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Discourse patterns in "good" and troubled hours: a multiple code interpretation

W Bucci1

  • 1Derner Institute, Adelphi University, Garden City, NY 11530, USA. Bucci@panther.adelphi.edu

Journal of the American Psychoanalytic Association
|January 1, 1997
PubMed
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Multiple code theory, analyzing cognitive psychology, emotion, and development, identifies three thought modes. Computer analysis of psychoanalysis transcripts reveals patient themes and treatment dynamics.

Area of Science:

  • Psychology
  • Cognitive Science
  • Psychoanalysis

Background:

  • Multiple code theory offers a framework for psychological organization, integrating cognitive psychology, emotion, and developmental research.
  • It expands on Freud's concepts of non-conscious thought, identifying three distinct modes: subsymbolic nonverbal, symbolic nonverbal, and symbolic verbal.
  • The theory addresses both adaptive functioning and psychological pathology.

Purpose of the Study:

  • To apply computer-assisted assessment procedures derived from multiple code theory to analyze a long-term psychoanalysis.
  • To identify central patient themes and evaluate the impact of analyst interventions.
  • To enable more rigorous comparisons of different clinical perspectives and uncover previously unemphasized patient material.

Main Methods:

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  • Utilized computer-assisted procedures to analyze verbatim transcripts from a fully recorded, long-term psychoanalysis.
  • Assessed three forms of thought: subsymbolic nonverbal, symbolic nonverbal, and symbolic verbal.
  • Examined discourse patterns in early and later sessions to understand treatment progression and potential disruptions.

Main Results:

  • The analysis identified central themes within the patient's material, including previously underemphasized affiliative themes.
  • Evaluation of analyst interventions indicated their role in facilitating or impeding patient exploration.
  • Discourse patterns in an early session successfully predicted patterns in the overall treatment, while later patterns suggested potential disruption.

Conclusions:

  • Computer-assisted analysis using multiple code theory provides a rigorous method for understanding psychoanalytic processes.
  • The findings highlight the importance of identifying specific thought modes and their evolution during therapy.
  • The study underscores the value of multiple code theory in uncovering nuanced aspects of patient experience and therapeutic dynamics.