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Examining the relationship between object relations and interpersonal distress in a clinical sample
1Derner School of Psychology, Adelphi University, Garden City, New York, USA.
Patients with greater interpersonal difficulties reported lower self-esteem and more negative relationship expectations in psychotherapy. This study explored object relational functioning and interpersonal vulnerabilities in outpatients.
Area of Science:
- Psychology
- Psychotherapy Research
- Clinical Psychology
Background:
- Interpersonal difficulties are common in patients with mood and personality disorders.
- Assessing object relational functioning and interpersonal vulnerabilities is crucial for effective psychotherapy.
Purpose of the Study:
- To explore the relationship between clinician-rated object relational functioning and patient-reported interpersonal vulnerabilities.
- To examine how these factors relate to patient experiences in psychodynamic psychotherapy.
Main Methods:
- 112 outpatients completed the Inventory of Interpersonal Problems-64 (IIP-64) before treatment.
- Clinicians rated object relational functioning using the Social Cognition and Object Relations Scale-Global Ratings (SCORS-G) during evaluations and early therapy sessions.
Main Results:
- A significant negative correlation was found between IIP-64 scores and SCORS-G ratings for Self-Esteem and Affective Quality of Representations.
- Patients reporting greater interpersonal problems had lower self-worth and perceived others more negatively.
Conclusions:
- Patient-reported interpersonal problems are associated with poorer self-esteem and more negative relational perceptions in psychotherapy.
- The SCORS-G and IIP-64 are valuable tools for assessing patient relational functioning from different perspectives.
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