Psychodynamic insights: Working with emotion in the therapeutic relationship

Ross, Alistair

doi:10.1080/14753634.2012.694229

Cited by 8 publications

(10 citation statements)

References 9 publications

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“…Some even described a feeling of being forced by the patient. These observations diverge greatly from Zuroff and colleagues' (2000;2010) study where a poor alliance was mainly due to self-critical patients' failure to contribute to the relationship, but where therapists' alliance-building efforts seemed unaffected. It is possible that negative affect is communicated in subtle ways that are difficult to detect through traditional research methods (Maroda, 2010;Miller et al, 2017).…”

Section: Discussioncontrasting

confidence: 64%

“…These observations diverge greatly from Zuroff and colleagues' (2000;2010) study where a poor alliance was mainly due to self-critical patients' failure to contribute to the relationship, but where therapists' alliance-building efforts seemed unaffected. It is possible that negative affect is communicated in subtle ways that are difficult to detect through traditional research methods (Maroda, 2010;Miller et al, 2017). Our study raises the question of how effective therapists truly are at preventing negative affect from permeating the therapeutic relationship.…”

Section: Discussioncontrasting

confidence: 64%

“…In a study by Zuroff and colleagues (2000;2010) on the relationship between pre-treatment perfectionism and alliance, it was shown that while self-critical patients perceived their therapists as less supportive and empathic, therapists' actual attempts at alliance building were not impeded (Miller et al, 2017). As such, poor outcome, and alliance impairments have been primarily attributed to self-critical patients' failure to contribute appropriately to the relationship.…”

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confidence: 99%

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The self-critical patient in clinical supervision: a qualitative study of therapists’ alliance struggles and emotional reactions in short-term psychodynamic psychotherapy for depression

Hennissen

Nieuwenhove

Meganck

et al. 2022

Counselling Psychology Quarterly

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She completed a doctoral dissertation on the nature and change of interpersonal relationships in supportive-expressive psychotherapy. She also works as a psychotherapist in a private practice; Reitske Meganck is faculty member and professor in clinical psychology at the Department of Psychoanalysis and Clinical Consulting at Ghent University. She works as a psychotherapist in a private practice; Dries Dulsster is post-doctoral researcher and teaching assistant at the department of Psychoanalysis and Clinical Consulting at Ghent University. He completed a doctoral dissertation on the process of Lacanian talking therapy and supervision. He also works as a psychotherapist in a private practice; Juri Krivzov

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Section: Discussioncontrasting

confidence: 64%

Section: Discussioncontrasting

confidence: 64%

mentioning

confidence: 99%

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The self-critical patient in clinical supervision: a qualitative study of therapists’ alliance struggles and emotional reactions in short-term psychodynamic psychotherapy for depression

Hennissen

Nieuwenhove

Meganck

et al. 2022

Counselling Psychology Quarterly

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“…This factor contributes to the analytic process by providing material for the analyst’s comments, and this factor also reflects the response of the patient, in treatments that are progressing successfully, to the clinician’s contributions and to the interaction between patient and clinician. Patient dynamic competence , which includes three items that assess: the patient oscillating flexibly between experiencing and reflecting, patient overall productivity, and working on troublesome patterns of experiencing and relating to other people, as well as patient conveying experiences and maintaining self-reflection in general. This last factor can be used as an “intra-session” outcome indicator, describing dimensions of the patient functioning which have always been considered as expressions and mediators of psychological health (Ackerman & Hilsenroth, 2003; Barber et al, 2013; Gazzillo et al, 2014; Lacewing, 2014; Raingruber, 2000; Ross, 2012; Waldron et al, 2013, 2015). And it may help to identify which kind of therapeutic interventions can be more useful for increasing the dynamic competence of patients with different clinical problems and personality styles/disorders, and which kind of patients seem to improve thanks to improvement in their insight/self-reflection ability (Blass & Blatt, 1992; Wallerstein, 1986).…”

Section: Discussionmentioning

confidence: 99%

The components of psychoanalysis: Factor analyses of process measures of 27 fully recorded psychoanalyses.

Gazzillo¹,

Waldron²,

Gorman³

et al. 2018

Psychoanalytic Psychology

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In an empirical study of psychoanalytic processes, the authors identify therapist, patient, and interaction factors from 2 instruments totaling 31 items based on clinicians’ evaluation of 540 sessions from 27 completely recorded psychoanalyses. The 2 instruments, developed over 30 years studying recorded psychoanalyses, are the Analytic Process Scales (APS; Waldron, Scharf, Hurst, Firestein, & Burton, 2004b) and the Dynamic Interaction Scales (DIS; Waldron, Gazzillo, Genova, & Lingiardi, 2013). This article reports the authors’ simplification of the complex patterns produced by the items via factor analysis. Guided by past process-outcome literature (Lambert, 2013), therapist, patient, and interaction items were factor analyzed in 3 separate analyses. Three patient factors emerged: the patient’s experience of the world, the patient’s experience of the analyst, and a factor the authors call patient dynamic competence. Components contributed by the therapist reduced to therapist’s relational competence and therapist’s dynamic competence. Interaction items produced just 1 factor, interaction quality. The authors describe the items contributing to each of these 6 factors and the correlations among these factors to permit the reader to better understand how they interact. Moreover, 2 second-order factors emerged which show what the authors describe as a parallel process between patient and analyst, allowing for a conceptualization of the intricate process of analyst and patient working together, with differing foci, in a potentially mutually enriching way.

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“…In terms of psychodynamic psychotherapy more particularly, the goal is often for the client to become more comfortable with expressing emotions (Summers & Barber, 2010;Maroda, 2010). McCullough et al (2003) for example, emphasized that the goal of therapy is for the client to cry when sad and laugh when happy.…”

mentioning

confidence: 99%

Client laughter in psychodynamic psychotherapy: Not a laughing matter.

Gupta¹,

Hill

Kivlighan³

2018

Journal of Counseling Psychology

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We studied 814 client laughter events nested within 330 sessions nested within 33 clients nested within 16 therapists at one community clinic in which doctoral student therapists provided psychodynamic psychotherapy to adult community clients. Each laughter event in Sessions 1 to 5 and 16 to 20 was rated for cheerfulness, politeness, reflectiveness, contemptuousness, and nervousness. Across all clients, there was an average of about one laughter even per session. The average laughter event lasted 3.5 seconds, and was characterized primarily by politeness and reflectiveness. Overall amount of client laughter and the characteristics of client laughter did not change across sessions. Most of the variance in the laughter characteristics was at the session level, with less variance attributable to clients and therapists. When client attachment avoidance was high, laughter was less cheerful and more contemptuous. When client attachment anxiety was high, laughter was more nervous. Sessions with more reflective laughter were evaluated more positively by clients, and therapists whose clients had more reflective laughter had more positive client session evaluations. Furthermore, within a therapist's caseload, clients with the most nervous and contemptuous laughter evaluated sessions most positively. Implications are discussed. (PsycINFO Database Record

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Psychodynamic insights: Working with emotion in the therapeutic relationship

Cited by 8 publications

References 9 publications

The self-critical patient in clinical supervision: a qualitative study of therapists’ alliance struggles and emotional reactions in short-term psychodynamic psychotherapy for depression

The self-critical patient in clinical supervision: a qualitative study of therapists’ alliance struggles and emotional reactions in short-term psychodynamic psychotherapy for depression

The components of psychoanalysis: Factor analyses of process measures of 27 fully recorded psychoanalyses.

Client laughter in psychodynamic psychotherapy: Not a laughing matter.

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