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Transference interventions and the process between therapist and patient.

Randi Ulberg1, Svein Amlo2, Kenneth L Critchfield3

  • 1Vestfold Hospital Trust.

Psychotherapy (Chicago, Ill.)
|March 19, 2014
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Summary

Researchers developed the Transference Work Scale (TWS) to measure psychodynamic psychotherapy interventions. This new scale helps analyze transference work, potentially predicting patient response and treatment outcomes.

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Area of Science:

  • Psychology
  • Psychotherapy Research

Background:

  • Transference interpretation is central to psychodynamic psychotherapy.
  • The effectiveness of transference interventions depends on intervention characteristics and context.

Purpose of the Study:

  • To develop and validate a therapy process rating scale (Transference Work Scale; TWS) for assessing work with transference.
  • To explore the relationship between transference intervention characteristics and patient response.

Main Methods:

  • Development and application of the Transference Work Scale (TWS) with subscales for timing, content, and valence.
  • Scoring of 10-minute transcribed segments from 51 patients by two independent raters.
  • Concurrent rating of clinical examples using the Structural Analysis of Social Behavior (SASB).

Main Results:

  • The Transference Work Scale demonstrated good to excellent interrater reliability.
  • TWS and SASB were found to be complementary tools for analyzing transference.
  • Initial findings suggest TWS can explore the interplay of timing, category, and valence in predicting patient response.

Conclusions:

  • The Transference Work Scale is a potentially valuable tool for psychodynamic psychotherapy research.
  • TWS can aid in understanding how specific aspects of transference work influence patient outcomes.
  • Further research can utilize TWS to investigate the prediction of in-session patient response and overall treatment success.