The current article focuses on client’s perspectives of the mechanisms of change in Dynamic Interpersonal Therapy (DIT), a brief psychodynamic therapy developed for the treatment of depression. Five participants were interviewed and the transcripts were analysed using Interpretative Phenomenological Analysis (IPA). The results point out four subthemes, capturing different active ingredients of DIT: therapy shedding light on previously sealed aspects of self; the relational exchange with the therapist challenging intimate fears; moving towards an interpersonal understanding of their difficulties; and putting the pieces of their lives together into a coherent narrative. Overall participants described an interplay between relational and insight-oriented mechanisms taking place. As part of the former mechanisms, participants reported the development of a secure attachment to their therapist and the provision of a new relational experience, partly via mechanisms corresponding to the concept of transference. Participants reported an increase in insight to have been achieved via an understanding of an interpersonal and emotional pattern as well as via the restoration of a coherent life-story. Processes that theoretically map onto the concept of mentalisation were also reported. The findings are discussed in relation to the DIT and psychodynamic theory about change and to relevant research literature.

中文翻译：

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动态人际关系治疗（DIT）的有效成分：对客户体验的探索

本文主要关注客户对动态人际关系疗法（DIT）的变化机制的观点，动态人际疗法（DIT）是为治疗抑郁症而开发的一种简短的心理动力疗法。采访了五名参与者，并使用解释现象学分析（IPA）分析了笔录。结果指出了四个子主题，它们捕捉了DIT的不同活性成分：疗法使人们对先前封闭的自我有了更多的了解；与治疗师的关系交流挑战了内心的恐惧；在人际关系上理解他们的困难；并将他们的生活片段连成一体。总体参与者描述了关系和面向洞察力的机制之间的相互作用。作为以前机制的一部分，参与者报告了他们与治疗师的牢固依恋关系的发展以及提供新的关系经历的过程，部分是通过与迁移概念相对应的机制进行的。参与者报告说，通过了解人际关系和情感模式以及恢复连贯的生活故事，洞察力得到了提高。还报道了理论上映射到心理化概念的过程。研究结果与DIT和有关变化的心理动力学理论以及相关研究文献进行了讨论。参与者报告说，通过了解人际关系和情感模式以及恢复连贯的生活故事，洞察力得到了提高。还报道了理论上映射到心理化概念的过程。研究结果与DIT和有关变化的心理动力学理论以及相关研究文献进行了讨论。参与者报告说，通过了解人际关系和情感模式以及恢复连贯的生活故事，洞察力得到了提高。还报道了理论上映射到心理化概念的过程。研究结果与DIT和有关变化的心理动力学理论以及相关研究文献进行了讨论。