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[Forms of therapeutic working relations].

U Porsch1, G Rudolf, T Grande

  • 1Abteilung für Psychotherapie und Psychosomatische Medizin, Universitätsklinikums Charlottenburg, der Freien Universität Berlin.

Zeitschrift Fur Psychosomatische Medizin Und Psychoanalyse
|January 1, 1988
PubMed
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Therapeutic cooperation quality depends on patient factors, not demographics like education or sex. Patient

Area of Science:

  • Psychology
  • Psychiatry
  • Therapeutic Alliance Research

Background:

  • Understanding factors influencing therapeutic cooperation is crucial for effective treatment.
  • Previous research has explored demographic and diagnostic predictors of treatment success.

Purpose of the Study:

  • To identify distinct forms of therapeutic cooperation.
  • To compare these forms with initial diagnostic and prognostic information.
  • To determine predictors of a positive therapeutic working relationship.

Main Methods:

  • Multivariate analysis of therapist and patient evaluations of the working relationship.
  • Comparison of identified cooperation forms with patient history data (age, economic status, illness behavior, education, sex).

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Main Results:

  • Five forms of therapeutic cooperation were identified.
  • Age, economic situation, and illness behavior predicted relationship quality.
  • Education (Yavis hypothesis) and sex did not predict relationship quality.
  • Neurotic interaction patterns, transference readiness, and illness perception were stronger predictors than diagnosis.

Conclusions:

  • Therapeutic cooperation is multifaceted, with distinct identifiable forms.
  • Patient-specific factors, including psychological patterns and perceptions, are key predictors of a successful therapeutic alliance.
  • Demographic factors like education and sex have limited predictive value for therapeutic relationship quality.