Facial Expression and Experience of Emotions in Psychodynamic Interviews with Patients with PTSD in Comparison to Healthy Subjects

Background: The facial affective behavior of traumatized patients and of a healthy control group was compared. Sampling and Methods: Data of 15 videotaped clinical interviews of traumatized inpatients and of 15 healthy women (absence of mental/psychiatric disorder according to ICD-10) were ascertain...

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Veröffentlicht in:Psychopathology 2007-01, Vol.40 (5), p.296-302
Hauptverfasser: Kirsch, Anke, Brunnhuber, Stefan
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Brunnhuber, Stefan
description Background: The facial affective behavior of traumatized patients and of a healthy control group was compared. Sampling and Methods: Data of 15 videotaped clinical interviews of traumatized inpatients and of 15 healthy women (absence of mental/psychiatric disorder according to ICD-10) were ascertained. The affective facial expression of both groups was coded with the Emotional Facial Acting Coding System. Afterwards, the mimic analysis was correlated with gazing behavior and the emotional experience. The patients reported their traumatic experiences and the healthy women their main complaints. Results: The traumatized patients showed neither a reduction of overall facial expressions nor a reduced frequency of facial affects in comparison to the healthy control group. The control group, however, showed significantly more ‘genuine joy’. The traumatized patients showed significantly more anger. Conclusions: The traumatized patients did not show a significant reduction of overall facial expression. A more detailed analysis showed that on the one hand, stabilizing elements of relationships, such as genuine joy, appear significantly less on the face of traumatized patients as compared with the healthy women. On the other hand, the expression of anger was brought into the relationship significantly more often by the traumatized patients during face-to-face interaction (clinical interview). This indicates the importance of distance regulation interaction patterns of traumatized patients.
doi_str_mv 10.1159/000104779
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Sampling and Methods: Data of 15 videotaped clinical interviews of traumatized inpatients and of 15 healthy women (absence of mental/psychiatric disorder according to ICD-10) were ascertained. The affective facial expression of both groups was coded with the Emotional Facial Acting Coding System. Afterwards, the mimic analysis was correlated with gazing behavior and the emotional experience. The patients reported their traumatic experiences and the healthy women their main complaints. Results: The traumatized patients showed neither a reduction of overall facial expressions nor a reduced frequency of facial affects in comparison to the healthy control group. The control group, however, showed significantly more ‘genuine joy’. The traumatized patients showed significantly more anger. Conclusions: The traumatized patients did not show a significant reduction of overall facial expression. A more detailed analysis showed that on the one hand, stabilizing elements of relationships, such as genuine joy, appear significantly less on the face of traumatized patients as compared with the healthy women. On the other hand, the expression of anger was brought into the relationship significantly more often by the traumatized patients during face-to-face interaction (clinical interview). This indicates the importance of distance regulation interaction patterns of traumatized patients.</description><identifier>ISSN: 0254-4962</identifier><identifier>EISSN: 1423-033X</identifier><identifier>DOI: 10.1159/000104779</identifier><identifier>PMID: 17622709</identifier><language>eng</language><publisher>Basel, Switzerland: Karger</publisher><subject>Adult ; Adult and adolescent clinical studies ; Anger ; Anxiety disorders. 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Sampling and Methods: Data of 15 videotaped clinical interviews of traumatized inpatients and of 15 healthy women (absence of mental/psychiatric disorder according to ICD-10) were ascertained. The affective facial expression of both groups was coded with the Emotional Facial Acting Coding System. Afterwards, the mimic analysis was correlated with gazing behavior and the emotional experience. The patients reported their traumatic experiences and the healthy women their main complaints. Results: The traumatized patients showed neither a reduction of overall facial expressions nor a reduced frequency of facial affects in comparison to the healthy control group. The control group, however, showed significantly more ‘genuine joy’. The traumatized patients showed significantly more anger. Conclusions: The traumatized patients did not show a significant reduction of overall facial expression. 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Neuroses</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child Abuse - psychology</topic><topic>Child Abuse, Sexual - psychology</topic><topic>Emotions</topic><topic>Facial Expression</topic><topic>Female</topic><topic>Happiness</topic><topic>Humans</topic><topic>Interview, Psychological</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nonverbal Communication</topic><topic>Original Paper</topic><topic>Physician-Patient Relations</topic><topic>Post-traumatic stress disorder</topic><topic>Psychoanalytic Therapy</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Reference Values</topic><topic>Stress Disorders, Post-Traumatic - diagnosis</topic><topic>Stress Disorders, Post-Traumatic - psychology</topic><topic>Stress Disorders, Post-Traumatic - therapy</topic><topic>Videotape Recording</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kirsch, Anke</creatorcontrib><creatorcontrib>Brunnhuber, Stefan</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Criminal Justice Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Criminology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Criminal Justice Database (ProQuest)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Psychopathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kirsch, Anke</au><au>Brunnhuber, Stefan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Facial Expression and Experience of Emotions in Psychodynamic Interviews with Patients with PTSD in Comparison to Healthy Subjects</atitle><jtitle>Psychopathology</jtitle><addtitle>Psychopathology</addtitle><date>2007-01-01</date><risdate>2007</risdate><volume>40</volume><issue>5</issue><spage>296</spage><epage>302</epage><pages>296-302</pages><issn>0254-4962</issn><eissn>1423-033X</eissn><abstract>Background: The facial affective behavior of traumatized patients and of a healthy control group was compared. Sampling and Methods: Data of 15 videotaped clinical interviews of traumatized inpatients and of 15 healthy women (absence of mental/psychiatric disorder according to ICD-10) were ascertained. The affective facial expression of both groups was coded with the Emotional Facial Acting Coding System. Afterwards, the mimic analysis was correlated with gazing behavior and the emotional experience. The patients reported their traumatic experiences and the healthy women their main complaints. Results: The traumatized patients showed neither a reduction of overall facial expressions nor a reduced frequency of facial affects in comparison to the healthy control group. The control group, however, showed significantly more ‘genuine joy’. The traumatized patients showed significantly more anger. Conclusions: The traumatized patients did not show a significant reduction of overall facial expression. A more detailed analysis showed that on the one hand, stabilizing elements of relationships, such as genuine joy, appear significantly less on the face of traumatized patients as compared with the healthy women. On the other hand, the expression of anger was brought into the relationship significantly more often by the traumatized patients during face-to-face interaction (clinical interview). This indicates the importance of distance regulation interaction patterns of traumatized patients.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>17622709</pmid><doi>10.1159/000104779</doi><tpages>7</tpages></addata></record>
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source MEDLINE; Karger Journals; Alma/SFX Local Collection
subjects Adult
Adult and adolescent clinical studies
Anger
Anxiety disorders. Neuroses
Biological and medical sciences
Child
Child Abuse - psychology
Child Abuse, Sexual - psychology
Emotions
Facial Expression
Female
Happiness
Humans
Interview, Psychological
Male
Medical sciences
Middle Aged
Nonverbal Communication
Original Paper
Physician-Patient Relations
Post-traumatic stress disorder
Psychoanalytic Therapy
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Reference Values
Stress Disorders, Post-Traumatic - diagnosis
Stress Disorders, Post-Traumatic - psychology
Stress Disorders, Post-Traumatic - therapy
Videotape Recording
title Facial Expression and Experience of Emotions in Psychodynamic Interviews with Patients with PTSD in Comparison to Healthy Subjects
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