To investigate through the prototype methodology as well as the interaction structures methodology which are the factors involved in the psychotherapeutic progress in the treatment of a patient with chronic diseases and somatic symptoms. 62 of the total 120 videotaped sessions were analysed by independent judges using the Psychotherapy Process Q-Set. The interaction structures as well as the extent to which each session conformed to the ideal psychodynamic, cognitive behavioural therapy (CBT) and reflective function prototypes were evaluated through multiple regression analysis, in order to test which factors were able to predict therapeutic progress. The psychotherapeutic process was characterized by moderate adherence to both psychodynamic and CBT prototypes and by greater adherence to the reflective function prototype. The therapeutic progress was better predicted by the adherence to the psychodynamic prototype. Both the psychodynamic technique and the reflective function were prominent factors in this case. Mentalization has been considered a “common factor” among different psychotherapeutic approaches, and our results highlight the importance of considering it along with specific technical aspects. Examining elements of the therapeutic process focusing on the complex interaction among these different aspects can provide helpful new insights into the process factors associated with a favourable outcome.

中文翻译：

---

心理动力学因素作为心身谱患者治疗结果的预测指标

通过原型方法和交互结构方法研究慢性疾病和躯体症状患者的心理治疗进展中涉及的因素。独立评委使用心理治疗过程 Q-Set 分析了总共 120 个录像会话中的 62 个。通过多元回归分析评估交互结构以及每个会话符合理想心理动力学、认知行为疗法 (CBT) 和反射功能原型的程度，以测试哪些因素能够预测治疗进展。心理治疗过程的特点是对心理动力学和 CBT 原型的适度坚持以及对反思功能原型的更大程度的坚持。坚持心理动力学原型可以更好地预测治疗进展。在这种情况下，心理动力学技术和反射功能都是突出的因素。心理化被认为是不同心理治疗方法中的“共同因素”，我们的结果强调了将心理化与特定技术方面一起考虑的重要性。检查治疗过程的要素，关注这些不同方面之间复杂的相互作用，可以为与有利结果相关的过程因素提供有用的新见解。心理化被认为是不同心理治疗方法中的“共同因素”，我们的结果强调了将心理化与特定技术方面一起考虑的重要性。检查治疗过程的要素，关注这些不同方面之间复杂的相互作用，可以为与有利结果相关的过程因素提供有用的新见解。心理化被认为是不同心理治疗方法中的“共同因素”，我们的结果强调了将心理化与特定技术方面一起考虑的重要性。检查治疗过程的要素，关注这些不同方面之间复杂的相互作用，可以为与有利结果相关的过程因素提供有用的新见解。