How Does Addressing Patient's Defenses Help to Repair Alliance Ruptures in Psychodynamic Psychotherapy?: An Exploratory Study.
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Version: Final published version
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UNIL restricted access
State: Public
Version: Final published version
License: Not specified
Serval ID
serval:BIB_C50545E9C70A
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
How Does Addressing Patient's Defenses Help to Repair Alliance Ruptures in Psychodynamic Psychotherapy?: An Exploratory Study.
Journal
Journal of Nervous and Mental Disease
ISSN
1539-736X (Electronic)
ISSN-L
0022-3018
Publication state
Published
Issued date
2014
Peer-reviewed
Oui
Volume
202
Number
5
Pages
419-424
Language
english
Notes
Publication types: Journal ArticlePublication Status: ppublish
Abstract
Interpreting or addressing defenses is an important aspect of psychoanalytic technique. Previous research has shown that therapist addressing defenses (TADs) can produce a positive effect on alliance. The potential value of TADs during the process of alliance rupture and resolution has not yet been documented. We selected patients (n = 17) undertaking a short-term dynamic psychotherapy in which the therapeutic alliance, measured with the Helping Alliance Questionnaire and monitored after each session, showed a pattern of rupture and resolution. Two control sessions (5 and 15) were also selected. Presence of TADs was examined in each therapist interpretation. Compared with control sessions, rupture sessions were characterized by fewer TADs and especially fewer TADs addressing specifically intermediate-essentially neurotic-defenses. Resolution sessions were characterized by more TADs addressing specifically intermediate defenses. This confirms the link between therapist technique and alliance process in psychodynamic psychotherapy.
Pubmed
Web of science
Create date
01/05/2014 15:53
Last modification date
03/10/2020 5:21