This paper presents a comparison between a clinical evaluation and a computerized linguistic analysis of the treatment notes of the first two years of an analysis conducted four sessions a week with the patient lying on a couch. Clinical notes had been written as part of the analyst’s standard practice after every session, some years prior to the planning of this study. The notes describe the analytic interchange and the analyst’s internal thoughts. The linguistic analysis focuses on two analytically relevant linguistic variables: Referential Activity (RA), a measure of the degree of connection between emotional processing and language, and Reflection, the use of words referring to thoughts. The examination of the linguistic measures point to overlooked parts of sessions which may be clinically significant. In particular, the examination of the clinical material during the nodal points of the first summer break, where significant changes in the linguistic measures were seen, provided clinical understanding of the analytic work that was not explicitly noted at the time of treatment. This method has the potential to be utilized in ongoing treatments and to improve the supervisory process.

本文介绍了临床评估和前两年治疗笔记的计算机化语言分析之间的比较，每周对躺在沙发上的患者进行四次分析。在计划本研究之前几年，临床笔记已作为分析员在每次会议后的标准实践的一部分编写。这些笔记描述了分析交流和分析师的内部想法。语言分析侧重于两个分析相关的语言变量：参考活动 (RA)，衡量情绪处理与语言之间的联系程度，以及反射，使用指代思想的词语。语言措施的检查指出了可能具有临床意义的会议中被忽视的部分。尤其，在第一个暑假的节点期间对临床材料的检查，可以看到语言措施的显着变化，提供了对治疗时未明确指出的分析工作的临床理解。这种方法有可能被用于正在进行的治疗并改进监督过程。