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Formulating transference in cognitive and dynamic psychotherapies using role relationship models.

Mardi J Horowitz1, Birgit Möller

  • 1University of California San Francisco, California, USA. Mjhoro@comcast.net

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Configurational analysis, using the Role Relationships Model Configuration (RRMC), aids therapists in understanding transference. This structured approach proved beneficial for both psychodynamic and cognitive-behavioral therapists.

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Area of Science:

  • Psychology
  • Psychotherapy Research
  • Clinical Psychology

Background:

  • Transference phenomena are central to various psychotherapy orientations.
  • Organizing and understanding transference patterns can be challenging for clinicians.
  • Existing methods for formulating transference may lack a universally applicable structure.

Purpose of the Study:

  • To evaluate the utility of Configurational Analysis, specifically the Role Relationships Model Configuration (RRMC), for organizing transference formulations.
  • To compare the usefulness of the RRMC across different therapeutic orientations (psychodynamic and cognitive-behavioral).
  • To assess therapists' perceptions of the RRMC's effectiveness in identifying and describing transference patterns.

Main Methods:

  • Interviewed 41 experienced psychotherapists (24 psychodynamic, 17 cognitive-behavioral).
  • Therapists rated patient transference on predefined scales and described it narratively.
  • Therapists then formulated patient transference using the Role Relationships Model Configuration (RRMC) format.

Main Results:

  • Both psychodynamic and cognitive-behavioral therapists reported similar levels of positive and negative transference reactions.
  • A significant majority of therapists (92.7%) found the RRMC format moderately to very useful.
  • The RRMC facilitated the identification and description of transference and relationship patterns.

Conclusions:

  • Configurational analysis, via the RRMC, offers a structured and effective method for formulating transference.
  • The RRMC is valuable for psychotherapists across diverse theoretical orientations.
  • This structured approach enhances the clinical understanding of patient transference and relationship dynamics.