The aim of this work is to identify the impact of different therapist interventions on in-session shifts in the TA. Methodology We analyzed 150 session transcripts of different therapeutic approaches. We employed a number of measures in a standardized sequence. We describe the most relevant. We applied: CIS (Colli, Lingiardi, 2009) to evaluate therapeutic alliance trends within single sessions.CPPS (Blagys, & Hilsenroth, 2000) to describe both therapist activity and therapeutic style of intervention. First we worked on CIS data sets in order to obtain neutral, negative or positive trends using regression analyses. Then we evaluated how different trends can be explained by therapeutic activity and intervention- style using discriminant analysis. Results suggest the presence of four types of sessions, characterized by different TA trends. Sessions with increasing trends resulted in: positive associations with interventions in which therapist allowed the patient to initiate the discussion, encouraged the discussion of patient fantasies, and early childhood memories and links patient`s feelings to experiences of the past; negative associations with interventions in which therapists interacts in a teacher like manner, actively initiate the topics of discussion and gives explicit advice to the patient.
The impact of therapist interventions on in-session therapeutic alliance shifts
COLLI, ANTONELLO;
2014
Abstract
The aim of this work is to identify the impact of different therapist interventions on in-session shifts in the TA. Methodology We analyzed 150 session transcripts of different therapeutic approaches. We employed a number of measures in a standardized sequence. We describe the most relevant. We applied: CIS (Colli, Lingiardi, 2009) to evaluate therapeutic alliance trends within single sessions.CPPS (Blagys, & Hilsenroth, 2000) to describe both therapist activity and therapeutic style of intervention. First we worked on CIS data sets in order to obtain neutral, negative or positive trends using regression analyses. Then we evaluated how different trends can be explained by therapeutic activity and intervention- style using discriminant analysis. Results suggest the presence of four types of sessions, characterized by different TA trends. Sessions with increasing trends resulted in: positive associations with interventions in which therapist allowed the patient to initiate the discussion, encouraged the discussion of patient fantasies, and early childhood memories and links patient`s feelings to experiences of the past; negative associations with interventions in which therapists interacts in a teacher like manner, actively initiate the topics of discussion and gives explicit advice to the patient.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
