Abstract
The authors examined the link between interpretive techniques, the therapeutic relationship, and outcome in psychodynamic psychotherapy. Two independent teams of judges each coded one early session from patients diagnosed with avoidant personality disorder. Results revealed (a) an inverse association between concentration of interpretation and favorable patient outcome; (b) that small amounts of disaffiliative patient-therapist transactions before, during, and after interpretations were reliably or meaningfully associated with negative patient change; and (c) concentration of interpretation was positively associated with disaffiliative therapy process before and during interpretation and negatively associated with affiliative patient responses to interpretation. The results suggest that therapists who persisted with interpretations had more hostile interactions with patients and had patients who reacted with less warmth than therapists who used interpretations more judiciously.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 494-511 |
| Number of pages | 18 |
| Journal | Psychotherapy |
| Volume | 42 |
| Issue number | 4 |
| DOIs | |
| State | Published - Dec 1 2005 |
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All Science Journal Classification (ASJC) codes
- Clinical Psychology
- Psychiatry and Mental health
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Therapist interpretation, patient-therapist interpersonal process, and outcome in psychodynamic psychotherapy for avoidant personality disorder. / Schut, Alexander J.; Castonguay, Louis Georges; Flanagan, Kelly M.; Yamasaki, Alissa S.; Barber, Jacques P.; Bedics, Jamie D.; Smith, Tracey L.
In: Psychotherapy, Vol. 42, No. 4, 01.12.2005, p. 494-511.Research output: Contribution to journal › Article
TY - JOUR
T1 - Therapist interpretation, patient-therapist interpersonal process, and outcome in psychodynamic psychotherapy for avoidant personality disorder
AU - Schut, Alexander J.
AU - Castonguay, Louis Georges
AU - Flanagan, Kelly M.
AU - Yamasaki, Alissa S.
AU - Barber, Jacques P.
AU - Bedics, Jamie D.
AU - Smith, Tracey L.
PY - 2005/12/1
Y1 - 2005/12/1
N2 - The authors examined the link between interpretive techniques, the therapeutic relationship, and outcome in psychodynamic psychotherapy. Two independent teams of judges each coded one early session from patients diagnosed with avoidant personality disorder. Results revealed (a) an inverse association between concentration of interpretation and favorable patient outcome; (b) that small amounts of disaffiliative patient-therapist transactions before, during, and after interpretations were reliably or meaningfully associated with negative patient change; and (c) concentration of interpretation was positively associated with disaffiliative therapy process before and during interpretation and negatively associated with affiliative patient responses to interpretation. The results suggest that therapists who persisted with interpretations had more hostile interactions with patients and had patients who reacted with less warmth than therapists who used interpretations more judiciously.
AB - The authors examined the link between interpretive techniques, the therapeutic relationship, and outcome in psychodynamic psychotherapy. Two independent teams of judges each coded one early session from patients diagnosed with avoidant personality disorder. Results revealed (a) an inverse association between concentration of interpretation and favorable patient outcome; (b) that small amounts of disaffiliative patient-therapist transactions before, during, and after interpretations were reliably or meaningfully associated with negative patient change; and (c) concentration of interpretation was positively associated with disaffiliative therapy process before and during interpretation and negatively associated with affiliative patient responses to interpretation. The results suggest that therapists who persisted with interpretations had more hostile interactions with patients and had patients who reacted with less warmth than therapists who used interpretations more judiciously.
UR - http://www.scopus.com/inward/record.url?scp=33745107334&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33745107334&partnerID=8YFLogxK
U2 - 10.1037/0033-3204.42.4.494
DO - 10.1037/0033-3204.42.4.494
M3 - Article
VL - 42
SP - 494
EP - 511
JO - Psychotherapy
JF - Psychotherapy
SN - 0033-3204
IS - 4
ER -