From a set of seventeen complete and tape-recorded psychoanalyses, a sample of findings is presented: (a) the level of agreement of two clinical judges on the psychological health of these patients is adequate for the late sessions, but not for the early sessions; (b) the amount of change during psychoanalysis appears to be similar to that in the Menninger Foundation Psychotherapy Research Project; (c) psychiatric severity measures from the early sessions can yield a significant level of prediction of the later benefits from psychoanalysis. Finally, further research uses of this collection of psychoanalyses are suggested.

This study compared interjudge agreement in 2 sample cases in which both experienced as well as inexperienced scorers were used. Scorers were given only a single page of core conflictual relationship theme (CCRT) instructions to help them learn the method. The results in both cases suggest that there was significantly greater interjudge agreement among experienced CCRT scorers compared with inexperienced scorers.

No abstract

This is a narrative about the outfitting and the outcomes of an expedition aimed at tracking down the instigators of a phobia. What makes tracking this type of symptom a challenge is that it does not usually have what the other symptoms in this book have: a clearly concurrent moment of onset and an onset that always occurs within the therapy session. Instead, most of the onsets of the phobic symptoms occur outside of the session, so that the accounts of the symptom in the session do not necessarily correspond with the intensity of the symptom described in the session. This journey required field testing of these essential items of equipment: a modified version of the symptom-context method to assess the accounts in the session of the behavior outside of the session and the CCRT method to be used as a broad background context measure.The usual form of the symptom-context method is not adequate to deal with the usual form of episodes of phobic behavior because of the two related limits: the phobic states do not have clear on-off points within the sessions, and the symptom appearances in the session are almost all retrospective accounts of episodes outside the session. I dealt with these limits by devising a modified symptom-context method by which I could still be able to track down many of the essential conditions for the onset of the phobia.