1. Taking context seriously in psychotherapy research: relating therapist interventions to patient progress in brief psychodynamic therapy
- Author
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Messer, Stanley B., Tishby, Orya, and Spillman, Allison
- Subjects
Psychotherapists -- Practice ,Psychotherapy -- Evaluation ,Patients -- Care and treatment ,Therapist and patient -- Analysis ,Psychology and mental health - Abstract
This study examined the process of brief psychodynamic therapy in a way that preserved the context of the dialogue between therapist and patient, Data were drawn from transcripts of the complete therapies of 2 anxious and depressed women, which lasted 16 to 17 sessions. Patient utterances were rated on a psychodynamically oriented progress-stagnation scale, and all therapist interventions were rated on scales measuring (a) their compatibility with the content of a psychodynamic formulation (Plan) and (b) their quality. Within-session sequential analyses and by session and by phase-of-therapy correlational analyses were performed. Plan compatibility of therapist interventions correlated significantly with patient progress in the early and middle phases, and the quality of therapist interventions correlated significantly with patient progress in the middle phase., Therapist-patient relationship in conducting psychodynamic sessions has been studied. This included quality of interaction which involved behavioral manners, the sequential progress of these brief encounters, the recording into transcripts of these meetings for progresssion reference and the observance of these so-called therapist interventions by third person raters. Results have been studied and noted, especially progress or stagnation of patients.
- Published
- 1992