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Reflective-functioning during the process in brief psychotherapies.

Roger Karlsson1, Amy Kermott

  • 1University of California, Berkeley.

Psychotherapy (Chicago, Ill.)
|November 30, 2011
PubMed
Summary
This summary is machine-generated.

Reflective-functioning (RF), the ability to understand mental states, was studied in psychotherapy. High RF correlated with better treatment outcomes, while low RF was linked to poorer results and personality traits.

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Area of Science:

  • Psychology
  • Psychotherapy Research
  • Clinical Psychology

Background:

  • Reflective-functioning (RF) involves recognizing mental processes in oneself and others.
  • Understanding RF's role as a patient variable in psychotherapy is crucial for treatment optimization.
  • Previous research has not fully elucidated the relationship between RF and specific psychotherapy process components.

Purpose of the Study:

  • To investigate reflective-functioning (RF) as a patient variable in two distinct brief psychotherapy studies.
  • To identify specific psychotherapy process correlates associated with high and low RF.
  • To examine the relationship between RF, treatment outcome, and patient personality characteristics.

Main Methods:

  • Two studies of brief psychotherapy were conducted: one on cognitive-behavioral therapy (CBT) and interpersonal psychotherapy (IPT), the other on psychodynamic psychotherapy (BPDT).
  • The Psychotherapy Process Q-set (PQS) was utilized to identify process correlates linked to high and low RF.
  • Patient RF levels were assessed and tracked throughout the treatment duration.

Main Results:

  • Process correlates associated with high RF demonstrated a good treatment outcome.
  • Process correlates associated with low RF were linked to a poor treatment outcome.
  • Reflective-functioning (RF) levels remained stable or decreased during therapy and were associated with patient personality characteristics.

Conclusions:

  • Reflective-functioning (RF) is a significant patient variable influencing psychotherapy outcomes.
  • Specific therapeutic process components are differentially related to high and low RF.
  • The interplay between RF, personality, and treatment success warrants further investigation in clinical psychology.