Patient and therapist introject, interpersonal process, and differential psychotherapy outcome.

Henry, William P.; Schacht, Thomas E.; Strupp, Hans H.

doi:10.1037/0022-006x.58.6.768

Cited by 318 publications

(357 citation statements)

References 23 publications

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“…We were especially interested, from a theoretical standpoint, in the possible role of therapists' intrapsychic structure. Prior research has shown that therapists with certain self-hostile introjects engage in greater frequencies of countertherapeutic interpersonal process, such as complex communication (Henry, Schacht, & Strupp, 1990). In our earlier article (Henry, Strupp, Butler, Schacht, & Binder, 1993), we reported a significant increase in complex communications at the group level after training.…”

Section: Tural Analysis Of Social Behavior (Sasb) and The Vanderbilt mentioning

confidence: 79%

Effects of training in time-limited dynamic psychotherapy: Changes in therapist behavior.

Henry¹,

Strupp²,

Butler³

et al. 1993

Journal of Consulting and Clinical Psychology

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Sixteen therapists were enrolled in a year-long manualized training program as part of the Vanderbilt II study of time-limited dynamic psychotherapy (TLDP). The training program successfully changed therapists' interventions in line with prescriptions of the TLDP manual, but some unanticipated changes ran counter to the intent of the training, including increased negative interpersonal transactions as indicated by process measures such as the Structural Analysis of Social Behavior (SASB). We examined therapist variables, patient variables, and training variables that appeared to mediate therapist responses to the training program. Results indicate that patient difficulty may mediate certain aspects of therapists' responses to training. Therapists with self-reported hostile and controlling introjects showed the greatest technical adherence, which was intriguing because prior research has linked hostile therapist introject to greater frequency of countertherapeutic interpersonal process. Of special interest were differences in effects of training associated with individual training faculty. This finding, if generalizable, has important implications for manualized therapy research, especially multisite trials.The 5-year Vanderbilt II project examined the effects of 1 year's training in a manualized form of dynamic psychotherapy (time-limited dynamic psychotherapy [TLDP]; Strupp & Binder, 1984) on 16 experienced therapists across 80 cases. Because of the increasing use and acceptance of treatment manuals in psychotherapy research, a primary aim of the study was to explore the process of manualized training itself. A number of therapist behaviors in different domains were measured preand posttraining, with therapists serving as their own controls. Thus, the design focused on the effects of training in a single treatment manual rather than comparing the differential outcome efficacy of several competing protocol therapies.Analyses of therapist changes at the group level revealed both intended and unintended results (Henry, Strupp, Butler, Schacht, & Binder, 1993). The training program successfully changed therapists' technical interventions in line with prescriptions in the TLDP manual. Therapists showed significant increases in interventions, such as focusing the therapeutic process on in-session transactions and the articulation of cyclical maladaptive interpersonal patterns (CMPs). However, other changes were unexpected and ran counter to the intent of the training. These included an increase in negative interpersonal transactions as reflected by such process measures as the Struc-

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Section: Tural Analysis Of Social Behavior (Sasb) and The Vanderbilt mentioning

confidence: 79%

Effects of training in time-limited dynamic psychotherapy: Changes in therapist behavior.

Henry¹,

Strupp²,

Butler³

et al. 1993

Journal of Consulting and Clinical Psychology

Self Cite

328

305

View full text Add to dashboard Cite

show abstract

“…Patients and therapists were asked how they treat themselves at their best or worst in various interpersonal interactions; the answers provide measures of affiliative and autonomous introject styles (Pincus, Newes, Dickinson, & Ruiz, 1998). In this study, we used only ratings of "yourself at your worst", which is consistent with previous research (Henry, Schacht, & Strupp, 1990). The RSQ consists of 32 items that assess adult attachment styles, and include secure, preoccupied, fearful, and dismissing styles.…”

Section: Personality Assessmentmentioning

confidence: 87%

Predictive Validity of Patient and Therapist Attachment and Introject Styles

Bruck

Winston

Aderholt

et al. 2006

APT

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“…Henry, Schacht, and Strupp (1986), for example, used a strategy based on Benjamin's (1974) Structural Analysis of Social Behavior (SASB) to compare 4 therapists, each of whom saw a good outcome and a poor outcome case. The first 15-20 minutes of the third session in each of the eight cases was coded on the SASB because "prior research had indicated that the nature of the working alliance in time-limited therapy is well-established by this time and that this alliance predicts eventual therapeutic outcome" (Henry et al, 1986, p. 28).…”

Section: The Case Comparison Methodsmentioning

confidence: 99%

Extending Systematic Case Study Method: Generating and Testing Hypotheses About Therapeutic Factors Through Comparisons of Successful and Unsuccessful Cases

Iwakabe¹

2011

PCSP

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This commentary focuses on two case comparison studies, one by Burckell and McMain (2011) on Dialectical Behavior Therapy for borderline personality disorder, and one by Watson et al. (2011) and Goldman et al. (2011) on Emotion-Focused Therapy for depression. The associated case comparison method, which evaluates and contrasts one successful case against one unsuccessful case that are both conducted in similar conditions, provides a unique opportunity for deepening our understanding of therapeutic change. Both therapies are integrative approaches that are clinically state-of-the art and empirically supported, and that have been drawing considerable attention from practitioners and researchers. In this commentary, I first discuss the case comparison method by reviewing previous such approaches, I then examine each pair of case studies with a focus on (a) findings on factors influencing success and limited success, and (b) methodological issues associated with the application of this unique method. Finally, I end my commentary with a suggestion for conducting case comparison studies.

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Patient and therapist introject, interpersonal process, and differential psychotherapy outcome.

Cited by 318 publications

References 23 publications

Effects of training in time-limited dynamic psychotherapy: Changes in therapist behavior.

Effects of training in time-limited dynamic psychotherapy: Changes in therapist behavior.

Predictive Validity of Patient and Therapist Attachment and Introject Styles

Extending Systematic Case Study Method: Generating and Testing Hypotheses About Therapeutic Factors Through Comparisons of Successful and Unsuccessful Cases

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