• Anuncios
  • Contacto
  • Español
  • English
CIGIDEN
  • NOSOTROS
    • El centro
    • Equipo
    • Investigadores
      • Investigadores
      • Personal de apoyo
      • Postdoctorados
    • Guía de Expertos 2020
  • INVESTIGACIÓN
    • Líneas de Investigación
      • L1. Amenazas por procesos de tierra sólida
      • L2. Amenazas por procesos de aguas superficiales
      • L3. Riesgo y resiliencia en sistemas complejos y redes
      • L4. Cultura del desastre y gobernanza del riesgo
      • L5. Evaluación socioeconómica para la mitigación del riesgo de infraestructura crítica
      • L6. Gobernanza Ciudadana
    • Proyectos
  • DIVULGACIÓN
    • Noticias
    • Cigiden en los medios
    • Columnas
    • Videos
    • Exposiciones
      • Chile territorio en movimiento
      • Desde el cielo
      • Desartes
  • PUBLICACIONES
    • Papers
    • Libros y manuales
    • Policy Papers
  • AGENDA
    • Seminarios y congresos
    • Conversatorios
    • Charlas y Talleres
No Result
View All Result
  • NOSOTROS
    • El centro
    • Equipo
    • Investigadores
      • Investigadores
      • Personal de apoyo
      • Postdoctorados
    • Guía de Expertos 2020
  • INVESTIGACIÓN
    • Líneas de Investigación
      • L1. Amenazas por procesos de tierra sólida
      • L2. Amenazas por procesos de aguas superficiales
      • L3. Riesgo y resiliencia en sistemas complejos y redes
      • L4. Cultura del desastre y gobernanza del riesgo
      • L5. Evaluación socioeconómica para la mitigación del riesgo de infraestructura crítica
      • L6. Gobernanza Ciudadana
    • Proyectos
  • DIVULGACIÓN
    • Noticias
    • Cigiden en los medios
    • Columnas
    • Videos
    • Exposiciones
      • Chile territorio en movimiento
      • Desde el cielo
      • Desartes
  • PUBLICACIONES
    • Papers
    • Libros y manuales
    • Policy Papers
  • AGENDA
    • Seminarios y congresos
    • Conversatorios
    • Charlas y Talleres
No Result
View All Result
CIGIDEN
No Result
View All Result

The relationship between patient object relations and the therapeutic alliance in a naturalistic psychotherapy sample

21 junio, 2017
in L4. Cultura del desastre y gobernanza del riesgo, Papers, Publicaciones
Share on FacebookShare on TwitterShare on Linkedin

Journal:
Psychology and Psychotherapy: Theory, Research and Practice
Línea de investigación:
L4. Cultura del desastre y gobernanza del riesgo
Institución:
Pontificia Universidad Católica de Chile
Fecha:
2015
Link publicación:
Link
Abstract:

Objectives
This study examined the relationship between patients' object relations and interpersonal process in psychotherapy. Namely, we tested the hypothesis that the quality of patients' object relations is positively associated with both patient- and therapist-rated alliance quality.
Design

Psychotherapy was administered naturalistically, with quantitative data collection before and during treatment.

Methods
Participants included 73 adult outpatients and 23 therapists at two mental health clinics. Using the Bell Object Relations and Reality Testing Inventory, we measured four dimensions of patients' object relations at baseline—alienation, insecure attachment, egocentricity, and social incompetence. Using the Working Alliance Inventory, we measured alliance from patient and therapist perspectives. Control variables included time, patient demographics, symptom severity, and clinic. We employed hierarchical linear modelling to analyse data with a nested structure, with 138 sessions at Level 1, 73 patients at Level 2, and 23 therapists at Level 3.

Results
Patient alienation and insecure attachment were associated with lower patient-rated alliance, while egocentricity was associated with higher patient-rated alliance. Patients' object relations were not significantly associated with therapist-rated alliance. On average, patients perceived the alliance more positively than their therapists, with a weak positive correlation between the alliance perspectives.

Conclusions
The results suggest that object relation dimensions may be important patient characteristics for forecasting therapeutic relationship quality. They also call for more attention to differences between alliance rating perspectives.
Practitioner points

Treatment may benefit from more attention to the quality of patients' object relations.
If patients present with high levels of alienation and insecure attachment, therapists may need to pay especially close attention to the therapeutic alliance, and prudently address any ruptures in its quality.

When monitoring the alliance quality, it is important to consider that patients and therapists may have different perspectives. Therapists relying solely on their own perceptions are at risk of missing alliance difficulties, and patients' object relations may be uniquely predictive of their own sense of the alliance. Therefore, it may be helpful to ask patients in session and through standardized measures for feedback on how they perceive the goals and tasks of treatment and the emotional bond with their therapist. Again, any alliance tensions could then be addressed directly as a means to maintaining engagement in the service of better outcome.

  1. Paula Errázuriz, paulae@uc.cl, Psychology Department, Pontificia Universidad Católica de Chile, Santiago, Chile
  2. Michael J. Constantino, Psychology Department, University of Massachusetts, Amherst, MA, USA
  3. Esteban Calvo, Public Policy Institute, School of Business and Economics, Universidad Diego Portales, Santiago, Chile

Related Posts

High-Resolution Deformation Monitoring from DInSAR: Implications for Geohazards and Ground Stability in the Metropolitan Area of Santiago, Chile

27/01/2023

Non-Stationary Probabilistic Tsunami Hazard Assessments Compounding Tides and Sea Level Rise

27/01/2023

Innovation as translation in Indigenous entrepreneurship: lessons from Mapuche entrepreneurs in Chile

27/01/2023

Willingness to pay for improving water supply continuity in case of climatic extreme natural events: an empirical approach for Chile

27/01/2023

Suscríbete a nuestro Newsletter

Y te conectarás con toda la información de CIGIDEN.

Ubícanos

Av. Vicuña Mackenna 4860, Macul
Edificio Hernán Briones, 3er Piso
Campus San Joaquín, UC
Santiago de Chile
comunicaciones@cigiden.cl
+569 77732828

Guía de expertos 2020

Nuestras plataformas

Encuéntranos

CIGIDEN 2020 - Todos los derechos reservados.

  • Announcements
  • Contact
  • Español
  • English
No Result
View All Result
  • NOSOTROS
    • El centro
    • Equipo
    • Investigadores
      • Investigadores
      • Personal de apoyo
      • Postdoctorados
    • Guía de Expertos 2020
  • INVESTIGACIÓN
    • Líneas de Investigación
      • L1. Amenazas por procesos de tierra sólida
      • L2. Amenazas por procesos de aguas superficiales
      • L3. Riesgo y resiliencia en sistemas complejos y redes
      • L4. Cultura del desastre y gobernanza del riesgo
      • L5. Evaluación socioeconómica para la mitigación del riesgo de infraestructura crítica
      • L6. Gobernanza Ciudadana
    • Proyectos
  • DIVULGACIÓN
    • Noticias
    • Cigiden en los medios
    • Columnas
    • Videos
    • Exposiciones
      • Chile territorio en movimiento
      • Desde el cielo
      • Desartes
  • PUBLICACIONES
    • Papers
    • Libros y manuales
    • Policy Papers
  • AGENDA
    • Seminarios y congresos
    • Conversatorios
    • Charlas y Talleres

CIGIDEN 2019 - All right reserved.