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A scale for rating suitability for insight-oriented psychotherapy.

G Persson, J E Alström

Acta Psychiatrica Scandinavica

|August 1, 1983

Summary

A new 24-scale instrument helps identify patients suitable for insight-oriented psychotherapy. Key factors include environmental influences, symptom variability, self-confidence, and psychodynamic formulation focus for better treatment selection.

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Area of Science:

Psychiatry
Psychology

Background:

Identifying suitable candidates for insight-oriented psychotherapy is crucial for treatment success.
Existing methods may not fully capture the nuances of patient suitability.

Purpose of the Study:

To describe and evaluate a novel instrumental tool for rating patient suitability for insight-oriented psychotherapy.
To assess the reliability and validity of this new instrument.

Main Methods:

Development of a 24-scale instrument based on Dewald's factors, with each scale having 5 steps.
Inter-rater reliability was assessed in 25 cases.
Construct validity was examined by comparing suitable (I) and not suitable (NI) patient groups (29 pairs).

Main Results:

Eleven scales demonstrated inter-rater reliability greater than 0.60.
Four subscales significantly correlated with suitability: environmental factors, symptom variability, self-confidence, and psychodynamic formulation focus.
Suitable patients had higher social class, dominance, lower neuroticism, better therapist experience, lower symptom intensity, and improved more with unspecific treatments, though differences were small.

Conclusions:

The developed instrument shows promise in identifying patients for insight-oriented psychotherapy.
Further refinement may be needed to improve predictive validity, considering rater perspectives and global variable nature.

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