Patient and therapist personality, therapeutic alliance, and overall outcome in brief relational therapy.
Item
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Title
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Patient and therapist personality, therapeutic alliance, and overall outcome in brief relational therapy.
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Identifier
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AAI3159200
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identifier
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3159200
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Creator
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Biscoglio, Regina L.
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Contributor
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Adviser: Paul Wachtel
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Date
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2005
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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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The aim of this study was to explore the relationship between personality, early therapeutic alliance process and overall psychotherapy outcome in 32 patient-therapist dyads engaged in Brief Relational Therapy (BRT). Specifically, the study sought to examine the impact of attachment style and introject quality (as assessed by the Relationship Scale Questionnaire (RSQ, Griffin & Bartholomew, 1994) and the INTREX (Benjamin, 1988), respectively) on psychotherapy process and outcome. Patients were treated at Beth Israel Medical Center, and most met criteria for anxious or depressive personality disorders. Therapeutic alliance process was assessed with questions about perceived tension in the relationship from the Brief Project's Post-Session Questionnaire (PSQ); the Working Alliance Inventory, (WAI-12; Tracey & Kokotovic, 1989); and the Session Evaluation Questionnaire (SEQ; Stiles, 1980; Stiles & Snow, 1984). Outcome measures included the Symptom Checklist-90, Revised (SCL-90-R; Derogatis, 1983); the Inventory of Interpersonal Problems, as rated by patients (IIP-64; Alden, Wiggins, & Pincus, 1990), the Target Complaints measure as completed independently by both patients and therapists (TC; Battle, Imber, Hoehn-Saric, Stone, Nash, & Frank, 1966), and the Global Assessment Scale (GAS; Endicott, Spitzer, Fleiss & Cohen, 1976). An additional focus of the study included the relationship between dyadic personality match and alliance process and overall outcome.;There were few significant findings from this study. Those results that were significant included: higher scores on the Affiliation subscale of the INTREX in therapists were related to positive alliance process; fearful attachment scores on the RSQ in patients were related to negative alliance process. Surprisingly, it was also found that secure attachment in patients and therapists was related to poorer outcome, and fearful and dismissing attachment in patients was related to better outcome. These latter findings can be explained in part by the methodological limitations of the study, including small sample size, and the exclusive use of self-report measures.
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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.
