Interaction structures in the psychodynamic psychotherapy of a patient with chronic diseases and somatic symptoms

Abstract Objective This study aimed to identify and analyze the interaction structures (ISs) (patterns of reciprocal interaction between the patient-therapist dyad) that characterize the process of a successful long-term psychodynamic psychotherapy (28 months) of a patient with chronic diseases (l...

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Main Authors: Pricilla Braga Laskoski, Simone Hauck, Stefania Pigatto Teche, Carolina Stopinski Padoan, Alcina Juliana Soares Barros, Fernanda Barcellos Serralta, Cláudio Laks Eizirik
Format: Article
Language:English
Published: Associação de Psiquiatria do Rio Grande do Sul
Series:Trends in Psychiatry and Psychotherapy
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892019000200128&lng=en&tlng=en
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spelling doaj-c3711682f25c40a887ef078b12b130882020-11-25T00:47:57ZengAssociação de Psiquiatria do Rio Grande do SulTrends in Psychiatry and Psychotherapy2238-001941212813510.1590/2237-6089-2017-0146S2237-60892019000200128Interaction structures in the psychodynamic psychotherapy of a patient with chronic diseases and somatic symptomsPricilla Braga LaskoskiSimone HauckStefania Pigatto TecheCarolina Stopinski PadoanAlcina Juliana Soares BarrosFernanda Barcellos SerraltaCláudio Laks EizirikAbstract Objective This study aimed to identify and analyze the interaction structures (ISs) (patterns of reciprocal interaction between the patient-therapist dyad) that characterize the process of a successful long-term psychodynamic psychotherapy (28 months) of a patient with chronic diseases (lupus and fibromyalgia) and somatic symptoms. Methods The 113 sessions were videotaped and analyzed alternately (n = 60) by independent judges using the Psychotherapy Process Q-Set. Inter-rater reliability ranged from 0.60 to 0.90, with a mean of r = 0.71 (Pearson’s correlation). Through a principal component exploratory factor analysis, four ISs were identified. Result The patterns of interaction between patient and therapist showed clinical validity (i.e., they were easily interpretable in the context of the case under study). The ISs were non-linear and more or less prominent across different treatment sessions and stages. Some ISs were similar to those in other studies, and others were probably unique to the present process. In addition, some ISs were independent, whereas others were interrelated over time. Conclusion Process studies, such as the present one, seek to address questions about the characteristics of the interaction between patient and therapist as well as to identify particular patterns of interaction that are most prominent with a specific patient at a specific condition or time. Therefore, these studies can provide some support in establishing knowledge for clinical practice, assisting in the training of therapists, as well as in the elaboration of general guidelines for the technical management of patients with specific characteristics.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892019000200128&lng=en&tlng=enPsychodynamic psychotherapyprocess researchinteraction structurespsychotherapeutic process
collection DOAJ
language English
format Article
sources DOAJ
author Pricilla Braga Laskoski
Simone Hauck
Stefania Pigatto Teche
Carolina Stopinski Padoan
Alcina Juliana Soares Barros
Fernanda Barcellos Serralta
Cláudio Laks Eizirik
spellingShingle Pricilla Braga Laskoski
Simone Hauck
Stefania Pigatto Teche
Carolina Stopinski Padoan
Alcina Juliana Soares Barros
Fernanda Barcellos Serralta
Cláudio Laks Eizirik
Interaction structures in the psychodynamic psychotherapy of a patient with chronic diseases and somatic symptoms
Trends in Psychiatry and Psychotherapy
Psychodynamic psychotherapy
process research
interaction structures
psychotherapeutic process
author_facet Pricilla Braga Laskoski
Simone Hauck
Stefania Pigatto Teche
Carolina Stopinski Padoan
Alcina Juliana Soares Barros
Fernanda Barcellos Serralta
Cláudio Laks Eizirik
author_sort Pricilla Braga Laskoski
title Interaction structures in the psychodynamic psychotherapy of a patient with chronic diseases and somatic symptoms
title_short Interaction structures in the psychodynamic psychotherapy of a patient with chronic diseases and somatic symptoms
title_full Interaction structures in the psychodynamic psychotherapy of a patient with chronic diseases and somatic symptoms
title_fullStr Interaction structures in the psychodynamic psychotherapy of a patient with chronic diseases and somatic symptoms
title_full_unstemmed Interaction structures in the psychodynamic psychotherapy of a patient with chronic diseases and somatic symptoms
title_sort interaction structures in the psychodynamic psychotherapy of a patient with chronic diseases and somatic symptoms
publisher Associação de Psiquiatria do Rio Grande do Sul
series Trends in Psychiatry and Psychotherapy
issn 2238-0019
description Abstract Objective This study aimed to identify and analyze the interaction structures (ISs) (patterns of reciprocal interaction between the patient-therapist dyad) that characterize the process of a successful long-term psychodynamic psychotherapy (28 months) of a patient with chronic diseases (lupus and fibromyalgia) and somatic symptoms. Methods The 113 sessions were videotaped and analyzed alternately (n = 60) by independent judges using the Psychotherapy Process Q-Set. Inter-rater reliability ranged from 0.60 to 0.90, with a mean of r = 0.71 (Pearson’s correlation). Through a principal component exploratory factor analysis, four ISs were identified. Result The patterns of interaction between patient and therapist showed clinical validity (i.e., they were easily interpretable in the context of the case under study). The ISs were non-linear and more or less prominent across different treatment sessions and stages. Some ISs were similar to those in other studies, and others were probably unique to the present process. In addition, some ISs were independent, whereas others were interrelated over time. Conclusion Process studies, such as the present one, seek to address questions about the characteristics of the interaction between patient and therapist as well as to identify particular patterns of interaction that are most prominent with a specific patient at a specific condition or time. Therefore, these studies can provide some support in establishing knowledge for clinical practice, assisting in the training of therapists, as well as in the elaboration of general guidelines for the technical management of patients with specific characteristics.
topic Psychodynamic psychotherapy
process research
interaction structures
psychotherapeutic process
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892019000200128&lng=en&tlng=en
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