The MATRIX, a novel tool exploring dynamic psychotherapy: Preliminary psychometric properties

Mendlovic, Shlomo; Doron, Adiel; Saad, Amit; Atzil-Slonim, Dana; Mar'I, Saed; Bloch, Yuval; Yehuda, Ariel Ben

doi:10.1016/j.psychres.2017.08.047

Cited by 5 publications

(16 citation statements)

References 32 publications

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“…Other existing measures to investigate psychotherapy process have been used as a theoretical and methodological starting point of the PCC Q-Sort (e.g., measuring the psychotherapy style, patient behavior, and session characteristics [24]), and some have previously focused on measuring psychodynamic intervention styles and approaches (e.g., describing the interpretive level [22,43,44]). The PCC Q-Sort complements these existing measures by adding a detailed tool for describing how psychoanalytic therapists use their understanding of unconscious processes, of psychopathology, and of their role in maintaining a specific stance and setting to create a psychoanalytic working process.…”

Section: Discussionmentioning

confidence: 99%

“…In drawing on national and international current concepts on clinical reasoning behind the formulations of core competency, this instrument enables an up-to-date depiction of psychoanalytic techniques and the manner they are employed in clinical practice. In complementing other existing instruments on the therapeutic dyad (i.e., MATRIX) [22], the PCC Q-Sort provides an innovative measure for psychodynamic therapeutic actions and thereby contributes to the scientific empirical investigation of the efficacy of psychotherapy from the perspective of psychotherapeutic competency.…”

Section: Introductionmentioning

confidence: 99%

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Capturing the Unconscious—The “Psychoanalytic Core Competency Q-Sort”. An Innovative Tool Investigating Psychodynamic Therapeutic Skills

Parth¹,

Wolf²,

Löffler‐Stastka³

2019

IJERPH

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The Psychoanalytic Core Competency Q-Sort (PCC Q-Sort) is a newly developed empirical research tool that allows for the description and illustration of the ways psychodynamically-oriented psychotherapists work. It provides a simple, straightforward rating procedure utilizing a well-established q-sort method. The present pilot study describes the psychoanalytic core competency items and discusses the development procedure of the instrument as well as statistical analysis of ratings from psychoanalytic sessions, including inter-rater reliability as well as preliminary findings on possible construct validity. Additionally, a factor analysis was performed. Values were assessed by applying the PCC Q-Sort to 30 audio recordings of psychoanalytic sessions. The results of the present study indicate that the PCC Q-Sort is a reliable process research instrument that allows for a detailed investigation of psychotherapy processes in psychodynamic psychotherapies and change processes.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Capturing the Unconscious—The “Psychoanalytic Core Competency Q-Sort”. An Innovative Tool Investigating Psychodynamic Therapeutic Skills

Parth¹,

Wolf²,

Löffler‐Stastka³

2019

IJERPH

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“…A previous study using the MATRIX found it to be robust in terms of inter-rater reliability (Mendlovic et al, 2017 Please note that the term 'Potential' has replaced the previously used term 'Space', and the term 'Interrelation' has replaced the term 'order' (Mendlovic et al, 2017(Mendlovic et al, , 2018. These changes in terminology were made in effort to better describe each dimension.…”

Section: Treatmentsmentioning

confidence: 99%

“…Such statements, however, as mentioned earlier, are extremely difficult to methodically identify and measure, considering the very limited tools currently available for analysing psychotherapy content and process (Crits‐Christoph et al , 2013). To overcome these shortcomings, and to meet the need for an integration of clinical and empirical knowledge in psychotherapy research, the proposed study made use of The MATRIX – a novel content analysis tool of psychodynamic sessions (Mendlovic et al , 2017). Based on fixed algorithms, the MATRIX is designed to provide meaningful and objective encoding methods of session transcripts, allowing to identify different kinds of clinical interventions, including those which focus on the potential‐to‐experience.…”

Section: Introductionmentioning

confidence: 99%

“…It also details the definitions of each of its components in order to ensure reliable coding. It was shown that different MATRIX codes are strongly linked to particular theoretical orientations (drive‐conflict, developmental‐arrest, or relational; Mitchell, 1988) (Mendlovic et al , 2017), thus suggesting that the MATRIX discerns between different therapeutic theoretical models. The MATRIX was found to be robust in terms of inter‐rater reliability (κ = 0.876; Mendlovic et al , 2017).…”

Section: Introductionmentioning

confidence: 99%

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Patient–therapist congruent exchanges engaged with the potential‐to‐experience is associated with better outcome of psychotherapy

et al. 2020

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Background. The concept of potential-to-experience is a major component in psychodynamic theory and assumed to be an important component of psychotherapeutic technique. However, as this assumption has never been empirically tested, the relationship between such interventions and treatment outcome is unclear. The aim of this pilot study is to explore the relationship between patient-therapist congruence of potential-to-experience engaged statements and the outcome of psychodynamic treatments.Methods. Transcripts of 90 sessions from good-and poor-outcome treatments (N = 18) were encoded using the MATRIXa novel content analysis tool of psychodynamic psychotherapy. Based on fixed algorithms, this observer-coding system is designed to identify different types of clinical interventions, including those which focus on the potential-to-experience. Total number of MATRIX codes analysed was 11,125. We compared the total congruence/incongruence ratio of such statements in good and poor treatments. The importance of the congruence/incongruence ratio of the potentialto-experience statements was measured by applying general linear models to classify treatment outcome.Results. The congruence/incongruence ratio of the potential-to-experience engaged statements was significantly higher in good treatments. In the best model for classifying treatment outcome based on the congruence/incongruence ratios of several parameters, the congruence/incongruence ratio of the potential-to-experience engaged statements was the single most important predictor.Discussion. Maintaining the congruence of potential-to-experience engaged statements within the therapeutic session is associated with better clinical outcome. This provides an initial empirical indication to the importance of the potential-to-experience discourse in psychotherapy praxis.

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The MATRIX: A deliberate practice approach for clinical supervision in the public sector.

Bar¹,

Doron²,

Bronstein³

et al. 2023

Psychological Services

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Clinical supervision is an essential component of psychotherapeutic practice. However, the literature suggests that the provision of supervision in the public sector has been declining significantly over the past two decades, suggesting that many health care professionals are receiving neither the guidance nor support needed to deliver safe and effective care. Identifying the distinct challenges of supervision in the public sector and proposing prospective solutions is, therefore, a burning issue. In this article, we introduce a novel analytical framework for clinical supervision-the MATRIX-striving to address the unique demands of psychotherapy in the public sector. Various applications of this framework are thoroughly presented and further exemplified using a case illustration. We conclude by discussing the contribution of MATRIX-aided supervision to the acquisition of expert performance in psychotherapy, while also addressing its limitations. Impact StatementMost mental health care systems around the world are facing a chronic lack of resources and are struggling to provide their employees with appropriate supervision. Hence, there is a growing concern that many health care professionals are not receiving the support needed to deliver safe and effective treatment. This article introduces a novel aiding tool for clinical supervision-the MATRIX, striving to optimize the cost-effectiveness of supervisory process. Various applications of this tool are presented, as well as its unique benefits for psychotherapy in public settings.

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The MATRIX, a novel tool exploring dynamic psychotherapy: Preliminary psychometric properties

Cited by 5 publications

References 32 publications

Capturing the Unconscious—The “Psychoanalytic Core Competency Q-Sort”. An Innovative Tool Investigating Psychodynamic Therapeutic Skills

Capturing the Unconscious—The “Psychoanalytic Core Competency Q-Sort”. An Innovative Tool Investigating Psychodynamic Therapeutic Skills

Patient–therapist congruent exchanges engaged with the potential‐to‐experience is associated with better outcome of psychotherapy

The MATRIX: A deliberate practice approach for clinical supervision in the public sector.

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