The central relationship patterns of male veterans with posttraumatic stress disorder: A descriptive study.

Okey, Jeffrey L.; McWhirter, J. Jeffries; Delaney, Mary K.

doi:10.1037/h0087754

Cited by 7 publications

(7 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…On the level of the dominant wish, our results correspond with studies demonstrating the prevalence of the wish "to be close and accepted" (Okey et al, 2000) or "to be loved and understood" (Chance et al, 2000). The contrasting wish "to oppose others, " "hurt others" or "control others" (e.g., Frueh et al, 2001;Drapeau and Perry, 2009) could only explicitly be observed in Amy's case.…”

Section: The Nature Of Interpersonal Patterns At the Beginning Of Tresupporting

confidence: 85%

“…Finally, we found support for patients' own reactions of feeling "depressed, " "disappointed" (Chance et al, 2000;Okey et al, 2000), "anxious, " and "helpless" (e.g., Ebert and Dyck, 2004;Tummala-Narra et al, 2012) and the tendency to keep silent (RS "am not open, " e.g., Cook et al, 2004). On the basis of the literature, we would also have expected feelings of shame, guilt, and self-blame to be dominant (e.g., Cloitre et al, 2009).…”

Section: The Nature Of Interpersonal Patterns At the Beginning Of Trementioning

confidence: 53%

“…Regarding the dominant (perceived) response of others, we found strong support for the prevalent perception of others being "rejecting" (Chance et al, 2000;Okey et al, 2000) 3 . The perception of others as "controlling" (Drapeau and Perry, 2009) appeared explicitly in the cases of Amy and Pam, whereas in James' case, it appeared more implicitly in his submissive reaction (RS "am dependent") toward others.…”

Section: The Nature Of Interpersonal Patterns At the Beginning Of Trementioning

confidence: 62%

“…Therefore, a more thorough investigation of the nature of interpersonal patterns in childhood trauma is warranted. Several studies have used the Core Conflictual Relationship Theme (CCRT) method (Luborsky and Crits-Christoph, 1998) to study interpersonal patterns in cases with a traumatic background (e.g., Okey et al, 2000;Drapeau and Perry, 2009). The CCRT operationalizes interpersonal patterns by defining the main wish (W), the main response of the other (RO), and the self (RS) in narrative material (e.g., interview or therapy excerpts) concerning very specific relational encounters -i.e., relationship episodes (RE).…”

mentioning

confidence: 99%

See 3 more Smart Citations

Core Interpersonal Patterns in Complex Trauma and the Process of Change in Psychodynamic Therapy: A Case Comparison Study

Nieuwenhove

Meganck

2020

Front. Psychol.

View full text Add to dashboard Cite

We performed a case comparison study to investigate the nature of interpersonal patterns in childhood trauma and the process of change therein. We analyzed three matching cases of childhood trauma that followed a psychodynamic treatment via a mixed-methods design. We found that (1) the core tendency to avoid negative reactions from others through passive behaviors emerged in all three cases, both in childhood and adulthood, (2) core interpersonal patterns transpired in the interaction between patient and therapist and thereby affected the therapeutic relationship, and (3) change ensued when a repetition of core interpersonal patterns was avoided and a new relational experience occurred. The accumulated findings across cases further resulted in several clinical implications and recommendations, such as the importance of the assessment of patients' (covert) conditions, responsiveness, supervision and facilitating patients' agency, and provided several avenues for further research.Keywords: case comparison study, systematic case study, childhood trauma, interpersonal patterns, core conflictual relationship theme, treatment process the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

show abstract

Section: The Nature Of Interpersonal Patterns At the Beginning Of Tresupporting

confidence: 85%

Section: The Nature Of Interpersonal Patterns At the Beginning Of Trementioning

confidence: 53%

Section: The Nature Of Interpersonal Patterns At the Beginning Of Trementioning

confidence: 62%

mentioning

confidence: 99%

See 2 more Smart Citations

Core Interpersonal Patterns in Complex Trauma and the Process of Change in Psychodynamic Therapy: A Case Comparison Study

Nieuwenhove

Meganck

2020

Front. Psychol.

View full text Add to dashboard Cite

show abstract

“…Positive support has been found when using case formulation methods that are highly structured (Crits‐Christoph, Connolly, & Shaffer, ; Eells et al., ; Luborsky & Diguer, ). Other research has shown that central relationship themes can be reliably identified in a group of combat veterans (Okey, McWhirter, & Delaney, ). However, in a study of cognitive case formulation reliability and quality, Kuyken, Fothergill, Musa and Chadwick () found good reliability when therapists identified descriptive aspects of cases, but reliability fell for aspects of the formulation that required theory‐driven inferences; both reliability and quality increased with greater experience.…”

Section: Conceptual Framework Of Thematic Mappingmentioning

confidence: 97%

Thematic Mapping Maps Much Territory But Needs Stronger Evidence‐based Coordinates: A Commentary

Eells

2016

J Clin Psychol

View full text Add to dashboard Cite

Thematic mapping (TM) is a transtheoretical, transdiagnostic, pattern-focused method of case formulation. It involves systematically gathering a broad range relevant client information, collecting representative behavioral episodes, using inductive and deductive reasoning to identify themes and subthemes that characterize a client's dysfunctional patterns, and then developing a treatment plan to address them. The TM method includes debiasing steps to minimize clinician judgment errors and addresses a client's cultural context. TM was developed in response to several "case misconceptualizations" that the authors contend have created a crisis in the field of case conceptualization. This commentary critiques the case misconceptualizations and the TM method is evaluated. Acknowledging multiple innovations of TM, the commentary recommends a stronger evidence-based focus, and discusses the benefits of theory-guided case formulation, reasons to consider diagnosis in case formulation, and research as a means to resolve case misconceptualizations.

show abstract

Representations of Self and Parents, and Relationship Themes, in Adolescents with Post Traumatic Stress Disorder (PTSD)

Shafran

Shahar

Berant

et al. 2015

J Abnorm Child Psychol

View full text Add to dashboard Cite

Negative perceptions of self and others have lately become one of the criteria for Posttraumatic Stress Disorder (PTSD) among adults and adolescents. Drawing from theories of mental representations in psychopathology, this study examined self-reported negative cognitions, self and parental representations, and relationship themes among adolescents with and without PTSD. Thirty one adolescents with PTSD (11 boys, mean age = 14.06, SD = 2.24) were matched with 29 adolescents who had no psychiatric diagnosis (11 boys, mean age = 14.96, SD = 1.78). Adolescents completed self-report measures, wrote a description of self, mother and father, and were interviewed about positive and negative relationship episodes with mother, father, and peers. Adolescents with PTSD reported more self-criticism and performance evaluation than did controls. Their self-representation exhibited a lower sense of agency, which was related to structural variables (i.e., less integrative description). Although parental representations of adolescents with PTSD were not generally less benevolent or more punitive than those of controls, their relationship themes revealed a higher proportion of the wish to be distant from others. Adolescents with PTSD exhibited more passive responses and perceived more dominant or controlling responses from their parents. Findings point out to a serious impairment in representations of self and relationship patterns in adolescent PTSD.

show abstract

The central relationship patterns of male veterans with posttraumatic stress disorder: A descriptive study.

Cited by 7 publications

References 23 publications

Core Interpersonal Patterns in Complex Trauma and the Process of Change in Psychodynamic Therapy: A Case Comparison Study

Core Interpersonal Patterns in Complex Trauma and the Process of Change in Psychodynamic Therapy: A Case Comparison Study

Thematic Mapping Maps Much Territory But Needs Stronger Evidence‐based Coordinates: A Commentary

Representations of Self and Parents, and Relationship Themes, in Adolescents with Post Traumatic Stress Disorder (PTSD)

Contact Info

Product

Resources

About