Suitability for psychoanalytic psychotherapy: a review

Valbak, Kristian

doi:10.1046/j.1600-0447.2003.00248.x

Cited by 59 publications

(58 citation statements)

References 59 publications

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“…Most of the detected Test for trend between the Rorschach variables and the continuous IIP index. 3 Patients with diagnoses on Axis II (personality disorder). Test for trend between the Rorschach variables and the continuous QORS index.…”

Section: General Findingsmentioning

confidence: 99%

“…Test for trend between the Rorschach variables and the continuous QORS index. 3 Patients with diagnoses on Axis II (personality disorder). Open Journal of Psychiatry associations between the EII-2 and the other assessment measures were weak to modest, but mostly in the hypothesized direction.…”

Section: General Findingsmentioning

confidence: 99%

“…The assessment of relatively stable personality characteristics such as ego strength and interpersonal functioning with clinical interviews and self-reported questionnaires has been found to be important when evaluating indications and suitability for psychotherapy [1] [2] [3]. The accuracy of the assessment of intrapsychic and interpersonal functioning is suggested to be improved when based on a multimethod assessment approach that incorporates information obtained from both explicit assessment methods, such as clinical interviews and self-report measures, and performance-based methods, such as the Rorschach method [4] [5].…”

Section: Introductionmentioning

confidence: 99%

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Associations between the Rorschach Ego Impairment Index and Measures on Intrapsychic and Interpersonal Functioning

Stenius¹,

Lindfors²,

Antikainen³

et al. 2018

OJPsych

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The Rorschach Ego Impairment Index-2 (EII-2) has shown considerable validity as a measure of personality disturbance. However, few studies have been conducted on the associations between the EII-2 and measures related to ego strength and interpersonal capacities in mood and anxiety disorder patients. This study examined the strength of associations between the EII-2 and its subcomponents with measures of psychological suitability for psychotherapy, personality functioning, and interpersonal problems. A total of 315 outpatients with mood or anxiety disorders were assessed with the Rorschach Comprehensive System (RCS), comprising the EII-2, the Suitability for Psychotherapy Scale (SPS), the Inventory of Interpersonal Problems (IIP-64), and the Quality of Object Relations Scale (QORS), as part of a pre-treatment evaluation. The relatively weak associations found in the study between the EII-2 and the other measures were mostly in the hypothesized direction and often modified by personality pathology. Of the EII-2 subcomponents, the Good Human Representation (GHR) variable was associated with the SPS. The subcomponent Critical Contents were associated with the IIP and the subcomponent WSum6 with the IIP and QORS. Further research is needed to clarify whether the EII-2 has incremental validity in predicting the treatment outcome and alliance in comparison to interview-based and self-report measures.

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Section: General Findingsmentioning

confidence: 99%

Section: General Findingsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Associations between the Rorschach Ego Impairment Index and Measures on Intrapsychic and Interpersonal Functioning

Stenius¹,

Lindfors²,

Antikainen³

et al. 2018

OJPsych

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“…However, as pointed out by Valbak (2003), the variables mostly regarded as central in assessment for dynamic psychotherapy are theoretically grounded and defined in abstract terms. This can be problematic in applied psycho-therapy assessment.…”

Section: Implications For Clinical Psychotherapy Assessmentmentioning

confidence: 99%

Rorschach Comprehensive Variables and Assessment for Psychodynamic Psychotherapy

Nygren¹

2005

PsycEXTRA Dataset

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Rationally selected Comprehensive System (CS; Exner, , 1993Exner, , 2003 Rorschach variables and suitability for psychodynamic psychotherapy were investigated in four studies with different designs. The participants comprised three clinical samples (n = 52, 25, and 69) of patients applying for and/or selected for dynamic psychotherapy. With few exceptions the CS variables were the same in the studies, and in all the studies the Rorschach was independent of clinical ratings/assessments and/or selection of patients for treatment. The first study dealt with the relation between 17 rationally selected CS variables and suitability for psychotherapy as represented by ratings of Dynamic Capacity and Ego Strength and by selection of therapy applicants for psychotherapy. The second and third studies concerned CS score differences between groups of patients differing in suitability for dynamic psychotherapy. In the second study, differences for CS variables were predicted for three groups of dynamic psychotherapy patients with mixed diagnoses. In the third study, CS score differences between two groups, differing in suitability but similar in comprising personality disordered patients, were predicted and tested. In the fourth study, correlations were predicted between 18 pre-therapy CS variables and patient post-therapy satisfaction with therapy and also with therapist post-therapy ratings of their patients' suitability for dynamic therapy.For the four studies taken together, positive results were obtained for EA, FC, the D Score, Blends, Zf, F%, MQo, and AG. The results for m, SumT, WSUM6, X-%, S, and FrrF were negative, whereas the results for YFY, FD, COP, and PER were too weak to permit interpretation.The main limitation of the research in this thesis is the lack of psychometric data concerning the clinical ratings whereas the strength is the ecological validity. The results are positive for some of the CS variables selected, mainly concerning control and cognition but also touching upon emotional integration and interpersonal forcefulness. The usefulness of the CS in psychotherapy assessment may be enhanced if only those CS variables that are found valid for the purpose are used and general personality descriptions are avoided.

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“…Ao longo dos anos, diversos estudos vêm tentando definir os fatores que estariam associados a um melhor desfecho em PSCPA, com o intuito de melhorar a indicação desse tipo de tratamento e aprimorar a técnica [2][3][4][5][6] . Dentre os aspectos que vêm sendo ressaltados como bons indicadores de prognóstico, a aliança terapêutica (AT), primeiramente delineada por Freud 7 em 1912 como transferência positiva, parece ter papel central 2,8 .…”

Section: Introductionunclassified

A relação entre os mecanismos de defesa e a qualidade da aliança terapêutica em psicoterapia de orientação analítica

Gomes

Ceitlin

Hauck³

et al. 2008

Rev. psiquiatr. Rio Gd. Sul

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ResumoIntrodução: O estabelecimento de uma aliança terapêutica de boa qualidade em uma psicoterapia psicanalítica é fundamental para o processo terapêutico. Este estudo avaliou a influência do nível de funcionamento defensivo do paciente na qualidade da aliança terapêutica estabelecida durante a psicoterapia. Método: Para avaliação da qualidade da aliança estabelecida, pacientes em psicoterapia psicanalítica e seus respectivos terapeutas responderam ao Helping Alliance Questionnaire (versão paciente e versão terapeuta, respectivamente). O nível defensivo foi inferido através da Escala de Funcionamento Defensivo proposta no Manual de Diagnóstico e Estatística das Perturbações Mentais, quarta edição, texto revisado. Resultados: Não houve associação entre o estabelecimento de uma aliança terapêutica de boa qualidade e o nível defensivo do paciente. No entanto, houve diferença significativa quando a versão do terapeuta foi comparada com a respondida pelo paciente: os pacientes estabeleceram uma aliança terapêutica de melhor qualidade em relação a seus terapeutas do que o inverso. Conclusão: O fato de a aliança terapêutica de boa qualidade ter se estabelecido independentemente do nível defensivo do paciente sugere que o treinamento e as características pessoais do terapeuta podem levar a uma capacidade de conectar-se com o paciente, apesar do grau de comprometimento do seu funcionamento psíquico. Descritores: Psicoterapia, psicanálise, mecanismos de defesa, aliança terapêutica. AbstractIntroduction: The quality of a therapeutic alliance is essential in psychoanalytic psychotherapy and influences the therapeutic process. This study evaluated the relationship between the level of defense mechanisms and the quality of therapeutic alliance established during psychotherapy. Method: Patients in psychotherapy and their respective therapists completed the Helping Alliance Questionnaire (patient version and therapist version, respectively). The level of defenses was inferred by the Defensive Functioning Scale proposed in the Diagnostic and Statistical Manual of Mental Disorders, fourth edition, text revision. Results: There was no association between the quality of therapeutic alliance and the patient's level of defense mechanisms in this sample. On the other hand, there was a difference when the therapist version was compared to the patient version: patients established a stronger therapeutic alliance in relation to their therapists. Conclusion:The lack of influence of defense level in the quality of therapeutic alliance suggests that the therapist's training and personal characteristics may lead to the ability of connecting with the patient, despite impairment in their psychic functioning.

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Suitability for psychoanalytic psychotherapy: a review

Cited by 59 publications

References 59 publications

Associations between the Rorschach Ego Impairment Index and Measures on Intrapsychic and Interpersonal Functioning

Associations between the Rorschach Ego Impairment Index and Measures on Intrapsychic and Interpersonal Functioning

Rorschach Comprehensive Variables and Assessment for Psychodynamic Psychotherapy

A relação entre os mecanismos de defesa e a qualidade da aliança terapêutica em psicoterapia de orientação analítica

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