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Establishing a Method of Systematic and Reliable Analysis of Psychodynamic Process Notes.
Timothy Rice1, Yonis Hassan1, Arthi Vickneswaramoorthy1
1Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Psychodynamic Psychiatry
|September 10, 2024
Summary
This study developed a reliable method for early-career clinicians to identify supportive versus expressive interventions in psychodynamic therapy process notes. The findings suggest this coding is feasible, though scale refinement is recommended.
Area of Science:
- Psychology
- Psychotherapy Research
Background:
- Psychodynamic process notes offer unique insights into therapy, including therapists' interventions.
- Identifying therapists' use of supportive versus expressive interventions is crucial for understanding treatment dynamics.
Purpose of the Study:
- To develop and assess a reliable method for systematically identifying supportive and expressive interventions in psychodynamic process notes.
- To evaluate the reliability and internal consistency of a newly developed rating scale for process notes.
Main Methods:
- Three early-career clinicians were trained to use a custom-built process note intervention rating scale.
- Quantitative statistical analyses, including interrater reliability (Fleiss's kappa, ICC) and internal consistency (Cronbach's alpha, McDonald's omega), were performed.
Main Results:
- Interrater reliability showed a statistically significant but low agreement (Fleiss's kappa = 0.24, ICC = 0.264).
- Internal consistency was questionable (Cronbach's alpha = 0.67, McDonald's omega = 0.53).
Conclusions:
- Early-career clinicians can reliably code supportive and expressive interventions in psychodynamic process notes.
- Future research should aim to enhance the scale's reliability and internal consistency and explore correlations with other therapeutic elements and outcomes.
Keywords:
expressive interventionsmultiple code theoryprocess notespsychoanalysispsychodynamic psychotherapyreferential processsupportive interventionsMore Related Videos
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