Implicit relational aspects of the therapeutic relationship in psychoanalytic treatments: an examination of linguistic style entrainment over time.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2024-04-24 DOI:10.1080/10503307.2024.2341780

Katie Aafjes-van Doorn, Daniel S Spina, Lena Müller-Frommeyer, Bernard S Gorman, Karl Stukenberg, Sherwood Waldron

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引用次数: 0

Abstract

Objective: In an attempt to operationalize an implicit aspect of the therapeutic relationship, this study assesses reciprocal linguistic style entrainment (rLSM) between the patient and therapist. rLSM is defined as the dynamic adjustment of function word usage to synchronize or to be in rhythm with another person as they change over time.

Method: In this exploratory study, levels of rLSM per talk turn were analyzed for 540 sessions of 27 long-term psychoanalytic treatments in relation to treatment outcomes.

Results: Within sessions, rLSM appeared to decrease by the end of sessions and followed a negative linear trajectory, β_linear= -0.0002, SE < .001, t = -13.04, p < .001. Between sessions, rLSM showed significant variability such that neither a linear, nor a quadratic, nor a cubic trend line fit the session-by-session change over treatment. On average, therapist talk turns had significantly lower rLSM than patient talk turns, while accounting for the nested nature of the data using multilevel models β_SpeakerT = -0.033, SE = 0.009, t = -3.65, p < .001. Levels of rLSM did not relate to treatment outcome.

Conclusion: Most of the rLSM variance was at the within-patient and within-session level. rLSM was no indicator of psychoanalytic treatment outcomes.

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精神分析治疗中治疗关系的隐含关系方面：对语言风格随时间演变的研究。

研究目的为了对治疗关系的一个隐含方面进行操作化，本研究评估了患者与治疗师之间的互惠语言风格诱导（rLSM）。rLSM被定义为功能词用法的动态调整，以便随着时间的变化与他人同步或保持节奏：在这项探索性研究中，我们分析了 27 次长期精神分析治疗的 540 个疗程中每次谈话回合的 rLSM 水平与治疗结果的关系：在疗程内，rLSM 在疗程结束时出现下降，并呈负线性轨迹，βlinear = -0.0002，SE t = -13.04，p βSpeakerT = -0.033，SE = 0.009，t = -3.65，p 结论：大部分 rLSM 变异都与治疗结果有关：大部分 rLSM 变异存在于患者内部和疗程内部。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.