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First Validation of the Referential Process Post-Session Scale - Therapist Version (RPPS-T).

Attà Negri1, Giovanbattista Andreoli1, Rachele Mariani2

  • 1Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy.

Clinical Neuropsychiatry
|December 15, 2021
PubMed
Summary
This summary is machine-generated.

A new therapist self-report questionnaire, the Referential Process Post-session Scale - Therapist version (RPPS-T), effectively measures phases of the referential process in psychotherapy. This tool offers a time-efficient alternative to transcription-based linguistic measures for research and supervision.

Keywords:
Referential Process Post-session Scalemultiple code theoryreferential activityreferential processreflection and reorganization function

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Area of Science:

  • Psychology
  • Psychotherapy research
  • Clinical psychology

Background:

  • Bucci's multiple code theory outlines three phases of the referential process in significant therapeutic change: emotion schema arousal, symbolizing/narrating, and reflecting/reorganizing.
  • Current methods for monitoring these phases rely on computerized linguistic analysis of session transcripts, which is time-consuming.

Purpose of the Study:

  • To develop and validate a therapist self-report questionnaire, the Referential Process Post-session Scale - Therapist version (RPPS-T), as a less time-consuming measure of the referential process phases.
  • To assess the psychometric properties and concurrent validity of the RPPS-T.

Main Methods:

  • Three studies were conducted involving psychotherapists completing the RPPS-T after sessions.
  • Exploratory and confirmatory factor analyses were used to evaluate the scale's structure.
  • Correlations were calculated between RPPS-T scores and computerized linguistic measures derived from transcribed sessions.

Main Results:

  • An initial 42-item scale was reduced to 12 items based on exploratory factor analysis, revealing a four-factor structure.
  • Confirmatory factor analysis supported the four-factor model in a separate dataset.
  • The RPPS-T factors, particularly for the symbolizing phase, showed significant correlations with corresponding computerized linguistic measures.

Conclusions:

  • The RPPS-T is a valid concurrent measure of the referential process, especially the symbolizing phase.
  • The RPPS-T is a potentially useful and efficient instrument for psychotherapy research and clinical supervision.