Uncovering Interaction Structures in a Brief Psychodynamic Psychotherapy

Serralta, Fernanda Barcellos

doi:10.1590/1982-43272664201613

Cited by 4 publications

(14 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The most salient properties in Paula's treatment are indicative of a good quality therapeutic relationship. A similar IS was highlighted in another study, which shows the therapist's empathy and solidarity as factors that minimize resistance in a short-term psychodynamic therapy (Serralta, 2016).…”

Section: Discussionsupporting

confidence: 67%

“…Next, using the PQS scores of each of the 24 sessions, the IS were extracted. For this procedure, a Q-type factor analysis of principal components with Varimax rotation was performed (Serralta, 2016). For this analysis, eight of the 100 items were removed (items 8, 11, 19, 21, 24, 38, 57 and 96), as these varied only in the score's indicative of irrelevant or neutral to process in the forced distribution of the PQS (scores between 4 and 6), therefore not contributing to description.…”

Section: Data Analysis Proceduresmentioning

confidence: 99%

See 1 more Smart Citation

Interaction Structures in the Online Psychodynamic Psychotherapy of a Patient with Anxiety Symptoms

Feijó¹,

Strassburger²,

Barcellos³

et al. 2022

Brit J Psychotherapy

Self Cite

View full text Add to dashboard Cite

Interaction structures (IS) are reciprocal and mutual patterns of interaction between the therapist and patient, sometimes without either being aware of them. IS are mostly unique to each dyad but also can capture patterns that might be due to a particular therapy approach or clinical condition. The identification of IS in online psychodynamic settings can help clarify whether truly dynamic processes occur in virtual therapeutic relationships. The present study aimed to describe the general characteristics of the psychotherapeutic process and to identify the interaction structures in the online psychodynamic psychotherapy with an anxious patient. This was a longitudinal, systematic case study. The 24 online psychodynamic psychotherapy sessions were analysed by independent judges using the Psychotherapy Process Q‐Set. Through the exploratory factor analysis of the main components, four IS were identified: (1) confident patient and encouraging therapist, (2) introspective patient and therapist fostering independence, (3) patient feeling understood and responsive/non‐critical therapist, and (4) conflicted dyad exploring relationships. All patterns of interaction showed clinical validity, and pattern number (2) was positively associated with the treatment time. The study suggests that a truly psychodynamic process can be achieved in virtual settings. This kind of study denotes the characteristics of the dyad interaction and can contribute to the development of guidelines for therapeutic management attuned to the idiosyncrasies of the patients. More research on online practice is needed.

show abstract

Section: Discussionsupporting

confidence: 67%

Section: Data Analysis Proceduresmentioning

confidence: 99%

Interaction Structures in the Online Psychodynamic Psychotherapy of a Patient with Anxiety Symptoms

Feijó¹,

Strassburger²,

Barcellos³

et al. 2022

Brit J Psychotherapy

Self Cite

View full text Add to dashboard Cite

show abstract

“…This would have not only allowed for an exploration of underlying interaction structure that account for the change and possible development of the dynamic over time, but moreover would have allowed to investigate empirically whether the formation of early interaction structures relate to later drop out. As Serralta (2016) has shown in her study, the modes of interaction structures identified early on in treatment were repeated over the course of the psychodynamic therapy. Her findings are important in highlighting the importance of setting up the right dynamic and interaction structure early on in treatment.…”

Section: Limitations and Future Researchmentioning

confidence: 86%

“…Whereas a few multiple-case and single-case studies have identified a number of interaction structures and linked these with outcome in adult psychotherapy (Ablon et al, 2011;Goodman et al, 2014;Serralta, 2016;Laskoski et al, 2019) and child psychotherapy (Goodman and Athey-Lloyd, 2011;Goodman, 2015;Ramires et al, 2017Ramires et al, , 2020Odhammar et al, 2019), there is only one study that explored these in adolescents (Calderón et al, 2019) and none in individuals of any age range who dropped out of treatment. Philips et al (2018) utilised the PQS to explore the early psychotherapy process between completers and dropouts of six adult patients with a dual diagnosis who received mentalisation-based treatment (MBT).…”

Section: Introductionmentioning

confidence: 99%

Psychotherapy Dropout: Using the Adolescent Psychotherapy Q-Set to Explore the Early In-Session Process of Short-Term Psychodynamic Psychotherapy

et al. 2021

View full text Add to dashboard Cite

Research suggests that short-term psychodynamic psychotherapy (STPP) is an effective treatment for depression in adolescence, yet treatment dropout is a major concern and what leads to dropout is poorly understood. Whilst studies have begun to explore the role of patient and therapist variables, there is a dearth of research on the actual therapy process and investigation of the interaction between patient and therapist. This study aims to address this paucity through the utilisation of the Adolescent Psychotherapy Q-set (APQ) to examine the early treatment period. The sample includes 69 adolescents aged 16–18 years with major depressive disorder receiving STPP as part of the First Experimental Study of Transference Work–in Teenagers (FEST-IT) trial. Of these, 21 were identified as dropouts and were compared to completers on pre-treatment patient characteristics, symptomatology, functioning, and working alliance. APQ ratings available for an early session from 16 of these drop out cases were analysed to explore the patient-therapist interaction structure. Results from the Q-factor analysis revealed three distinct interaction structures that explained 54.3% of the total variance. The first described a process of mutual trust and collaboration, the second was characterised by patient resistance and emotional detachment, the third by a mismatch and incongruence between therapist and adolescent. Comparison between the three revealed interesting differences which taken together provide further evidence that the reasons why adolescents drop out of therapy vary and are multidimensional in nature.

show abstract

“…another corresponding to the therapeutic alliance (IS 2), findings that are generally consistent with those of other studies. 11,14 The two aforementioned ISs seem to represent a specific factor of the approach employed and a common factor to all therapies, respectively. In addition, we were able to identify a structure centered on the therapeutic relationship, which can also be interpreted as illustrating an aspect of the technique prescribed by the approach employed.…”

Section: Assessment Of Treatment Outcomementioning

confidence: 99%

Interaction structures in the psychodynamic psychotherapy of a patient with chronic diseases and somatic symptoms

Laskoski

Hauck

Teche

et al. 2019

Trends Psychiatry Psychother.

Self Cite

View full text Add to dashboard Cite

Objective This study aimed to identify and analyze the interaction structures (ISs) (patterns of reciprocal interaction between the patient-therapist dyad) that characterize the process of a successful long-term psychodynamic psychotherapy (28 months) of a patient with chronic diseases (lupus and fibromyalgia) and somatic symptoms. Methods The 113 sessions were videotaped and analyzed alternately (n = 60) by independent judges using the Psychotherapy Process Q-Set. Inter-rater reliability ranged from 0.60 to 0.90, with a mean of r = 0.71 (Pearson’s correlation). Through a principal component exploratory factor analysis, four ISs were identified. Result The patterns of interaction between patient and therapist showed clinical validity (i.e., they were easily interpretable in the context of the case under study). The ISs were non-linear and more or less prominent across different treatment sessions and stages. Some ISs were similar to those in other studies, and others were probably unique to the present process. In addition, some ISs were independent, whereas others were interrelated over time. Conclusion Process studies, such as the present one, seek to address questions about the characteristics of the interaction between patient and therapist as well as to identify particular patterns of interaction that are most prominent with a specific patient at a specific condition or time. Therefore, these studies can provide some support in establishing knowledge for clinical practice, assisting in the training of therapists, as well as in the elaboration of general guidelines for the technical management of patients with specific characteristics.

show abstract

Uncovering Interaction Structures in a Brief Psychodynamic Psychotherapy

Cited by 4 publications

References 22 publications

Interaction Structures in the Online Psychodynamic Psychotherapy of a Patient with Anxiety Symptoms

Interaction Structures in the Online Psychodynamic Psychotherapy of a Patient with Anxiety Symptoms

Psychotherapy Dropout: Using the Adolescent Psychotherapy Q-Set to Explore the Early In-Session Process of Short-Term Psychodynamic Psychotherapy

Interaction structures in the psychodynamic psychotherapy of a patient with chronic diseases and somatic symptoms

Contact Info

Product

Resources

About