The content of Thematic Apperception Test (TAT) cards can, in some cases, influence how respondents form narratives. This study examines how imagery from select TAT cards affects the narratives of respondents from a nonclinical setting. The Social Cognition and Object Relations Scale-Global Rating Method (SCORS-G; Stein, Hilsenroth, Slavin-Mulford, & Pinsker, 2011 ; Westen, Lohr, Silk, Kerber, & Goodrich, 1989) was used to rate narratives. Forty-nine college students provided narratives to 6 TAT cards. Narratives were rated by two expert raters using the SCORS-G. Consistent with prior research, Card 2 exhibited the most pull for adaptive ratings on SCORS-G scales, and 3 BM exhibited the most pull for maladaptive ratings. Findings for other cards were mixed. Although raters were highly reliable, internal consistency estimates were lower than desirable for 6 of the 8 SCORS-G scales. Variance component estimates indicated that card by person interactions accounted for the largest amount of variance in person-level scores. Results and limitations are discussed in light of prior research. We also make suggestions for further lines of research in this area.
This article provides a rationale for the increased use of video recording psychotherapy sessions in clinical supervision and training, including psychodynamic and psychoanalytic training. Social and cognitive psychology research on memory shows that it is limited in a number of ways and, because of this, supervision that solely depends on second‐hand reporting of session events in supervision can be equally limited. Additionally, second‐hand reporting and audiotapes of session material are often not able to adequately shed light on the nonverbal behaviour exhibited by the patient and therapist. Video recording allows a supervisor to view the session material as it happened during the session so as to provide more effective supervision and psychotherapy training. Examples are given from face‐to‐face once‐weekly work, in a training clinic which uses non‐mandatory video recording. Concerns about confidentiality and ethics are discussed, along with potential objections to video recording.
The present study examined the relationship between self-perceived attachment styles and interpersonal problems. Specifically, we utilized a clinical sample from an outpatient university-based community clinic who completed the Experiences in Close Relationships Scale-Revised, the Relationship Questionnaire and Inventory of Interpersonal Problems Circumplex Scales (IIP-64) as part of a psychological assessment process. The results showed a significant positive correlation between the IIP-64 total score and both attachment anxiety and attachment avoidance. Findings revealed significant negative relationships between a secure attachment and the dominant, vindictive, cold, socially inhibited and non-assertive subscales of the IIP-64. Findings also revealed a significant positive relationship between a fearful attachment and the dominant, vindictive, cold, socially inhibited and non-assertive subscales of the IIP-64. Finally, results showed a significant relationship between a dismissive attachment and the dominant subscale of the IIP-64.
The present study looked to illustrate the convergent and divergent validity of the Relationship Profile Test (RPT), which is a 30-item self-report measuring destructive overdependence, dysfunctional detachment, and healthy dependence. The RPT items are written to draw upon Bornstein's (19921993) 4-component model as well as other essential components of the dimension in question (Bornstein et al., 2003). The results reveal that the subscales of the RPT are related in predictable ways to scores on measures of adult attachment, interpersonal distress, and psychological health and well-being. The clinical implications of the results and the assessment of dependency in the clinical setting are discussed.
Over the past twenty years, the physician-patient relationship (eg, the physician-patient working alliance) has emerged as an integral component to the treatment of patients for a myriad of health conditions. Psychological, emotional, and behavioral dimensions of patients' working alliance with their physicians, along with patients' attachment styles, were examined in relation to rheumatology patients' adherence to treatment plans, outcome expectations, and satisfaction. Study participants were 101 adult outpatients from a rheumatology clinic. Path analyses demonstrated that the physician-patient working alliance predicted outcome expectations (Standardized Beta [SB] = 0.27), and patient satisfaction (SB = 0.62), and that patient satisfaction in turn predicted patient adherence (SB = 0.48). Physicians' ratings of patient adherence were significantly and positively correlated with patients' ratings of the physician-patient working alliance. No significant paths were evident with respect to patient attachment. The physician-patient working alliance directly predicts patient satisfaction, and outcome expectations, and indirectly predicts adherence through patient satisfaction.
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