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Beyond the Statistics: A Case Comparison Study of Victor and Tim.
Psychoanalytic Psychology ( IF 1.0 ) Pub Date : 2017-10-01 , DOI: 10.1037/pap0000085
Hanne-Sofie Johnsen Dahl , Randi Ulberg , Alice Marble , Glen O. Gabbard , Jan Ivar Røssberg , Per Høglend

The 2 treatments, in this case comparison study, are strategically chosen to illustrate one of many or a result from a randomized controlled study on the long-term effect of transference work (Høglend et al., 2006). Namely, the interaction between transference work, therapists’ self-reported parental countertransference, and patients’ personality pathology that were reported by Dahl et al. (2014). Their findings indicated that transference work in the context of relatively strong parental countertransference was positive for patients meeting criteria for high levels of personality pathology but negative for patients with low levels of personality pathology. To shed light on these results, 2 patients with different levels of personality pathology and divergent long-term results, treated by the same therapist who reported high levels of parental feelings while using transference work in this time-limited dynamic psychotherapy were chosen. Victor and Tim’s treatments fulfilled these conditions and will be presented using interviews and questionnaires from before, during, and after therapy, until 3 years follow-up. The therapeutic interaction is examined with finer grained process analyses, and session transcripts are included to demonstrate how transference work is delivered in this study. This article illustrates treatments behind the statistical analysis. More explicitly it exemplifies how parental countertransference may color transference work for better or worse due to interactions between therapist and patient. The self-reported parental countertransference may be seen as an empathic response leading to new relational experiences and long-term positive change or an enactment leading to repetitions of earlier interpersonal patterns and no change in the long run.

中文翻译:

超越统计:维克多和蒂姆的案例比较研究。

在这个案例比较研究中,这两种治疗方法被策略性地选择来说明转移工作的长期影响的许多随机对照研究中的一种或结果(Høglend 等,2006)。即,移情工作、治疗师自我报告的父母反移情和 Dahl 等人报告的患者人格病理之间的相互作用。(2014)。他们的研究结果表明,在相对强烈的父母反移情背景下,移情工作对于符合高水平人格病理标准的患者是积极的,但对于低水平人格病理的患者则是消极的。为了阐明这些结果,2 名具有不同人格病理水平和不同长期结果的患者,选择由同一位治疗师进行治疗,该治疗师在这种限时动态心理治疗中使用移情工作时报告了高度的父母感受。Victor 和 Tim 的治疗满足这些条件,并将使用访谈和问卷调查从治疗前、治疗中和治疗后到 3 年的随访进行介绍。治疗相互作用通过更细粒度的过程分析进行检查,并包括会话记录以证明移情工作如何在本研究中进行。本文说明了统计分析背后的处理方法。更明确地,它举例说明了由于治疗师和患者之间的相互作用,父母的反移情如何使颜色移情变得更好或更糟。
更新日期:2017-10-01
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