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Updated: May 28, 2026

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Functional Near-Infrared Spectroscopy Hyperscanning Study in Psychological Counseling
Published on: January 17, 2025
Change in the core conflictual relationship theme after long-term dynamic psychotherapy
Alexander Wilczek1, Robert M Weinryb, Jacques P Barber
1a Karolinska Institutet.
Summary
Long-term dynamic psychotherapy improved relationship pattern flexibility and positive responses, though core conflictual relationship themes remained largely unchanged. This study offers insights into psychotherapeutic outcomes.
Area of Science:
- Psychology
- Psychotherapy Research
Background:
- Dynamic psychotherapy is a long-term treatment approach.
- Understanding changes in relationship patterns is crucial for assessing treatment efficacy.
Purpose of the Study:
- To investigate alterations in central relationship patterns following extended dynamic psychotherapy.
- To assess changes using the core conflictual relationship theme (CCRT) method.
Main Methods:
- Naturalistic study design.
- Assessment of relationship patterns before and after therapy using the CCRT method.
- CCRT components: wish, response from others, response of self.
Main Results:
- No substantial change in the main core conflictual relationship theme (CCRT).
- Increased patient flexibility in wishes and negative responses.
- Increased frequency of positive responses from self and others.
Conclusions:
- Long-term dynamic psychotherapy can enhance flexibility and positive relational experiences.
- These relational improvements are infrequently linked to symptom or character pathology changes.
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