Development and Characteristics of the Therapeutic Alliance in a Short-Term Dynamic Psychotherapy: A Descriptive Case Study

Rocco, Diego; Gennaro, Andrea; Bei, Francesco De; Zanelli, Diego; Condino, Valeria

doi:10.4081/ripppo.2013.152

Cited by 6 publications

(3 citation statements)

References 38 publications

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“…Future research adopting the suggested methodology could address the therapeutic impact of CT awareness in greater depth (e.g., replicating our study with experienced psychotherapists and in long-term treatments). Other interesting future research directions could concern the relationship between CT awareness and several important aspects of clinical work (e.g., the psychotherapist's between-sessions elaborative work, Rocco et al, 2019; the psychotherapist's in-session emotion elaboration, Negri et al, 2019; or the therapeutic alliance, Rocco et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

The relationship between self-observed and other-observed countertransference and session outcome.

Rocco¹,

Bei²,

Negri³

et al. 2021

Psychotherapy

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For the psychodynamic approach, being aware of and managing countertransference is a core therapeutic competency. Research has demonstrated the negative effect of unmanaged countertransference on the outcomes of all kinds of psychotherapy. In this study, we focused on the relationship between countertransference when measured by therapists and external observers and its impact on session quality. We analyzed 69 counseling sessions, held by 23 in-training psychotherapists with 23 patients. We used the Therapist Response Questionnaire and three external observers (who used the Countertransference Behavior Measure) to measure psychotherapists' countertransference. We rated the session impact perceived by patients and psychotherapists using the Session Evaluation Questionnaire and by patients through the Session Impact Scale. Psychotherapists' and observers' ratings of countertransference correlated though on different dimensions. These results indicate that comparing external and internal evaluations can help to understand various aspects of countertransference since they have different associations with the session outcome. From a methodological point of view, it is necessary to adopt various perspectives to investigate countertransference. Future research should confirm these results on a sample of experienced psychotherapists. Clinical Impact StatementQuestion: What is the advantage in adopting different perspectives in evaluating countertransference? Findings: Clinicians and supervisors can use these findings to develop a deeper attitude toward their ability to detect the various aspects of countertransference on one's own. Meaning: A multiperspective approach for analyzing countertransference can provide a deeper understanding of the impact on the session outcome; research requires a new methodological approach to explore this aspect further. Next Steps: Future research should analyze the factors that help clinicians to improve their countertransference awareness; the obtained results should be verified on a sample of experienced psychotherapists.

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Section: Discussionmentioning

confidence: 99%

The relationship between self-observed and other-observed countertransference and session outcome.

Rocco¹,

Bei²,

Negri³

et al. 2021

Psychotherapy

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“…The CIS has been applied in several studies (Colli & Lingiardi, 2007;Di Riso et al, 2011;Locati, Rossi, & Parolin, 2017;Rocco, Gennaro, De Bei, Zanelli, & Condino, 2013). In the first validation study, the average interrater agreement measured with Cohen's kappa ranged from substantial (min = .66; max = .72) to almost perfect (.81).…”

Section: Study 1: Scale Revision Process and Reliabilitymentioning

confidence: 99%

Assessing alliance ruptures and resolutions: Reliability and validity of the Collaborative Interactions Scale-revised version

Colli

Gentile

Condino

et al. 2017

Psychotherapy Research

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The results indicate that the revised CIS is a reliable rating system that is useful for both empirical research and clinical assessments. Clinical or methodological significance of this article: The CIS-R is a reliable rating system that is suitable for both empirical research and clinical assessment. It is useful for recognizing rupture and resolution processes, both in clinical everyday practice and in psychotherapists' training. Application of the CIS-R promotes clinical reflection on the therapeutic action used to manage ruptures in a session.

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“…In the last few years, many researchers have shown that change in psychotherapy is not always gradual and linear (Hayes, Laurenceau, Feldman, Strauss, & Cardaciotto, 2007). Recent studies have also focused on the role of therapeutic alliance as a non static process of psychotherapy (Horvath, 2011;Rocco, Gennaro, De Bei, Zanelli, & Condino, 2013;Stiles, Glick, Osatuke, Hardy, Shapiro et al, 2004). Evidence from several studies in this field of research has revealed the therapeutic alliance trend in many good outcome psychotherapies and a low value of therapeutic alliance in the middle part of the psychotherapy (e.g., Stiles et al, 2004).…”

mentioning

confidence: 99%

Clinical Efficacy and Therapeutic Alliance in a Time-Limited Group Therapy for Young Adults

Lenzo¹,

Gargano

Mucciardi³

et al. 2014

ResPsy

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This study evaluated the clinical efficacy of a time limited psychodynamic therapy for a group of young adult patients in terms of outcome and process. The results register a favourable outcome concerning not only the gravity of patients' initial symp-toms but also the structural personality changes and attachment style. In an exploratory perspective this study investigated the connection between the outcome of the tre-atment and therapeutic alliance measured by CALPAS-G in three different time intervals of therapy. A correlational analysis highlighted a strong connection between the Patient Commitment scale assessed at the beginning and the final outcome of the therapy. Work-ing Strategy Consensus and Group Understanding and Involvement assessed in the middle of the therapy course, show significant correlations with the final outcome of therapy.

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Development and Characteristics of the Therapeutic Alliance in a Short-Term Dynamic Psychotherapy: A Descriptive Case Study

Cited by 6 publications

References 38 publications

The relationship between self-observed and other-observed countertransference and session outcome.

The relationship between self-observed and other-observed countertransference and session outcome.

Assessing alliance ruptures and resolutions: Reliability and validity of the Collaborative Interactions Scale-revised version

Clinical Efficacy and Therapeutic Alliance in a Time-Limited Group Therapy for Young Adults

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