In-session interactive dynamics of the psychotherapy process between therapeutic alliance, therapist expertise, therapist technical intervention, patient metacognition and functioning.

IN-SESSION INTERACTIVE DYNAMICS OF THE PSYCHOTHERAPY PROCESS BETWEEN THERAPEUTIC ALLIANCE, THERAPIST EXPERTISE, THERAPIST TECHNICAL INTERVENTION, PATIENT METACOGNITION AND FUNCTIONING. Clin Psychol Psychother. 2020 May 20;: Authors: Locati F, Rossi G, Lang M, Parolin L Abstract Empirical research has explored different dimensions of the therapy process and their associations, often showing bidirectional links: for example, metacognition may be favored by a positive alliance with the clinician; on the other hand, metacognitive difficulties may obstacle the alliance. However, little is still known about the overall relationship between different dimensions during the psychotherapy process. The aim of this study is to further explore the in-session interaction of therapeutic process variables, focusing on patient metacognition, therapeutic alliance, technical intervention, therapist expertise and patient functioning. Participants included 45 patients involved in a psychodynamic weekly treatment in two Clinical Centres. Therapists were both in-training and experienced clinicians. Four instruments were applied on four sessions of the psychotherapy (178 transcripts verbatim): MAS-R assessing metacognition (Carcione et al., 2010), CIS assessing therapeutic alliance (Colli & Lingiardi, 2009), PIRS assessing therapist technical interventions (Cooper & Bond, 1992) and SWAP-200 assessing patient functioning (Westen & Shedler, 1999)....
Source: Clinical Psychology and Psychotherapy - Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research