher","first-page":"210","DOI":"10.1093\/ptr\/8.2.210","article-title":"Experiential therapy of depression: differential effects of client-centered relationship conditions and process experiential interventions","volume":"8","author":"Greenberg","year":"1998","journal-title":"Psychother. Res."},{"key":"ref59","doi-asserted-by":"crossref","DOI":"10.1037\/11286-000","volume-title":"Emotion-focused therapy for depression","author":"Greenberg","year":"2006"},{"key":"ref60","doi-asserted-by":"publisher","first-page":"468","DOI":"10.1037\/0022-0167.29.5.468","article-title":"Resolving decisional conflict by gestalt two-chair dialogue: relating process to outcome","volume":"29","author":"Greenberg","year":"1982","journal-title":"J. Couns. Psychol."},{"key":"ref61","doi-asserted-by":"publisher","first-page":"604","DOI":"10.1002\/cpp.1921","article-title":"Dialogical exposure with traumatically bereaved Bosnian women: findings from a controlled trial","volume":"22","author":"Hagl","year":"2014","journal-title":"Clin. Psychol. Psychother."},{"key":"ref62","volume-title":"Therapist relationship and technical skills in two versions of emotion-focused therapy for child abuse trauma","author":"Hall","year":"2007"},{"key":"ref63","doi-asserted-by":"publisher","first-page":"152","DOI":"10.3389\/fpsyg.2019.00152","article-title":"Compassion focused approaches to working with distressing voices","volume":"10","author":"Heriot-Maitland","year":"2019","journal-title":"Front. Psychol."},{"key":"ref64","doi-asserted-by":"publisher","first-page":"407","DOI":"10.1037\/pst0000487","article-title":"Skills and methods that work in psychotherapy: observations and conclusions from the special issue","volume":"60","author":"Hill","year":"2023","journal-title":"Psychotherapy"},{"key":"ref65","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1080\/07481187.2018.1521106","article-title":"Bereavement-related regrets and unfinished business with the deceased","volume":"44","author":"Holland","year":"2020","journal-title":"Death Stud."},{"key":"ref66","doi-asserted-by":"publisher","first-page":"343","DOI":"10.1007\/s10879-024-09632-y","article-title":"Chair work with the empathic other: providing basic need support for resolving unfinished business","volume":"54","author":"Holmstr\u00f6m","year":"2024","journal-title":"J. Contemp. Psychother."},{"key":"ref67","doi-asserted-by":"publisher","first-page":"56","DOI":"10.1080\/10503307.2011.622727","article-title":"Characteristics of client-identified helpful events in emotion-focused therapy for child abuse trauma","volume":"22","author":"Holowaty","year":"2012","journal-title":"Psychother. Res."},{"key":"ref68","volume-title":"The use of a snake phobia paradigm and nonverbal behavior change in assessing treatment outcome: the empty chair versus systematic desensitization (dissertation). Georgia State University; Atlanta, GA, USA","author":"Johnson","year":"1976"},{"key":"ref69","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2023.1180839","article-title":"Chairwork in schema therapy for patients with borderline personality disorder\u2014a qualitative study of patients\u2019 perceptions","volume":"14","author":"Josek","year":"2023","journal-title":"Front. Psych."},{"key":"ref70","doi-asserted-by":"publisher","first-page":"636","DOI":"10.1177\/0010414016666856","article-title":"Unfinished business","volume":"50","author":"Kasara","year":"2017","journal-title":"Comp. Polit. Stud."},{"key":"ref71","doi-asserted-by":"publisher","first-page":"573","DOI":"10.1037\/pst0000497","article-title":"Meaning reconstruction 70 years later: processing older adults\u2019 unfinished business in a drama therapy group","volume":"60","author":"Keisari","year":"2023","journal-title":"Psychotherapy"},{"key":"ref72","doi-asserted-by":"publisher","first-page":"310","DOI":"10.1037\/0033-3204.41.3.310","article-title":"Dialogical encounters: contemporary perspectives on \u2018chairwork\u2019 in psychotherapy","volume":"41","author":"Kellogg","year":"2004","journal-title":"Psychother. Theory Res. Pract. Train."},{"key":"ref73","volume-title":"Chairwork psychotherapy: using the four dialogues in the treatment of trauma. New York, NY: Chairwork Psychotherapy Initiative.","author":"Kellogg","year":"2023"},{"key":"ref74","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1037\/pri0000149","article-title":"Toward a chairwork psychotherapy: using the four dialogues for healing and transformation","volume":"6","author":"Kellogg","year":"2021","journal-title":"Pract. Innov."},{"key":"ref75","doi-asserted-by":"publisher","first-page":"555","DOI":"10.1017\/S0033291799008375","article-title":"Lifetime co-morbidities between social phobia and mood disorders in the US National Comorbidity Survey","volume":"29","author":"Kessler","year":"1999","journal-title":"Psychol. Med."},{"key":"ref76","doi-asserted-by":"publisher","first-page":"e245","DOI":"10.1016\/j.jvoice.2010.05.003","article-title":"Twelve-month clinical follow-up study of voice patients\u2019 recovery using the voice activity and participation profile (VAPP)","volume":"25","author":"Kleemola","year":"2011","journal-title":"J. Voice"},{"key":"ref77","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1002\/capr.12307","article-title":"Assessment of self-contempt in psychotherapy: a neurobehavioural perspective","volume":"20","author":"Kramer","year":"2020","journal-title":"Couns. Psychother. Res."},{"key":"ref78","doi-asserted-by":"publisher","first-page":"e073128","DOI":"10.1136\/bmjopen-2023-073128","article-title":"Addressing self-criticism in depression using CBT-based emotion-focused chairwork: study protocol of a randomised controlled trial","volume":"13","author":"Kroener","year":"2023","journal-title":"BMJ Open"},{"key":"ref79","doi-asserted-by":"publisher","first-page":"726","DOI":"10.1111\/jmft.12560","article-title":"The relationship between therapist interventions and couples\u2019 emotional injury resolution in emotion focused couples therapy","volume":"48","author":"Kula","year":"2022","journal-title":"J. Marital. Fam. Ther."},{"key":"ref80","volume-title":"Cognitive therapy techniques: a practitioner\u2019s guide","author":"Leahy","year":"2003"},{"key":"ref81","doi-asserted-by":"publisher","first-page":"447","DOI":"10.1080\/02650533.2020.1835846","article-title":"Make every session count for clients! Rethinking clinical social work practice from single session therapy (SST): a case illustration of emotion-focused therapy (EFT)","volume":"35","author":"Lee","year":"2021","journal-title":"J. Soc. Work. Pract."},{"key":"ref82","volume-title":"Chair work and client change process in emotion-focused therapy (dissertation). Universidade do Minho; Braga, Portugal","author":"Louren\u00e7o","year":"2021"},{"key":"ref83","doi-asserted-by":"publisher","first-page":"S121","DOI":"10.1080\/00207284.2016.1218286","article-title":"The interpersonal model of group psychotherapy","volume":"67","author":"Mahon","year":"2017","journal-title":"Int. J. Group Psychother."},{"key":"ref84","volume-title":"Relating changes in self-other schemas to psychotherapy outcome (dissertation). York University; Toronto, ON, Canada","author":"McMain","year":"1995"},{"key":"ref85","volume-title":"Psychodrama","author":"Moreno","year":"1948"},{"key":"ref86","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1080\/09515070.2014.924480","article-title":"Intensifying attachment-related sadness and decreasing anger intensity among individuals suffering from unresolved anger: the role of relational reframe followed by empty-chair interventions","volume":"28","author":"Narkiss-Guez","year":"2015","journal-title":"Couns. Psychol. Q."},{"key":"ref87","volume-title":"The effects of adding a somatic intervention to the gestalt two-chair technique on career decision-making (dissertation). Loyola University Chicago; Chicago, IL, USA","author":"O\u2019grady","year":"1986"},{"key":"ref88","volume-title":"The effects of gestalt therapy empty chair procedures on self-recorded negative interpersonal feelings (dissertation). York University; Toronto, ON, Canada","author":"O\u2019shea","year":"1982"},{"key":"ref89","first-page":"124","article-title":"Chairwork in cognitive behavioral therapy and schema therapy: options in practice","volume":"64","author":"Ociskova","year":"2022","journal-title":"Act Nerv Super Rediviva"},{"key":"ref90","doi-asserted-by":"publisher","first-page":"105906","DOI":"10.1016\/j.ijsu.2021.105906","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"88","author":"Page","year":"2021","journal-title":"Int. J. Surg."},{"key":"ref91","doi-asserted-by":"publisher","first-page":"419","DOI":"10.1037\/0022-006X.63.3.419","article-title":"Resolving \u2018unfinished business\u2019: efficacy of experiential therapy using empty-chair dialogue","volume":"63","author":"Paivio","year":"1995","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref92","doi-asserted-by":"publisher","first-page":"56","DOI":"10.1037\/0033-3204.41.1.56","article-title":"The influence of therapist adherence and competence on client reprocessing of child abuse memories","volume":"41","author":"Paivio","year":"2004","journal-title":"Psychother Theory Res Pract Train"},{"key":"ref93","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1080\/10503300903505274","article-title":"Efficacy of two versions of emotion-focused therapy for resolving child abuse trauma","volume":"20","author":"Paivio","year":"2010","journal-title":"Psychother. Res."},{"key":"ref94","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1023\/A:1007891716593","article-title":"Efficacy of emotion focused therapy for adult survivors of child abuse: a preliminary study","volume":"14","author":"Paivio","year":"2001","journal-title":"J. Trauma. Stress."},{"key":"ref95","author":"Parker","year":"2007"},{"key":"ref96","doi-asserted-by":"publisher","first-page":"370","DOI":"10.1037\/pst0000490","article-title":"Chairwork in individual psychotherapy: meta-analyses of intervention effects","volume":"60","author":"Pascual-Leone","year":"2023","journal-title":"Psychotherapy"},{"key":"ref97","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1080\/10503307.2011.572092","article-title":"Emotion-focused therapy for incarcerated offenders of intimate partner violence: a 3-year outcome using a new whole-sample matching method","volume":"21","author":"Pascual-Leone","year":"2011","journal-title":"Psychother. Res."},{"key":"ref98","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1007\/s10879-012-9214-8","article-title":"Problem anger in psychotherapy: an emotion-focused perspective on hate, rage, and rejecting anger","volume":"43","author":"Pascual-Leone","year":"2013","journal-title":"J. Contemp. Psychother."},{"key":"ref99","doi-asserted-by":"publisher","first-page":"875","DOI":"10.1037\/0022-006X.75.6.875","article-title":"Emotional processing in experiential therapy: why \u2018the only way out is through\u2019","volume":"75","author":"Pascual-Leone","year":"2007","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref100","volume-title":"Gestalt therapy verbatim. Moab, UT","author":"Perls","year":"1969"},{"key":"ref101","volume-title":"The Gestalt approach & eye witness to therapy","author":"Perls","year":"1973"},{"key":"ref102","doi-asserted-by":"publisher","first-page":"84","DOI":"10.1521\/pedi.2012.26.1.84","article-title":"Organizing awareness and increasing emotion regulation: revising chair work in emotion-focused therapy for borderline personality disorder","volume":"26","author":"Pos","year":"2012","journal-title":"J. Personal. Disord."},{"key":"ref103","first-page":"96","article-title":"Transgenerational trauma and schema therapy: imagery rescripting and chairwork in practice","volume":"46","author":"Prasko","year":"2025","journal-title":"Neuroendocrinol. Lett."},{"key":"ref104","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1007\/s10608-016-9805-x","article-title":"Chairwork in cognitive behavioural therapy: a narrative review","volume":"41","author":"Pugh","year":"2017","journal-title":"Cogn. Ther. Res."},{"key":"ref105","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1007\/s41811-018-0001-5","article-title":"Cognitive behavioural chairwork","volume":"11","author":"Pugh","year":"2018","journal-title":"Int. J. Cogn. Ther."},{"key":"ref106","doi-asserted-by":"publisher","first-page":"e47","DOI":"10.1017\/S1754470X19000333","article-title":"A little less talk, a little more action: a dialogical approach to cognitive therapy","volume":"12","author":"Pugh","year":"2019","journal-title":"Cogn. Behav. Therapist"},{"key":"ref107","doi-asserted-by":"publisher","first-page":"777","DOI":"10.1080\/03069885.2021.1984395","article-title":"Single-session chairwork: overview and case illustration of brief dialogical psychotherapy","volume":"52","author":"Pugh","year":"2024","journal-title":"Br. J. Guid. Couns."},{"key":"ref108","volume-title":"Three-chair cognitive restructuring: facilitation guidance. London, UK: Clinical guide\/Technical manual, Chairwork.","author":"Pugh","year":"2020"},{"key":"ref109","doi-asserted-by":"publisher","first-page":"e21","DOI":"10.1017\/S1754470X21000052","article-title":"Attitudes and applications of chairwork amongst CBT therapists: a preliminary survey","volume":"14","author":"Pugh","year":"2021","journal-title":"Cogn. Behav. Therapist"},{"key":"ref110","doi-asserted-by":"publisher","first-page":"1615","DOI":"10.1002\/jclp.23473","article-title":"Chairwork and the therapeutic relationship: can the cart join the horse?","volume":"79","author":"Pugh","year":"2023","journal-title":"J. Clin. Psychol."},{"key":"ref111","doi-asserted-by":"publisher","first-page":"e17","DOI":"10.1017\/S1754470X20000185","article-title":"Are you sitting (un)comfortably? Action-based supervision and supervisory drift","volume":"13","author":"Pugh","year":"2020","journal-title":"Cogn. Behav. Therapist"},{"key":"ref112","author":"Ralston","year":"2006"},{"key":"ref113","first-page":"112","article-title":"Learning to forgive: a phenomenological exploration of the REACH forgiveness intervention reduction","volume":"20","author":"Ramsey","year":"2012","journal-title":"Psychother. Theory Res. Pract."},{"key":"ref114","doi-asserted-by":"publisher","first-page":"e20210247","DOI":"10.47626\/2237-6089-2021-0247","article-title":"Randomized trial of the efficacy of trial-based cognitive therapy for obsessive-compulsive disorder: preliminary findings","volume":"45","author":"Rodrigues","year":"2023","journal-title":"Trends Psychiatry Psychother."},{"key":"ref115","doi-asserted-by":"publisher","first-page":"63","DOI":"10.36131\/cnfioritieditore2023060104","article-title":"Treating guilt-inducing self-talk in OCD with dramatized Socratic dialogue: a step by step intervention","volume":"21","author":"Saliani","year":"2024","journal-title":"Clin. Neuropsychiatry"},{"key":"ref116","volume-title":"Experimental and quasi-experimental designs for generalized causal inference","author":"Shadish","year":"2002"},{"key":"ref117","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1037\/ccp0000166","article-title":"Emotion-focused therapy for social anxiety disorder: results from a multiple-baseline study","volume":"85","author":"Shahar","year":"2017","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref118","doi-asserted-by":"publisher","first-page":"496","DOI":"10.1002\/cpp.762","article-title":"A pilot investigation of emotion-focused two-chair dialogue intervention for self-criticism","volume":"19","author":"Shahar","year":"2012","journal-title":"Clin. Psychol. Psychother."},{"key":"ref119","doi-asserted-by":"publisher","first-page":"327","DOI":"10.1080\/14779757.2024.2361438","article-title":"Experiences of the change process during emotion-focused group therapy","volume":"23","author":"Sharbanee","year":"2024","journal-title":"Pers.-Cent. Exp. Psychother."},{"key":"ref120","volume-title":"Validation of a measure of session outcome in the resolution of unfinished business","author":"Singh","year":"1994"},{"key":"ref121","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1080\/21501378.2024.2382702","article-title":"A systematic review of emotion focused group therapy using quality indicators","volume":"16","author":"Song","year":"2024","journal-title":"Counsel. Outcome Res. Eval."},{"key":"ref122","first-page":"2342","article-title":"The differential effects of the empty chair dialogue and cognitive restructuring on the resolution of lingering angry feelings","volume":"56","author":"Souliere","year":"1995","journal-title":"Dissert. Abstr. Int. Sect. B Sci. Eng."},{"key":"ref123","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1016\/j.jcbs.2023.06.005","article-title":"An online contextual schema therapy workshop for social anxiety symptoms \u2013 a randomized controlled trial","volume":"29","author":"Stefan","year":"2023","journal-title":"J. Context. Behav. Sci."},{"key":"ref124","doi-asserted-by":"publisher","first-page":"281","DOI":"10.1037\/pst0000116","article-title":"Attachment-based family therapy and individual emotion-focused therapy for unresolved anger: qualitative analysis of treatment outcomes and change processes","volume":"54","author":"Steinmann","year":"2017","journal-title":"Psychotherapy"},{"key":"ref125","doi-asserted-by":"publisher","first-page":"l4898","DOI":"10.1136\/bmj.l4898","article-title":"RoB 2: a revised tool for assessing risk of bias in randomised trials","volume":"366","author":"Sterne","year":"2019","journal-title":"BMJ"},{"key":"ref126","volume-title":"Embracing our selves: the voice dialogue manual. Novato, CA","author":"Stone","year":"1989"},{"key":"ref127","doi-asserted-by":"publisher","first-page":"100539","DOI":"10.1016\/j.invent.2022.100539","article-title":"Internet-delivered cognitive therapy for social anxiety disorder in Hong Kong: a randomized controlled trial","volume":"28","author":"Thew","year":"2022","journal-title":"Internet Interv."},{"key":"ref128","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/14779757.2019.1618370","article-title":"Overcoming shame and aloneness: emotion-focused group therapy for self-criticism","volume":"19","author":"Thompson","year":"2019","journal-title":"Person-Cent. Exp. Psychother."},{"key":"ref129","first-page":"239","article-title":"Resolving partnership ambivalence: a randomized controlled trial of very brief cognitive and experiential interventions with follow-up","volume-title":"Can. J. Couns. Psychother","author":"Trachsel","year":"2012"},{"key":"ref130","doi-asserted-by":"publisher","first-page":"362","DOI":"10.1080\/14779757.2024.2360602","article-title":"Use of emotion-focused therapy in the treatment of a case of anorexia nervosa","volume":"23","author":"Tschan","year":"2024","journal-title":"Person-Cent. Exp. Psychother."},{"key":"ref131","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1037\/pst0000158","article-title":"Therapist interventions and emotional processing in attachment-based family therapy for unresolved anger","volume":"55","author":"Tsvieli","year":"2018","journal-title":"Psychotherapy"},{"key":"ref132","doi-asserted-by":"publisher","first-page":"167","DOI":"10.1023\/A:1022802006630","article-title":"Experiential family therapy: an innovative approach to the resolution of family conflict in genetic counseling","volume":"7","author":"Tuttle","year":"1998","journal-title":"J. Genet. Couns."},{"key":"ref133","volume-title":"Gestalt therapy\u2019s topdog-underdog dialogues as a treatment for depression (dissertation). The University of Southern Mississippi; Hattiesburg, MS, USA.","author":"Tyson","year":"1981"},{"key":"ref134","doi-asserted-by":"publisher","first-page":"101678","DOI":"10.1016\/j.jbtep.2021.101678","article-title":"Addressing the punitive parent mode in schema therapy for borderline personality disorder: short-term effects of the empty chair technique as compared to cognitive challenging","volume":"73","author":"van Maarschalkerweerd","year":"2021","journal-title":"J. Behav. Ther. Exp. Psychiatry"},{"key":"ref135","doi-asserted-by":"publisher","first-page":"744","DOI":"10.1002\/jclp.23618","article-title":"The use of homework in emotion-focused therapy for depression","volume":"80","author":"Warwar","year":"2024","journal-title":"J. Clin. Psychol."},{"key":"ref136","doi-asserted-by":"publisher","first-page":"773","DOI":"10.1037\/0022-006X.71.4.773","article-title":"Comparing the effectiveness of process-experiential with cognitive-behavioral psychotherapy in the treatment of depression","volume":"71","author":"Watson","year":"2003","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref137","doi-asserted-by":"crossref","DOI":"10.1037\/0000018-000","volume-title":"Emotion-focused therapy for generalized anxiety","author":"Watson","year":"2017"},{"key":"ref138","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1002\/cpp.392","article-title":"Emotional processes in psychotherapy: evidence across therapeutic modalities","volume":"11","author":"Whelton","year":"2004","journal-title":"Clin. Psychol. Psychother."},{"key":"ref139","doi-asserted-by":"publisher","first-page":"149","DOI":"10.3747\/pdi.2014.00054","article-title":"Peritoneal dialysis-associated peritonitis: unfinished business","volume":"34","author":"Wilkie","year":"2014","journal-title":"Perit. Dial. Int."},{"key":"ref140","volume-title":"Schema therapy: a practitioner's guide","author":"Young","year":"2003"},{"key":"ref141","volume-title":"The role of empathy, relational reframes, and empty chair tasks in resolving attachment related anger (dissertation). Ben-Gurion University of the Negev; Beersheba, Israel","author":"Zichor","year":"2010"},{"key":"ref142","doi-asserted-by":"publisher","first-page":"329","DOI":"10.1177\/19485506231165585","article-title":"A systematic study of ambivalence and well-being in romantic relationships","volume":"15","author":"Zoppolat","year":"2024","journal-title":"Soc. Psychol. Personal. 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