The therapeutic alliance in psychodynamic psychotherapy: Theoretical conceptualizations and research findings.

Psychotherapy ◽  
1999 ◽  
Vol 36 (4) ◽  
pp. 329-342 ◽  
Author(s):  
Avgi Saketopoulou
Keyword(s):  
Therapeutic Alliance ◽  
Psychodynamic Psychotherapy ◽  
Research Findings

Research Developments on the Therapeutic Alliance in Psychodynamic Psychotherapy

2003 ◽  
Vol 23 (2) ◽  
pp. 332-349 ◽  
Author(s):  
Paul Crits-Christoph ◽  
Mary Beth Connolly Gibbons
Keyword(s):  
Therapeutic Alliance ◽  
Psychodynamic Psychotherapy

Foundational Techniques Part II

2019 ◽  
pp. 102-113
Author(s):  
Brian A. Sharpless
Keyword(s):  
Therapeutic Alliance ◽  
Psychodynamic Psychotherapy ◽  
Personal History ◽  
Adaptive Behaviors ◽  
General Knowledge ◽  
Self Disclosure ◽  
Personality Organization ◽  
Social Conventions ◽  
Professional Boundaries

This second chapter on foundational techniques begins with a discussion of how psychodynamic therapists typically behave. These behaviors often differ markedly from normal social conventions but help maintain professional boundaries and a therapeutic focus on the patient. An example of this is therapist ambiguity, or limiting the patient’s general knowledge about the therapist’s personal history and beliefs (e.g., limiting reciprocal self-disclosure). Another example is psychodynamic abstinence, or not gratifying the patient’s unhealthy wishes or desires. Technical neutrality is also considered in the context of the patient’s level of personality organization but, in general, consists of taking a nonjudgmental stance. Finally, therapists model healthy and adaptive behaviors for their patients (e.g., thoughtfulness, honesty). The second section of this chapter focuses on how to begin a course of psychodynamic psychotherapy. Therapy contracts, the therapeutic alliance, and ways to socialize patients into treatment are all discussed.

scholarly journals What is the appropriate time to measure outcome and process factors in psychodynamic psychotherapy?

2019 ◽  
Vol 41 (2) ◽  
pp. 112-120
Author(s):  
Camila Piva Da Costa ◽  
Carolina Stopinski Padoan ◽  
Simone Hauck ◽  
Stefania Pigatto Teche ◽  
Cláudio Laks Eizirik
Keyword(s):  
Cohort Study ◽  
Therapeutic Alliance ◽  
Interpersonal Relationships ◽  
Psychodynamic Psychotherapy ◽  
Interpersonal Relations ◽  
Social Role ◽  
Effect Sizes ◽  
Moderate Effect ◽  
Process Factors

Abstract Introduction Different instruments and methods for measuring factors related to the progress and effectiveness of psychodynamic psychotherapy (PDT) have been widely discussed in the literature. However, there are no established guidelines on the most appropriate time to perform these measurements. Objectives The aim of this study is to problematize what is the appropriate time to measure the initial outcomes (symptoms, interpersonal relationships, quality, and social role) and process factors (alliance) in the early stages of PDT. Methods A naturalistic cohort study was conducted, following 304 patients during the first six months of psychotherapy. The therapeutic alliance was evaluated after four sessions; symptoms, interpersonal relationships, and social role were evaluated at intake and after 12 and 24 sessions. Results Our results indicate that four sessions were sufficient to measure the bond dimension of the therapeutic alliance, while more time is probably needed to adequately measure other aspects of the therapeutic alliance, such as tasks and goals. However, 12 sessions of treatment proved sufficient to detect improvements in all dimensions of the outcome instruments with moderate effect sizes, and those gains were stable at the 24th session. Conclusion According to our findings, 12 sessions seem to be sufficient to assess initial gains in PDT, although more studies are needed to evaluate the appropriate time to assess all aspects of the therapeutic alliance. Further studies are also required to evaluate the appropriate time to assess intermediate and long-term progress with regard to symptoms, interpersonal relations, social role and personality reorganization.

Including Parents of Children and Adolescents in Dynamic Psychotherapy of Anxiety

2018 ◽  
Author(s):  
Sabina E. Preter ◽  
Theodore Shapiro ◽  
Barbara Milrod
Keyword(s):  
Parent Involvement ◽  
Therapeutic Alliance ◽  
Children And Adolescents ◽  
Psychodynamic Psychotherapy ◽  
Parent Participation ◽  
Child And Adolescent ◽  
Dynamic Psychotherapy ◽  
Adolescent Anxiety ◽  
Letting Go

Chapter 5 focuses on the nature and meaning of parent involvement in child and adolescent anxiety psychodynamic psychotherapy (CAPP). Most of CAPP is conducted with the therapist and child or teen alone. The importance of parent participation relates to the practical and natural developmental dependence of the child on the parent, as well as the importance of a solid therapeutic alliance with the parents, which is essential to sustain and maintain the treatment of the youngster. Separation anxious parents are sometimes conflicted about letting go of the child and allowing a relationship to develop with the therapist that largely excludes the parent. It is important for the therapist to be aware of such tendencies in parents so that they can be addressed when they occur and will not interfere with treatment. Specific guidelines are described regarding working with younger children and working with parents of teens.

scholarly journals The early impact of therapeutic alliance in brief psychodynamic psychotherapy

2003 ◽  
Vol 25 (2) ◽  
pp. 78-86 ◽  
Author(s):  
José Alvaro Marques Marcolino ◽  
Eduardo Iacoponi
Keyword(s):  
Therapeutic Alliance ◽  
Working Alliance ◽  
Psychodynamic Psychotherapy ◽  
Self Report ◽  
Psychotherapy Outcomes ◽  
Brief Psychotherapy ◽  
The Third ◽  
Hamilton Anxiety Scale ◽  
The Impact ◽  
Psychotherapy Program

INTRODCTION: Therapeutic alliance is a key component of the psychotherapeutic process. This study estimated the impact of the therapeutic alliance as measured by CALPAS-P in an individual brief psychodynamic psychotherapy program. METHODS: To study the impact of the therapeutic alliance patients in psychotherapy answered to the CALPAS-P at the first and third session and to the Self-report Questionnaire (SRQ-20), to the Beck Depression Inventory (BDI) and to the Hamilton Anxiety Scale at the beginning and at the end of psychotherapy. RESULTS: The study of the impact of the therapeutic alliance in brief psychodynamic psychotherapy showed that higher TUI scores in the first session were significantly associated to the improvement on the BDI. Patients with best scores in the working alliance, measured at the third PWC session had also significant symptomatic changes. DISCUSSION: The study of the impact of the therapeutic alliance in brief psychotherapy indicated that patients who perceived that their therapists had the best capability to understand and to be involved in their issues had best results in reducing depressive symptoms and patients with higher capability to form the working alliance reached the best psychotherapy outcomes.

Psychotherapy: Psychodynamic

2018 ◽  
Author(s):  
Glen O. Gabbard
Keyword(s):  
Therapeutic Alliance ◽  
Psychodynamic Psychotherapy ◽  
Traumatic Experience ◽  
Systematic Research ◽  
Limited Data ◽  
Valuable Alternative ◽  
The Individual ◽  
The Way

Because of the limited data in support of psychodynamic psychotherapy, it is best considered as an alternative to empirically-validated therapies that is useful when standard forms of treatment are not desired or not effective. Recent reports have noted that many PTSD patients cannot tolerate the approaches of CPT or PE. Psychodynamic psychotherapy is a valuable alternative because the development of the therapeutic alliance may be crucial for patients to participate actively in the treatment. The psychodynamic perspective focuses on what is unique and idiosyncratic about the individual rather than how that individual is similar to other groups of patients. The specific meanings of the trauma, the defenses brought to bear to deal with the trauma, and the way the traumatic experience affects the individual’s relationships are all major foci of the treatment. Attention to rupture and repair of the therapeutic alliance may be crucial for the success of the therapy. Much more systematic research is required to support the value of this modality.

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