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Related Experiment Videos

Objectivity in psychoanalytic judgements

R P Hobson1, M P Patrick, J D Valentine

  • 1Developmental Psychopathology Research Unit, Tavistock Clinic, London.

The British Journal of Psychiatry : the Journal of Mental Science
|December 16, 1998
PubMed
Summary
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Psychoanalytic judgments of patient-therapist interactions are reliable, showing consistent ratings of interpersonal relations. These findings support the validity of psychoanalytic concepts in clinical practice.

Area of Science:

  • Psychology
  • Psychiatry
  • Psychoanalysis

Background:

  • Skepticism exists regarding the reliability and validity of psychoanalytic judgments in patient-therapist interactions.
  • This study aimed to address this by examining psychotherapists' ratings of interpersonal relations.

Purpose of the Study:

  • To assess the agreement among dynamic psychotherapists in rating psychoanalytically relevant characteristics of subjects' interpersonal relations.
  • To determine if inter-correlations among ratings align with psychoanalytic descriptions of 'paranoid-schizoid' and 'depressive position' states of mind.
  • To investigate whether these ratings can differentiate between borderline and dysthymic groups.

Main Methods:

  • Six trained psychotherapists rated interpersonal relatedness during the initial 30 minutes of 14 videotaped assessment interviews.

Related Experiment Videos

  • Ratings were based on a 30-item 'personal relatedness profile'.
  • Therapists were blind to the study design.

    • Main Results:

    • Satisfactory interrater reliability was achieved among the psychotherapists.
    • Evidence indicated that the rated items were interrelated.
    • A significant difference was found between the borderline and dysthymic subject groups.

    Conclusions:

    • Psychoanalytic judgments regarding interpersonal relatedness can be made reliably.
    • Findings suggest that 'paranoid-schizoid' and 'depressive position' aspects of psychological functioning form a meaningful, clinically grounded constellation.