Early change in defence mechanisms and coping in short-term dynamic psychotherapy: relations with symptoms and alliance.

Details

Ressource 1Download: 19358147.pdf (363.95 [Ko])
State: Public
Version: Author's accepted manuscript
Serval ID
serval:BIB_745F94129EA7
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Early change in defence mechanisms and coping in short-term dynamic psychotherapy: relations with symptoms and alliance.
Journal
Clinical Psychology & Psychotherapy
Author(s)
Kramer U., De Roten Y., Michel L., Despland J.N.
ISSN
1063-3995
Publication state
Published
Issued date
2009
Peer-reviewed
Oui
Volume
16
Number
5
Pages
408-417
Language
english
Abstract
Several patient-related variables have already been investigated as predictors of change in psychodynamic psychotherapy. Defensive functioning is one of them. However, few studies have investigated adaptational processes, encompassing defence mechanisms and coping, from an integrative or comparative viewpoint. This study includes 32 patients, mainly diagnosed with adjustment disorder and undergoing time-limited psychodynamic psychotherapy lasting up to 40 sessions, and will focus on early change in defence and coping. Observer-rater methodology was applied to the transcripts of two sessions of the first part of the psychotherapeutic process. It is assumed that the contextual-relational variable of therapeutic alliance intervenes as moderator on change in adaptational processes. Results corroborated the hypothesis, but only for coping, whereas for defences, overall functioning remained stable over the first 20 sessions of psychotherapy. These results are discussed within the framework of disentangling processes underlying adaptation, i.e., related to issues on trait and state aspects, as well as the role of the therapeutic alliance.
Pubmed
Web of science
Open Access
Yes
Create date
28/09/2009 16:47
Last modification date
20/08/2019 15:32
Usage data