Both classical and contemporary psychoanalytic theories stress the importance of interpersonal dynamics in treating neurotic symptoms. Associations between the symptomatic and interpersonal level were formally represented in the symptom specificity hypothesis (Blatt, 1974, 2004), which linked obsessional symptoms to an autonomous interpersonal stance. Findings from cross-sectional group studies on symptom specificity, however, do not converge, possibly indicating that the complexity of associations is underestimated. This article presents a theory-building case study specifically aiming at refinement of the classical symptom specificity hypothesis by quantitatively and qualitatively describing the longitudinal clinical interplay between obsessional symptoms and interpersonal dynamics throughout a psychodynamic psychotherapy. Interpersonal functioning was assessed by means of the core conflictual relationship theme method (Luborsky & Crits-Cristoph, 1998). Findings affirm a close association between symptoms and interpersonal dynamics. However, obsessional symptoms proved to be determined by profound ambivalences—manifesting both within and between relationships—between dependent and autonomous interpersonal behavior. Psychodynamic interventions focusing on interpersonal conflicts were associated with symptomatic alterations. Conceptual and methodological considerations, limitations and future research indications are discussed.

中文翻译：

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强迫症状与人际动态之间的相互作用：经验性单一案例研究。

古典和当代的精神分析理论都强调了人际关系动力学在治疗神经症症状中的重要性。症状特异性假设 (Blatt, 1974, 2004) 正式表示了症状和人际关系水平之间的关联，该假设将强迫症状与自主的人际关系立场联系起来。然而，关于症状特异性的横断面小组研究的结果并没有收敛，这可能表明关联的复杂性被低估了。本文提出了一个理论构建案例研究，专门旨在通过定量和定性地描述整个心理动力学心理治疗中强迫症状和人际关系动力学之间的纵向临床相互作用来完善经典症状特异性假设。通过核心冲突关系主题方法（Luborsky & Crits-Cristoph, 1998）评估人际功能。研究结果证实了症状和人际关系动态之间的密切关联。然而，强迫症状被证明是由依赖和自主的人际行为之间的深刻矛盾决定的——表现在关系内部和关系之间。关注人际冲突的心理动力学干预与症状改变有关。讨论了概念和方法的考虑、局限性和未来的研究指示。强迫症状被证明是由依赖和自主的人际行为之间的深刻矛盾决定的——表现在关系内部和关系之间。关注人际冲突的心理动力学干预与症状改变有关。讨论了概念和方法的考虑、局限性和未来的研究指示。强迫症状被证明是由依赖和自主的人际行为之间的深刻矛盾决定的——表现在关系内部和关系之间。关注人际冲突的心理动力学干预与症状改变有关。讨论了概念和方法的考虑、局限性和未来的研究指示。