Strengths and Limits of Psychodynamic Intervention Rating Scale (PIRS) in Capturing Psychotherapeutic Micro-Process: A Systematic Review

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2025-05-01 DOI:10.1002/cpp.70073

Arianna Palmieri, Valentina Cimmino Picone, Alessandro Gennaro, Davide Ruffin, Valeria Capuani, Johann Roland Kleinbub

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Abstract

Background

The Psychodynamic Intervention Rating Scale (PIRS) stands out as one of the most widely utilised coding systems aimed at categorising micro-process from psychotherapeutic dialogue due to its feasibility and adherence to the expressive–supportive continuum. Despite this, no comprehensive analysis of its application in the literature has been published. This systematic review aims to examine the state of the art, strengths, limitations and future perspectives of such a coding tool for verbatim transcripts.

Methods

Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a systematic search in databases (PsycINFO, Scopus, PubMed and Web of Science) covering publications from the PIRS's first occurrence in the scientific literature in 1992 to 2024 yielded 22 publications eligible for review. Three independent reviewers screened the studies and extracted data regarding PIRS applications and key findings.

Results

The studies examined revealed that PIRS can reliably classify interventions across various therapeutic approaches, surpassing its psychodynamic origins. It demonstrated peculiar efficacy in understanding therapeutic alliance mechanisms and patients' responses according to their typical defensive patterns. However, the findings also indicated some limitations concerning the breadth of PIRS categories, which may overlook the essential nuances of micro-processes.

Conclusions

While the PIRS has proven its value for understanding clinical micro-process, its categories may be slightly refined. A proposal for a more granular classification of PIRS categories has finally been provided via a literature analysis.

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心理动力干预评定量表（PIRS）在捕捉心理治疗微过程中的优势与局限：系统回顾

心理动力学干预评定量表（PIRS）因其可行性和对表达-支持连续体的依从性而成为应用最广泛的编码系统之一，旨在对心理治疗对话中的微过程进行分类。尽管如此，尚未有文献对其应用进行全面分析。这个系统的审查的目的是检查的艺术状态，优势，限制和未来的前景，这样一个编码工具的逐字抄本。方法根据系统评价和荟萃分析的首选报告项目（PRISMA）指南，系统检索数据库（PsycINFO, Scopus， PubMed和Web of Science），涵盖1992年至2024年首次出现PIRS的科学文献，获得22篇符合审查条件的出版物。三位独立审稿人筛选了研究并提取了有关PIRS应用和主要发现的数据。结果研究表明，PIRS可以可靠地对各种治疗方法的干预进行分类，超越了其心理动力学起源。它在了解治疗联盟机制和患者根据其典型防御模式的反应方面表现出独特的功效。然而，研究结果还表明，关于PIRS类别的广度存在一些局限性，这可能忽略了微过程的基本细微差别。结论虽然PIRS在了解临床微过程方面已经证明了其价值，但其分类可能略有改进。最后，通过文献分析，提出了对PIRS类别进行更细粒度分类的建议。

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

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.