Object representation quality, therapeutic alliance, and psychotherapy process

Sanders, Avihay; Hilsenroth, Mark J.; Fowler, J. Christopher

doi:10.1521/bumc.2014.78.3.197

Cited by 8 publications

(6 citation statements)

References 57 publications

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“…A metanalysis supports the MOA construct validity (Graceffo et al, 2014), with an aggregated validity coefficient of r = .24. In a study by Ackerman et al (2000), the MOA score was predictive of the number of psychotherapy sessions attended by patients with personality disorders. In combination with other measures, the MOA was used to individuate young male patients with eating disorders (Rothschild-Yakar et al, 2016) and to investigate the existing relationship between patient pretreatment OR and patient-rated therapeutic alliance (Sanders et al, 2014).…”

Section: Projectives and Interviewsmentioning

confidence: 95%

“…According to Huprich and Greenberg’s review (2003), the assessment of OR has become a fundamental tool in the field of clinical research; there is an established association between the level of development of OR, adult psychopathology, and treatment outcome. Patients with a more mature ORs functioning tend to remain in therapy (Ackerman et al, 2000), to rate the working alliance as more robust (Sanders et al, 2014) and to prompt a more psychodynamic than cognitive behavioral therapy process (Sanders et al, 2014; Vaughn et al, 2021). Conversely, psychodynamic treatment seems to have a positive impact on the development and integration of ORs.…”

Section: Clinical Relevancementioning

confidence: 99%

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Knowing me, knowing you: A systematic review of object relations assessment.

Felici¹,

Madeddu²,

Doering³

et al. 2023

Psychoanalytic Psychology

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Tools for assessing object relations (ORs) are fundamental for psychodynamic theory, research, and practice. ORs play an important role in diagnostic and therapeutic processes, helping therapists to better understand and manage complex relational functioning in their patients. The clinical relevance of OR is also recognized by the first criterion of the Diagnostic and Statistical Manual of Mental Disorders, fifth edition Alternative Model for Personality Disorders. Our goal is to provide clinicians and researchers with an updated review of the available empirical tools to assess OR. We conducted a systematic search on APA PsycInfo and Pubmed and retrieved 42 instruments from the existing literature. Some of these assessment tools are well established in the scientific community. Among the less popular ones, we identified some instruments that show good potential and may be granted a further round of validation. We encourage the development of existing and new instruments within the framework of Kernberg's theory of personality organization, and a further inquiry into qualitative aspects of ORs dyads, which may help therapists obtain more sophisticated information on their patients' relational functioning.

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Section: Projectives and Interviewsmentioning

confidence: 95%

Section: Clinical Relevancementioning

confidence: 99%

Knowing me, knowing you: A systematic review of object relations assessment.

Felici¹,

Madeddu²,

Doering³

et al. 2023

Psychoanalytic Psychology

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“…Les auteurs américains [18] ont recensé dans leur méta analyse à partir de Un dernier axe de recherche nous paraitrait intéressant à privilégier en mettant à l'épreuve la pertinence de notre grille dans une perspective thérapeutique. L'apport du test de Rorschach comme dispositif de médiation thérapeutique a déjà été souligné antérieurement par les cliniciens français [16,23].Mais l'utilité d'une échelle de ce type comme prédicteur de la facilité ou de la difficulté de l'engagement et de l'alliance thérapeutique, démontrée dans les travaux anglo saxons réalisés avec l'échelle MOA [25], gagnerait à être testée en France, à un moment où par ailleurs, les cliniciens sont de plus en plus confrontés à la nécessité d'évaluer les effets des psychothérapies engagées [10].Des études anglo-saxonnes déjà très anciennes sur la population borderline [14]…”

Section: Autonomy)unclassified

Mutualité de l’autonomie et représentations de relation d’objet au Rorschach

Prudent¹,

Évrard²,

Laurent³

et al. 2017

Psychothérapies

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Les auteurs présentent l'échelle américaine de mutualité d'autonomie d'Urist (1977) et une brève synthèse des travaux de validation montrant son intérêt en clinique diagnostique et thérapeutique. Ils se proposent pour l'affiner de la mettre en correspondance avec une grille d'analyse de la représentation de relations d'objet au Rorschach, élaborée à partir d'une perspective psychanalytique structurale (Bergeret 1974,1986). Des pistes de recherche pour valider cette dernière sont ensuite suggérées.

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“…In terms of the client's relationship with the therapist, as often measured by the WAI (Working Alliance Inventory) (Horvath and Greenberg, 1989), there is ample evidence that clients' object relations and the quality of their interpersonal relationships (Ollila et al, 2016) play an important role in the development of the therapeutic alliance, such that positive internal representations are related to the formation of a strong and stable working alliance (Mikulincer et al, 2013;Sanders et al, 2014), whereas negative internal representations disrupt the development of the alliance (Bernecker et al, 2014). In terms of the client-artwork relations, theorists suggest that the clients' object relations are reflected in their responses to the artistic experience with the art materials before, during, and after art-making, as well as to the product itself (Robbins, 2001;Sanders et al, 2014;Hilbuch et al, 2016). This is consistent with a previous study (Snir et al, 2017) on the relationships between attachment dimensions of anxiety and avoidance and reactions to using art materials in 409 non-client volunteers.…”

Section: Introductionmentioning

confidence: 99%

Relationships Between the Therapeutic Alliance and Reactions to Artistic Experience With Art Materials in an Art Therapy Simulation

et al. 2021

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In art therapy, art-making plays an important role in the therapeutic relationship. To better understand the triangular relationship between the art therapist, the client and the artwork, this study investigated the association between the therapeutic alliance and reactions to artistic experiences with art materials in an art therapy simulation. The simulation consisted of a series of 6–8 sessions in which art therapy students were divided into teams composed of a permanent observer (art therapist) and creator (client). The client's role was to self-explore through art- making, and the art therapist's role was to accompany the client. Thirty-four students, all women, who played the art therapist role, and 37 students (one male) who played the client participated in the study. Of these participants, there were 24 pairs where both participants filled out all the questionnaires. A short version of the Working Alliance Inventory (WAI) was completed by the clients and the art therapists on the second session (T1) and on the penultimate session (T2). The clients also completed the Art-Based Intervention Questionnaire (ABI) at T2. Significant positive correlations were found between indices of the WAI for the art therapist and the client and the clients' reactions to the artistic experience with art materials on the ABI. The evaluation of the emotional bond between the art therapist and the client at the start of the simulation significantly predicted the client's reactions to the artistic experience with art materials at the end of the simulation and explained 45.4% of the variance for this variable. These findings highlight factors related to the development and influence of the therapeutic alliance, as well as the role of the artistic experience in art therapy and lay the groundwork for further research.

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Object representation quality, therapeutic alliance, and psychotherapy process

Cited by 8 publications

References 57 publications

Knowing me, knowing you: A systematic review of object relations assessment.

Knowing me, knowing you: A systematic review of object relations assessment.

Mutualité de l’autonomie et représentations de relation d’objet au Rorschach

Relationships Between the Therapeutic Alliance and Reactions to Artistic Experience With Art Materials in an Art Therapy Simulation

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