The process of assimilative psychodynamic integration.

Stricker, George

doi:10.1037/a0032719

Cited by 5 publications

(11 citation statements)

References 19 publications

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“…This range of interventions is also consistent with a study that demonstrated therapists' use of these interventions with patients from an overlapping sample with a pattern of maladaptive defensive functioning (Siefert, Hilsenroth, Weinberger, Blagys, & Ackerman, 2006). In light of the findings regarding difficulties establishing a bond with these patients, it seems fitting to focus on patterns in relationships in general with a special attention to the relationship with the therapist (for verbatim clinical examples see: Carsky, 2013;Diener & Pierson, 2013;Lingiardi, 2013;Slavin-Mulford, 2013;Stricker, 2013).…”

Section: Discussionsupporting

confidence: 69%

“…Lower levels of trust in the therapeutic relationship reported by patients in our sample, along with elevated levels of pathology in their object representations, suggest that patients' struggle with trust poses a challenge to successful treatment that should be addressed by therapists. Addressing this component of the relationship as therapists did in our sample creates a potential for a corrective emotional experience that can be generalized to other relationships (for verbatim clinical examples see : Carsky, 2013;Diener & Pierson, 2013;Lingiardi, 2013;Slavin-Mulford, 2013;Stricker, 2013). Pesale and Hilsenroth (2009), again using an overlapping sample with the current data, found that greater use of psychodynamic exploratory techniques allows patients to experience their sessions with greater depth, as valuable and meaningful.…”

Section: Discussionmentioning

confidence: 82%

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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: 69%

Section: Discussionmentioning

confidence: 82%

Object representation quality, therapeutic alliance, and psychotherapy process

Sanders

Hilsenroth

Fowler³

2014

Bulletin of the Menninger Clinic

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“…Owen's intentionality model represents a movement toward the skillful integration of seemingly opposing schools of thought. Stricker (2013) describes the successful integration of cognitive and psychodynamic perspectives in a four-part model consisting of an exploration of the multiple selves, therapeutic rupture and repair, corrective emotional experience, and utilization of homework. Incidentally, Stricker (2006) had previously discussed the utility of homework (typically associated with cognitive and CBT treatments) in psychodynamic psychotherapy.…”

Section: Discussionmentioning

confidence: 99%

“…Incidentally, Stricker (2006) had previously discussed the utility of homework (typically associated with cognitive and CBT treatments) in psychodynamic psychotherapy. In this model, which Stricker (2013) elucidates in a case he presents, there is technical integration in terms of clinical intervention, whereas the overall organizing theoretical perspective is psychodynamic. Stricker (2013) emphasizes the role of the therapeutic relationship as a predictor of treatment outcome, using it to ground his integration.…”

Section: Discussionmentioning

confidence: 99%

Psychological flexibility, attachment style, and personality organization: Correlations between constructs of differing approaches.

Salande

Hawkins²

2017

Journal of Psychotherapy Integration

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Psychological flexibility is a theoretical construct associated with acceptance and commitment therapy, a "third wave" cognitive-behavioral therapy treatment focusing on mindfulness and acceptance of aversive internal events. Psychological flexibility has been thoroughly investigated in clinical and nonclinical populations. However, very little research has been done pertaining to the possible relationships between psychological flexibility and attachment style. Similarly, there is no research investigating the potential link between psychological flexibility and constructs associated with a psychodynamic formulation of personality organization, particularly identity integration and defensive operations. We hypothesized that psychological flexibility would be negatively correlated with attachment anxiety and attachment avoidance, as well as being negatively correlated with primitive defenses and identity diffusion. Our hypotheses were largely confirmed, with several significant correlations found. Psychological flexibility was negatively correlated with attachment anxiety, as well as being negatively correlated with primitive defenses and identity diffusion. We discuss these findings in terms of clinical practice and directions for future research.

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“…We may then discuss in a subsequent session what kind of thoughts they had while relaxing or what barriers there were to their using the tape. In an example of what Stricker and Gold () call assimilative psychodynamic integration, Stricker () asked a patient to do homework different from what a cognitive behavior therapist might assign, namely, to write a poem about her therapeutic experience, which he then worked with much as he would with a dream. Likewise, Castonguay and colleagues (Castonguay, Newman, Borkovec, Grosse Holtforth, & Maramba, ) have described a cognitive‐behavioral assimilative integration, which includes aspects of other therapies such as facilitating emotional deepening from process–experiential therapy.…”

Section: My Move From Pure Psychoanalytic Psychotherapy To Assimilatimentioning

confidence: 99%

How I Have Changed Over Time as a Psychotherapist

Messer

2015

J Clin Psychol

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Reflecting on my career as a psychotherapist has led me to consider 3 major areas that have affected the way I practice, namely, assimilative integration, the visions of reality, and brief psychodynamic therapy. Although starting out as a traditional psychoanalytic therapist, I became more integrative as I was exposed to other approaches and to patients with a variety of needs. As a result I developed a mode of integration, which I call assimilative. After applying the literary genres of tragedy, comedy, romance, and irony to psychoanalytic, behavioral, and humanistic psychotherapies, I found that they also could be used to describe any patient's multiple facets and psychological challenges. I demonstrate here how such visions helped in the treatment of a case of bipolar disorder. Upon recognizing the need for briefer forms of treatment, I developed an interest in conducting, conceptualizing, and researching brief psychodynamic therapy. I conclude the article by answering questions posed by the editors regarding how I have changed over time in conducting psychotherapy.

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The process of assimilative psychodynamic integration.

Cited by 5 publications

References 19 publications

Object representation quality, therapeutic alliance, and psychotherapy process

Object representation quality, therapeutic alliance, and psychotherapy process

Psychological flexibility, attachment style, and personality organization: Correlations between constructs of differing approaches.

How I Have Changed Over Time as a Psychotherapist

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