Dynamic factors in patient assessment and prediction of change in short-term dynamic psychotherapy.

Alpher, Victor S.; Henry, William P.; Strupp, Hans H.

doi:10.1037/0033-3204.27.3.350

Cited by 21 publications

(19 citation statements)

References 29 publications

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“…The current study suggests that careful assessment of patients, including the use of projective techniques, provides meaningful data that can inform treatment planning and process, a finding consistent with previous studies that focused on projective measures, including measures of object relations (Alpher, Henry, & Strupp, 1990;Piper et al, 1991). It is worth noting that careful selection of object relations measures as suggested by others (Huprich & Greenberg, 2003;Stricker & Gooen Piels, 2004) will allow identification of specific components of the therapy process, including alliance that might be affected.…”

Section: Discussionsupporting

confidence: 70%

Object representation quality, therapeutic alliance, and psychotherapy process

Sanders

Hilsenroth

Fowler³

2014

Bulletin of the Menninger Clinic

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This is the first study to demonstrate the existence of a relationship between patient pretreatment object relations functioning as measured by the Mutuality of Autonomy (MOA) Scale and patient-rated therapeutic alliance. Specifically, MOA scores were related to a patient-rated alliance Bond score (lower, more adaptive object-relations representations were associated with a stronger alliance). In addition, higher MOA scores indicating more malevolent object relations were related to a greater use of psychodynamic techniques. Specific psychodynamic techniques focused on the patient's relationships with the therapist as well as cyclical patterns in actions, feelings, and experiences. Implications for clinical practice and future research are discussed.

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Section: Discussionsupporting

confidence: 70%

Object representation quality, therapeutic alliance, and psychotherapy process

Sanders

Hilsenroth

Fowler³

2014

Bulletin of the Menninger Clinic

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“…Using a variety of non-Rorschach assessment methods, many studies show that interpersonal variables and defenses are related to important psychotherapy process and outcome variables (e.g., Filak, Abeles, & Norquist, 1986;Ogrodniczuk, Piper, Joyce, & McCallum, 2001;Paivio & Bahr, 1998;Perry, 2001). Regarding the Rorschach in particular, various types of Rorschach interpersonal scores are related to treatment variables such as treatment outcome (e.g., Alpher, Henry, & Strupp, 1990;Blatt & Ford, 1994), therapist-client agreement on treatment goals (Bihlar & Carlsson, 2000, 2001, and dropout (Hilsenroth, Handler, Toman, & Padawer, 1995).…”

Section: Discussionmentioning

confidence: 97%

Correspondence Among Observer Ratings of Rorschach, Big Five Model, and DSM-IV Personality Disorder Constructs

Mihura¹,

Meyer²,

Bel-Bahar³

et al. 2003

Journal of Personality Assessment

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Observer ratings were collected using instruments designed to measure the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994) personality disorders (Personality Diagnostic Questionnaire-4+ [PDQ-4+]; Hyler, 1994), the Big Five model (B5M; Goldberg's [1999] International Personality Item Pool), and Rorschach-derived constructs. For the latter, we revised the Rorschach Rating Scale (Meyer, Bates, & Gacono, 1999) to lower its reading level and renamed it the Rorschach Construct Scale (RCS) to emphasize its reliance on rated constructs. The RCS consists of 6 factors. Joint factor analysis of RCS, PDQ-4+, and B5M items also resulted in 6 factors: Self-Centeredly Exploitative, Poor Ego Resiliency, Extraversion, Task Conscientiousness, Openness to Ideas, and Emotional and Expressive Constriction. The first 2 factors received high loadings from RCS, PDQ-4+, and B5M variables. The sixth factor received high loadings from just RCS variables.

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“…SASB has shown promise in the analysis of family processes (e.g., Benjamin, Foster, Giat-Roberto, & Estroff, 1986;Humphrey & Benjamin, 1986). It has been shown to be sensitive to changes in perceptions of self and relationships with others in psychotherapy (Alpher, Henry, & Strupp, 1990;Henry, Schacht, & Strupp, 1986Quintana & Meara, 1990;Talley, Strupp, & Morey, 1990). Its utility has been demonstrated in several studies of psychopathology (Alpher, I992a, 1992b;Alpher & France, 1993;Benjamin, 1993;Benjamin & Wonderlich, 1994;Humphrey, Apple, & Kirschenbaum, 1986;Wonderlich & Swift, 1990).…”

Section: The Interpersonal Approachmentioning

confidence: 94%

Structural Analysis of Social Behavior and Perceptions of Caregiving

Alpher

1995

The Journal of Psychology

Self Cite

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The stress and burden of caregiving have been well established as correlates of changes in the relationship with a person needing care, but there has been less research on the association of caregiving with psychosocial variables, especially relationship patterns. In this article, these issues were addressed using Structural Analysis of Social Behavior (SASB; Benjamin, 1974, 1984, 1993), a self-report measure of perceptions of interpersonal relationships and self-concept, and the Symptom Check List-90--Revised (SCL-90-R; Derogatis, 1983), a self-report measure of distress and symptoms. SASB variables measuring attachment, interdependence, and interpersonal/intrapsychic conflict successfully differentiated community-active caregivers from noncaregivers. SASB measures provided substantially greater discrimination and classification accuracy than SCL-90-R variables.

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Dynamic factors in patient assessment and prediction of change in short-term dynamic psychotherapy.

Cited by 21 publications

References 29 publications

Object representation quality, therapeutic alliance, and psychotherapy process

Object representation quality, therapeutic alliance, and psychotherapy process

Correspondence Among Observer Ratings of Rorschach, Big Five Model, and DSM-IV Personality Disorder Constructs

Structural Analysis of Social Behavior and Perceptions of Caregiving

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