A process study of long-term treatment: comparing a successful and a less successful outcome.
This study examined therapist technique and patient change in emotional experiencing and defense mechanisms in the successful and unsuccessful long-term psychoanalytic treatments of two male patients. Two consecutive sessions every 6 months were analyzed for each patient. Therapist interventions, pa...
| Published in: | Psychoanalytic Psychotherapy Vol. 32; no. 4; pp. 368 - 385 |
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| Main Authors: | , , , , |
| Format: | Article |
| Published: |
Taylor & Francis Ltd
Dec2018
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=135120377&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 135120377 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 02668734 GX8 jtl: Psychoanalytic Psychotherapy issn: 02668734 maglogo: N pubinfo: dt: Dec2018 vid: 32 iid: 4 pid: 377 pub: Taylor & Francis Ltd artinfo: ui: 135120377 10.1080/02668734.2018.1558414 ppf: 368 ppct: 17 formats: tig: atl: A process study of long-term treatment: comparing a successful and a less successful outcome. aug: au: Drapeau, M. Stelmaszczyk, K. Baucom, D. Henry, M. Hébert, C. affil: Department of Educational & Counselling Psychology, McGill University, Montreal, Canada Department of Psychiatry, McGill University, Montreal, Canada Department of Psychology, University of North Carolina, Chapel Hill, NC, USA Department of Oncology, McGill University, Montreal, Canada su: Defense mechanisms (Psychology) Emotions Psychoanalysis Patient participation Client relations Patients' attitudes Statistical correlation Treatment effectiveness sug: subj: Defense mechanisms (Psychology) Emotions Psychoanalysis Patient participation Client relations Patients' attitudes Statistical correlation Treatment effectiveness keyword: defense mechanisms experiencing scale psychoanalysis psychodynamic therapist technique defense mechanisms experiencing scale psychoanalysis psychodynamic therapist technique ab: This study examined therapist technique and patient change in emotional experiencing and defense mechanisms in the successful and unsuccessful long-term psychoanalytic treatments of two male patients. Two consecutive sessions every 6 months were analyzed for each patient. Therapist interventions, patient defense mechanisms, and patient emotional experiencing were assessed using the Psychodynamic Intervention Rating Scale, Defense Mechanism Rating Scale and the Experiencing Scale, respectively. Between and within-session analyses were conducted to determine the impact of the patient's defensive functioning and experiencing on therapist interventions, and the effect of therapist interventions on those same two patient variables. Pearson's Coefficient was utilized for between-session analysis; within-session analysis tracking moment-to-moment changes in patient and therapist functioning was performed using lag sequential analysis. Across therapy, therapist use of Interpretive Interventions was associated with increased emotional engagement and decreased defense maturity; the use of Supportive Interventions had the opposite effect. Within-session analysis revealed that use of Supportive Interventions when emotional engagement is low, followed by interpretative interventions, occurred in the successful case. Persistent use of Supportive Interventions in the context of low emotional engagement was observed in the unsuccessful case. This study suggests that failure to stimulate emotional engagement through interpretation can negatively affect therapeutic outcome. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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