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The Multi-Center Dilemma Project: an investigation on the role of cognitive conflicts in health
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The Multi-Center Dilemma Project is a collaborative research endeavour aimed at determining the role of dilemmas a kind of cognitive conflict, detected by using an adaptation of Kelly"s Repertory Grid Technique in a variety of clinical conditions. Implicative dilemmas appear in one third of the non-clinical group (n = 321) and in about half of the clinical group (n = 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 (n = 13) and a group diagnosed with irritable bowel syndrome (n = 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. Keywords: cognitive conflict, repertory grid technique, personal construct theory, social phobia, irritable bowel syndrome.
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FEIXAS I VIAPLANA, Guillem, SAÚL GUTIÉRREZ, Luis ángel. The Multi-Center Dilemma Project: an investigation on the role of cognitive conflicts in health. _Spanish Journal of Psychology_. 2004. Vol. 7, núm. 1, pàgs. 69-78. [consulta: 23 de gener de 2026]. ISSN: 1138-7416. [Disponible a: https://hdl.handle.net/2445/28062]