A major neglected area of psychodynamic psychotherapy research is the target of the proposed study: To determine the extent to which the quality of interpretive interventions by the therapist are associated with (1) patient improvement from psychotherapy, and (2) gains in self-understanding (insight) which are in turn related to global benefits from treatment. Secondary aims of this project are to examine whether the impact of therapist interpretations are moderated by (1) the level of the patient's overall psychological adjustment and (2) the formation of a positive helping alliance. These questions will be addressed in data from two large samples: 60 patients from the Penn Psychotherapy Project and (for cross-validation purposes) 40 patients from the Penn Re-Pairing Study. An extensive outcome assessment and tape recordings of all sessions exist for these patients. Several sessions per patient will be scored for measures of the therapist's response to the patient's main communications, the extent to which the therapist effectively responds to the patient's core conflictual relationship theme, the extent to which the therapist is following recommended guidelines for psychoanalytically oriented psychotherapy, and a measure of errors in technique. Also assessed will be the patient's response to therapist interpretations, especially in terms of insight into aspects of the core conflictual theme. This study represents a unique opportunity to address these important questions in two samples of relatively long-term psychodynamic psychotherapy.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
2R01MH040472-03
Application #
3378700
Study Section
Treatment Development and Assessment Research Review Committee (TDA)
Project Start
1985-07-01
Project End
1990-06-30
Budget Start
1987-09-01
Budget End
1988-06-30
Support Year
3
Fiscal Year
1987
Total Cost
Indirect Cost
Name
University of Pennsylvania
Department
Type
Schools of Medicine
DUNS #
042250712
City
Philadelphia
State
PA
Country
United States
Zip Code
19104
Crits-Christoph, Paul; Gibbons, Mary Beth Connolly; Temes, Christina M et al. (2010) Interpersonal accuracy of interventions and the outcome of cognitive and interpersonal therapies for depression. J Consult Clin Psychol 78:420-8
Crits-Christoph, P; Connolly, M B (1999) Alliance and technique in short-term dynamic therapy. Clin Psychol Rev 19:687-704
Gladis, M M; Gosch, E A; Dishuk, N M et al. (1999) Quality of life: expanding the scope of clinical significance. J Consult Clin Psychol 67:320-31
Connolly, M B; Crits-Christoph, P; Demorest, A et al. (1996) Varieties of transference patterns in psychotherapy. J Consult Clin Psychol 64:1213-21
Crits-Christoph, P; Demorest, A; Muenz, L R et al. (1994) Consistency of interpersonal themes for patients in psychotherapy. J Pers 62:499-526
Crits-Christoph, P; Cooper, A; Luborsky, L (1988) The accuracy of therapists' interpretations and the outcome of dynamic psychotherapy. J Consult Clin Psychol 56:490-5