A method for assessing patient work in the transference.
Item
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Title
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A method for assessing patient work in the transference.
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Identifier
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AAI3074645
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identifier
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3074645
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Creator
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DeMichele, Annette Regina.
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Contributor
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Adviser: Paul Wachtel
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Date
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2003
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Language
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English
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Publisher
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City University of New York.
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Subject
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Psychology, Clinical
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Abstract
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This study involves the development and application of a new research measure aimed at tracking patient work in the transference. Unlike existing transference-related measures that formulate central relationship patterns or dynamic themes, the measure developed here codes patient associations on the basis of whether, and how directly, the patient speaks about reactions to the analyst or the treatment situation.;An existing measure, the Patient's Experience of the Relationship with the Therapist (PERT), was used as a starting point (Gill and Hoffman, 1982). Although PERT is the only other measure that attempts to map onto the moment to moment manifestation of the transference in the unfolding analytic process, it has been little used in psychotherapy research, largely due to problems in attaining interrater reliability. A significant modification that was made to the PERT scheme was to replace its central feature of coding implicit allusions to the transference with a variable intended to capture the indirect, often fleeting, references patients make to the analyst or the treatment. Such references may well signify the same kind of clinical process PERT was uniquely poised to detect, without the level of inference and subjectivity inherent in that coding scheme.;The measure created in this study, Verbal Indicators of the Transference (VIT), was applied by two independent raters to thirty-six sessions taken from the early, middle and late phases of three recorded psychoanalyses. Reliability was assessed and ratings support the viability of the measure. In addition, two exploratory hypotheses concerning the effects of focusing analytic work on the transference were tested. Findings indicate that in the sessions under study the most productive kind of therapeutic interaction was one in which the patient referred to the analyst or treatment and the analyst followed with a transference interpretation, as compared to clinical sequences where the patient referred to the analyst or treatment but the analyst did not encourage elaboration, or sequences where there was no indication that the transference was live for the patient but the analyst introduced it.
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Type
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dissertation
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Source
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PQT Legacy CUNY.xlsx
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degree
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Ph.D.
