“…The impact of a dynamic approach in psychotherapy is largely documented (Midgley et al, 2009;Perry and Bond, 2012;Hilsenroth and Pitman, 2019;Lo Coco et al, 2019a;Gelo et al, 2020;Gennaro et al, 2020). Process-outcome research has highlighted the effectiveness of dynamic psychotherapy in treating various mental disorder such as depression (Meystre et al, 2017;Starrs and Perry, 2018;Perry et al, 2020), anxiety (Maffei et al, 1995;Babl et al, 2019;Solomonov et al, 2019) eating disorders (Gelo et al, 2015;Lo Coco et al, 2021), pathologic addictions (Terrone et al, 2018;Frisone et al, 2020;Lo Coco et al, 2020;Giordano et al, 2021), psychotic traits (Boldrini et al, 2019(Boldrini et al, , 2020, externalizing problems (Prout et al, 2018a;Hoffman and Prout, 2020), and personality disfunction (Lingiardi and Giovanardi, 2017;Goldman et al, 2018;Aafjes-van Doorn et al, 2019;Kramer, 2019;Di Giuseppe et al, 2020b;Solomonov et al, 2020). The role of therapeutic alliance as mediator on outcomes in psychotherapy has been demonstrated in several studies highlighting the need for an in-depth investigation of patient-therapist communicative exchange (Lingiardi et al, 2010;Perry, 2014;Bhatia et al, 2017;Salvatore et al, 2017;Rocco et al, 2018;Tanzilli et al, 2018;Lo Coco et al, 2019b;Leibovich et al, 2020;.…”