Alliance and technique in psychodynamic psychotherapy: what therapists should do to strengthen the alliance

Détails

ID Serval
serval:BIB_746B4C0E3899
Type
Actes de conférence (partie): contribution originale à la littérature scientifique, publiée à l'occasion de conférences scientifiques, dans un ouvrage de compte-rendu (proceedings), ou dans l'édition spéciale d'un journal reconnu (conference proceedings).
Sous-type
Poster: résume de manière illustrée et sur une page unique les résultats d'un projet de recherche. Les résumés de poster doivent être entrés sous "Abstract" et non "Poster".
Collection
Publications
Titre
Alliance and technique in psychodynamic psychotherapy: what therapists should do to strengthen the alliance
Titre de la conférence
14th AEP Congress, Association of European Psychiatrists
Auteur(s)
de Roten Y., Michel L., Despland J.N., Beretta V., Kramer U.
Adresse
Nice, France, March 4-8, 2006
ISBN
0924-9338
Statut éditorial
Publié
Date de publication
2006
Peer-reviewed
Oui
Volume
21
Série
European Psychiatry
Pages
S235-S236
Langue
anglais
Résumé
Aim: Research showed that alliance is the best predictor of outcome in
psychotherapy. In psychodynamic psychotherapy, therapist's
interventions do not initially aim at addressing the alliance. Instead, we
found in a previous study that high early alliance was related to
therapist's interventions that (1) are adjusted to the patient's dynamic
characteristics, and (2) adequately address these characteristics when
problematic. This study aims at exploring the link between therapist
interventions and patient defenses during the mid-phase of the therapy,
which is more related to rupture-repair sequences.
Method: The sample included 50 students with adjustment
disorder (AD) during short term dynamic psychotherapy. Patient and
therapist filled in the Helping Alliance questionnaire after each
session. Rupture and repair pattern was defined as a session with an
alliance at least 1.5 S.D. lower than the mean alliance, followed by a
session with a raising of the alliance of more than 1 S.D. Adjustment
was measured using the Psychodynamic Intervention Rating Scale and
the Defense Mechanism Rating Scales.
Results: The pilot study on 15 cases showed a curvilinear relation
between adjustment and alliance, ruptures being related to underadjustment
(the therapist is too supportive according to the patient's
defensive functioning) or over-adjustment (the therapist is too
interpretive) (R Sq = .31). Rupture-repair sequences are also
characterized by the specific defenses addressed during these sessions.
Discussion: Alliance is not-or not only-a common factor in
psychotherapy but also a very specific one, emerging from the
adequate use of psychodynamic interventions according to the context.
Création de la notice
21/04/2008 16:43
Dernière modification de la notice
20/08/2019 15:32
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