Developing an Instrument for Characterizing Psychotherapy Techniques in Studies of the Psychotherapy of Borderline Patients

Koenigsberg, Harold W.; Kernberg, Otto F.; Rockland, Lawrence H.; Carr, Arthur C.; Kernberg, Paulina F.

doi:10.1007/978-3-642-74265-1_10

Cited by 39 publications

(63 citation statements)

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“…The effectiveness of intervention for this subgroup was therefore determined by how well approaches addressed key features contributing to suicidal behaviour [ 27 ], or decision making changes occurring as men approached more acute stages of suicidality [ 16 , 28 ]. Effective intervention strategies unsurprisingly often overlapped with evidence-based treatment guidelines relevant to psychological disorders identified by participants as contributing to suicidal behaviours (e.g., mood, anger, stress, or personality problems) [ 29 , 30 , 31 ].…”

Section: Discussionmentioning

confidence: 99%

What Interrupts Suicide Attempts in Men: A Qualitative Study

et al. 2015

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Despite higher rates of suicide in men, there is a dearth of research examining the perspectives and experiences of males at risk of suicide, particularly in terms of understanding how interventions can be tailored to men’s specific needs. The current study aimed to examine factors assisting, complicating or inhibiting interventions for men at risk, as well as outlining the roles of family, friends and others in male suicide prevention. Thirty-five male suicide survivors completed one-to-one interviews, and forty-seven family and friends of male suicide survivors participated in eight focus groups. Thematic analysis revealed five major themes: (1) development of suicidal behaviours tends to follow a common path associated with specific types of risk factors (disrupted mood, unhelpful stoic beliefs and values, avoidant coping strategies, stressors), (2) men at risk of suicide tend to systematically misinterpret changes in their behaviour and thinking, (3) understanding mood and behavioural changes in men enables identification of opportunities to interrupt suicide progression, (4) distraction, provision of practical and emotional supports, along with professional intervention may effectively interrupt acute risk of harm, and (5) suicidal ideation may be reduced through provision of practical help to manage crises, and helping men to focus on obligations and their role within families. Findings suggest that interventions for men at risk of suicidal behaviours need to be tailored to specific risk indicators, developmental factors, care needs and individuals’ preferences. To our knowledge this is the first qualitative study to explore the experiences of both suicidal men and their family/friends after a suicide attempt, with the view to improve understanding of the processes which are effective in interrupting suicide and better inform interventions for men at risk.

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Section: Discussionmentioning

confidence: 99%

What Interrupts Suicide Attempts in Men: A Qualitative Study

et al. 2015

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“…In addition to the PQS, there are several other instruments that have been applied to recorded analyses, such as Luborsky's Core Con ictual Relationship Theme (CCRT) (Luborsky and Crits-Christoph, 1990); the Psychodynamic Intervention Rating Scale (PIRS) developed by Cooper and Bond (1998), which has been used to assess relationships between process and outcome in brief therapies (Milbrath et al, 1999); the Vanderbilt Psychotherapy Process Scales (VPPS) (Suh et al, 1986) and the Therapist Verbal Intervention Inventory (TVII) (Koenigsberg et al,1988(Koenigsberg et al, , 1993. Bucci (1997) applied her linguistic measure of Computerized Referential Activity, and the linguistic measures for Emotion, Tone and Abstract Expression developed by Mergenthaler to the recorded case of Mrs C, as an illustration of a model of psychoanalytic process which she calls the referential cycle.…”

Section: Previous Empirical Studiesmentioning

confidence: 99%

What happens in a psychoanalysis? A view through the lens of the analytic process scales (APS)

Waldron¹,

Scharf²,

Hurst³

et al. 2004

Int J Psychoanal

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A group of experienced analysts has developed scales and a coding manual illustrated with clinical examples to evaluate recorded analyses and psychodynamic therapies. The analytic process scales (APS) assesses three dimensions: (1) the contribution of the analyst: helping to develop a relationship in which the analyst can provide clarification and interpretation of transference and resistance; (2) the contribution of the patient: the communication of experience and the expression of feeling in ways which provide information about needs, wishes and conflicts, accompanied by self-reflection; and (3) interactional characteristics of the emerging relationship, explored by studying sessions divided into psychoanalytically coherent segments. A preliminary study of nine sessions has established that the variables assessed by the APS can be rated reliably. Study of the analysts' contributions illuminated their varied and complex structure. Important differences emerged among the three patient-analyst pairs studied, and changes in scores over time tracked developments in the analytic work which would imply different treatment outcomes. The APS appears to be a reliable tool facilitating the systematic study of psychoanalyses.

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“…In addition to clinical experience and theory, we drew upon previous psychoanalytic and psychotherapy research to formulate variables for the Analytic Process Scales. These include the Psychodynamic Intervention Rating Scale, or PIRS (Cooper and Bond, unpublished;Milbrath et al 1999); the Vanderbilt Psychotherapy Process Scales, or VPPS (O'Malley, Suh, and Strupp 1983); the Therapist Verbal Intervention Inventory, or TVII (Koenigsberg et al 1988;Koenigsberg et al 1993), and the Psychotherapy Process Q-Set (Jones and Windholz 1990). We were also influenced as time went on by our exposure to the Adult Attachment Interview (AAI) and the conceptualizations of the linguist Grice (1975), as cited by Main (1996)-particularly the four characteristics of coherent and collaborative discourse in persons manifesting secure attachment.…”

Section: Development Of the Analytic Process Scales (Aps)mentioning

confidence: 99%

Saying the Right Thing at the Right Time: a View through the Lens of the Analytic Process Scales (Aps)

Waldron¹,

Scharf²,

Crouse³

et al. 2004

The Psychoanalytic Quarterly

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Skillful psychoanalytic technique presumably involves knowing what to say, and when and how to say it. Does skillful technique have a positive impact upon the patient? The study described in this article relied on ratings by experienced psychoanalysts using the Analytic Process Scales (APS), a research instrument for assessing recorded psychoanalyses, in order to examine analytic interventions and patient productivity (greater understanding, affective engagement in the analytic process, and so on). In three analytic cases, the authors found significant correlations between core analytic activities (e.g., interpretation of defenses, transference, and conflicts) and patient productivity immediately following the intervention, but only if it had been skillfully carried out. Findings were independently replicated by psychology interns.

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Developing an Instrument for Characterizing Psychotherapy Techniques in Studies of the Psychotherapy of Borderline Patients

Cited by 39 publications

References 0 publications

What Interrupts Suicide Attempts in Men: A Qualitative Study

What Interrupts Suicide Attempts in Men: A Qualitative Study

What happens in a psychoanalysis? A view through the lens of the analytic process scales (APS)

Saying the Right Thing at the Right Time: a View through the Lens of the Analytic Process Scales (Aps)

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