Assessing Key Linguistic Dimensions of Ruptures in the Therapeutic Alliance

Christian, Christopher; Barzilai, Eran; Nyman, Jacob; Negri, Atta' Ambrogio Maria

doi:10.1007/s10936-021-09768-1

Cited by 12 publications

(24 citation statements)

References 14 publications

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“…More specifically, as found by Christian et al (2019), who investigated the relationship between alliance and referential process within psychotherapy sessions, we assumed that during the intake sessions: i) there would be a positive relation between the capacity to be in contact with emotional experience, (i.e., being immersed in the story telling), reflecting on it, and the quality of therapeutic alliance; ii) conversation segments with high alliance are expected to show a linguistic style denoting higher emotional engagement, whereas weaker alliance segments are expected to be marked by distancing and defensiveness; and finally, iii) the alliance by the end of the intake session, is expected to be predicted by linguistic dimensions denoting a good referential process obtained at the beginning and central part of that same session.…”

Section: Therapeutic Alliance and Referential Process In The Intake Sessionsupporting

confidence: 51%

“…The patient tended to symbolize more than the therapist, and the therapist tended to reflect and reorganize the speech more than the patient. In another study by Christian, Barzilai, Nyman and Negri (2019), results showed that a strong therapeutic alliance was associated with higher emotional engagement for both patients and therapists, while distancing and defensiveness characterized a weaker alliance. Based on these results we assume there should be linguistic difference between interactions that include ruptures and those that do not.…”

Section: Therapeutic Alliance and Referential Process In The Intake Sessionmentioning

confidence: 93%

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Linguistic features of the therapeutic alliance in the first session: a psychotherapy process study

Negri

Christian

Mariani³

et al. 2019

ResPsy

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Critical aspects of the therapeutic alliance appear to be established as early as the first session. Specifically, the affective bond between the therapeutic dyad appears to develop early in treatment and tends to remain stable over time, while agreements on goals and tasks tend to fluctuate over the course of treatment. Are there distinguishable early signs of a strong therapeutic alliance? In this study, we examined how some linguistic measures indicative of joint emotional elaboration correlated with a measure of the therapeutic alliance assessed within a single session. Initial intake sessions with 40 patients with varying diagnoses were videotaped, transcribed, and analyzed using linguistic measures of referential process and then scored with the Segmented Working Alliance Inventory-Observer form. Results showed that patients who were rated as more emotionally engaged in relating their experiences and then reflecting on them by mid-session also had higher scores in the therapeutic alliance by the final part of that same session. An implication of this study is that the interpersonal factors facilitating elaboration of inner experience, including elements of warmth, safety, and analytic trust, are related to the development of early therapeutic alliance. These findings did not appear to be dependent on the patient’s psychopathology. This study is one in a growing line of research exploring how patients speak rather than just the content of what they say.

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Section: Therapeutic Alliance and Referential Process In The Intake Sessionsupporting

confidence: 51%

Section: Therapeutic Alliance and Referential Process In The Intake Sessionmentioning

confidence: 93%

Linguistic features of the therapeutic alliance in the first session: a psychotherapy process study

Negri

Christian

Mariani³

et al. 2019

ResPsy

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“…Эти виньетки демонстрируют, что через разное время в речи пациентов тревога становится менее выраженной, и с этим в представленных примерах связано изменение социальных отношений, или их восприятия, что уже выступает показателем положительной динамики, тем более в рамках психологического консультирования. В работе C. Christian, E. Barzilai, J. Nyman представлено некоторое совпадение с полученными данными, где авторы отмечают, что на сеансах существует положительная связь между способностью пациента выражать свой эмоциональный опыт и качеством отношений в рамках психотерапевтических отношений и за их пределами (Christian, Barzilai, Nyman, 2021).…”

Section: таблица 2 описание характеристик участников качественного ис...unclassified

Qualitative case study of the dynamics of the patient's anxiety level in relations with relatives and friends: an analysis of a single case of psychoanalytic counseling

Zhmurin¹,

Korneichik²

2022

RR. P. and P. of E.

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Introduction. The model of studying a single case and considering this version of the study of psychotherapy were implemented for the first time within the boundaries of the psychoanalytic paradigm. Today, this type of research is recognized and has promising developments in various areas and schools of psychotherapeutic practice. While there is some disagreement among academic psychologists and representatives of psychotherapy practice regarding the effectiveness of this method, it has a rather strong argument in favor of its application. The advantages of this method include: close attention to the acquisition of concrete, practical, contextual knowledge, as opposed to universal theo-retical knowledge without taking into account the context; the use of more flexible re-search standards and obtaining detailed data on the problem being solved. Methodology and methods: a qualitative case study of a group of isolated cases was conducted in 2018-2022 and was part of a pilot study to assess the effectiveness of psychoanalytic counseling of patients with high levels of anxiety. Patient indicators were collected us-ing psychodiagnostic techniques and recording material for sessions of 5 patients. To implement a qualitative thematic analysis of the dynamics of changes in the level of anx-iety, diagnostic tools have been developed to assess the manifestation of anxiety indica-tors in the speech of patients, based on the theoretical provisions of psychodynamic psy-chodiagnostics of anxiety. Results and conclusions. The results of a qualitative case study of the dynamics of anxiety and its impact on patients' relations with relatives and friends in the course of psychoanalytic counseling are presented. Analysis of the mani-festation of anxiety in the speech of patients showed that its decrease is reflected in less pronounced references to excitement, tension and negative feelings towards relatives and friends, and the semantic analysis of patients' speech with the help of the text anal-ysis program showed subtle movements in the semantic structure of their statements. Changes in the semantic structure of patients' speech reflect the individual way of their awareness of the problems under discussion and are reflected in the emergence of new semantic connections of the central

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“…Accordingly, such an index has been adopted as a proxy for individuals' ability to cognitively process their own affective engagement. Different research works support such understanding: through the analysis of clinical sessions (Christian et al, 2021;Mariani et al, 2013) and analyzing the transcripts of clinical notes (Mariani & Negri, 2015;Negri et al 2019), the presence of a negative IWRAD_IREF covariation on the clinical course has been highlighted as an important predictor of good outcome and alliance. Lo Verde and colleagues (2012), focusing on the trend of IWRAD_IREF covariation, highlighted an overall decreasing trend which was consistent with results gained in the same case study by the therapeutic cycle model (Mergenthaler, 1996).…”

Section: Patient's Processes Of Affects Elaborationmentioning

confidence: 99%

Draft 19.11.2021. The Role of Interpretation in Fostering the Psychotherapy Process: Evidence from a Single Case Study

Gennaro¹,

Rocco²,

Negri³

et al. 2021

Preprint

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The role of interpretation as a core intervention promoting good outcomes in psychotherapy is well acknowledged and established. Nevertheless, evidence of the role of interpretative interventions in promoting patients’ change dynamic is still lacking. The present work, a good outcome psychotherapy single case study, focuses on how different interpretative modalities support different patients’ intrapsychic dynamics implied in changing affective experience interpretation and clinical success. The grid of the models of interpretation (GMI) and the Discourse Attributes Analysis Program (DAAP) were applied to all therapy transcripts (N = 76 sessions) in order to detect, respectively, the interpretative models enacted by the therapist and patients’ intrapsychic processes subtending affects elaboration. Two different regression models tested the role of interpretative interventions in promoting specific processes supporting patients’ affective elaboration. A further regression model then highlighted a specific configuration in the clinical course in processes promoting affect elaboration. Results are discussed, offering cues for a clearer understanding of the role of the therapist’s interpretative interventions in promoting the clinical dynamics, thereby paving the way for the change process.

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Assessing Key Linguistic Dimensions of Ruptures in the Therapeutic Alliance

Cited by 12 publications

References 14 publications

Linguistic features of the therapeutic alliance in the first session: a psychotherapy process study

Linguistic features of the therapeutic alliance in the first session: a psychotherapy process study

Qualitative case study of the dynamics of the patient's anxiety level in relations with relatives and friends: an analysis of a single case of psychoanalytic counseling

Draft 19.11.2021. The Role of Interpretation in Fostering the Psychotherapy Process: Evidence from a Single Case Study

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