The Impact Message Inventory-Circumplex (IMI-C): Exploring the Aversiveness Component of Therapists' Covert Reactions to Patients' Interpersonal Communications

IF 3.2 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
Anton Hafkenscheid
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Abstract

The Impact Message Inventory-Circumplex (IMI-C) is a two-dimensional measure of patient-induced countertransference. Surprisingly, in a replication study of its circumplex structure, Hafkenscheid and Timmerman could retrieve a third dimension, in addition to the basic dimensions of Affiliation and Control. They tentatively interpreted this preliminary third dimension as representing ‘reactance’ (oppositional and uncooperative patient behaviours), with ‘active’ and ‘passive’ as polarities. This provisional interpretation was no more than plausible and was partly speculative. Therefore, a more systematic empirical approach to the meaning embedded in the third dimension is required. The present empirical study tests the hypothesis that the preliminary third dimension might represent aversiveness rather than reactance. A panel of IMI-C users (N = 100) independently judged all 56 items of the instrument in terms of the general (i.e., without taking a specific patient in mind) emotional undertone enclosed in the item formulations using a forced choice three point scale format: ‘positive emotional undertone’ (+), ‘neutral’ (o) and negative (aversive) undertone (−). Overall, IMI-C users appeared to evaluate the formulations of items constituting the preliminary third dimension as intrinsically more aversive (negative emotional connotation), compared to the group of IMI-C items not included in this preliminary third dimension. However, the original octants of the IMI-C could be discriminated in terms of aversiveness as well. Anyhow, clinical interpretations of IMI-C profiles may benefit from an examination of the aversiveness component, enclosed within the items and octants themselves, irrespective of the specific patients judged with the instrument.

影响信息量表-综合(IMI-C):探索治疗师对患者人际交流的隐蔽反应中的前瞻性成分。
影响信息量表-环状结构(IMI-C)是对患者引起的反移情的二维测量。令人惊讶的是,在对其圆周结构进行的一项复制研究中,除了 "亲和力 "和 "控制力 "这两个基本维度外,哈夫肯谢德和蒂默曼还发现了第三个维度。他们初步将这第三个维度解释为代表 "反应"(病人的对立和不合作行为),并将 "主动 "和 "被动 "作为两极。这种临时解释只是似是而非,部分是推测。因此,需要对第三维度的含义进行更系统的实证研究。本实证研究检验了初步第三维度可能代表逆向性而非反应性的假设。一个由IMI-C用户组成的小组(N = 100)采用强迫选择三点量表的形式,根据项目表述中包含的一般(即不考虑特定患者)情感基调对该工具的所有56个项目进行了独立判断:积极情绪基调"(+)、"中性"(o)和消极(厌恶)基调(-)。总的来说,IMI-C用户似乎认为构成初步第三维度的项目构成与未包含在初步第三维度中的IMI-C项目组相比更具有内在厌恶性(消极情感内涵)。不过,IMI-C 的原始八分位数也可以在厌恶性方面进行区分。无论如何,对IMI-C概况的临床解释可能会受益于对项目和八分位数本身所包含的逆反成分的检查,而与使用该工具判断的特定患者无关。
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来源期刊
Clinical psychology & psychotherapy
Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
6.30
自引率
5.60%
发文量
106
期刊介绍: Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.
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