This study examines the construct validity of the Social Cognition and Object Relations Scale–Global Rating Method (SCORS-G; Westen, 1995; see also Stein & Mulford, 2018) by exploring the degree of convergence across different narrative sources (i.e., early memories [EM] and psychotherapy narratives [PT]) in relation to patient- and therapist-rated psychotherapy process measures. Using a university-based outpatient sample (n = 81), we found limited convergence for SCORS-G ratings across narrative type. First, paired t tests showed that the means for six of the eight SCORS-G dimensions differed significantly between the EM and PT narratives with the majority having a large magnitude of effect. Moreover, despite 29 significant correlations between a SCORS-G dimension and either an alliance or session quality variable, only two of the eight SCORS-G dimensions significantly correlated with the same process variable across narrative type (e.g., patient-rated session depth with SCORS-G Self Esteem [SE] and Identity and Coherence of Self [ICS]). Importantly, the high degree of theoretical coherence in the associations that emerged between the SCORS-G dimensions and the process variables suggest that the lack of convergence was not due to limited validity of the SCORS-G. Instead, the results underscore the importance of multi-method assessment techniques by highlighting that the manner in which a narrative is elicited will impact the object relational content patients provide. Future research and clinical implications related to the SCORS-G, alliance and psychotherapy process are discussed.

中文翻译：

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叙事来源如何影响社会认知和客体关系量表——全球评级方法与心理治疗过程测量的评级趋同

本研究通过探索不同叙事来源（即早期记忆[EM] 和心理治疗叙述 [PT]）与患者和治疗师评定的心理治疗过程测量有关。使用基于大学的门诊样本 ( n  = 81)，我们发现跨叙事类型的 SCORS-G 评级收敛有限。一、配对t测试表明，八个 SCORS-G 维度中的六个的均值在 EM 和 PT 叙述之间存在显着差异，其中大多数具有很大的影响。此外，尽管 SCORS-G 维度与联盟或会话质量变量之间存在 29 个显着相关性，但 8 个 SCORS-G 维度中只有两个与跨叙事类型的相同过程变量显着相关（例如，患者评分会话深度与 SCORS -G 自尊 [SE] 和自我的认同与连贯性 [ICS]）。重要的是，SCORS-G 维度和过程变量之间出现的关联的高度理论一致性表明，缺乏收敛性并不是由于 SCORS-G 的有效性有限。反而，结果通过强调引出叙述的方式将影响患者提供的对象关系内容，强调了多方法评估技术的重要性。讨论了与 SCORS-G、联盟和心理治疗过程相关的未来研究和临床意义。