Transference patterns and working alliance during the early phase of psychodynamic psychotherapy

Background/Aim. Working alliance, as a collaborative part of the therapeutic relationship has been proven to be one of the most powerful therapeutic factors in psychotherapy in general, regardless many technical differences between numerous psychotherapeutic modalities. On the other hand,...

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Main Authors: Samardžić Ljiljana, Nikolić Gordana
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2014-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2014/0042-84501402175S.pdf
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author Samardžić Ljiljana
Nikolić Gordana
author_facet Samardžić Ljiljana
Nikolić Gordana
author_sort Samardžić Ljiljana
collection DOAJ
description Background/Aim. Working alliance, as a collaborative part of the therapeutic relationship has been proven to be one of the most powerful therapeutic factors in psychotherapy in general, regardless many technical differences between numerous psychotherapeutic modalities. On the other hand, transference is the basic concept of psychodynamic psychotherapy, and, according to the psychoanalytic theory and practice, it forms a major part of the therapeutic relationship. The aim of our paper was to determine the differences between the groups of patients with low, middle, and high working alliance scores and the dropout group in transference patterns, sociodemographic and clinical parameters, during the early phase of psychodynamic psychotherapy. Methods. Our sample consisted of 61 non-psychotic patients, randomly selected by the method of consecutive admissions and treated with psychoanalytic psychotherapy in the outpatient clinical setting. The patients were prospectively followed during 5 initial sessions of the therapeutic process. The working alliance inventory and Core conflictual relationship theme method were used for the estimation of working alliance and transference patterns, respectively. According to the Working Alliance Inventory scores, four groups of patients were formed and than compared. Results. Our results show a significant difference between the groups of patients with low, middle, and high working alliance inventory scores and the dropout group on the variable - transference patterns in the therapeutic relationship. Conclusion. Disharmonious transference patterns are more frequent in patients who form poor quality working alliance in the early phase of psychotherapy, or early dropout psychotherapy. It is of great importance to recognize transference patterns of a patient at the beginning of the psychotherapeutic process, because of their potentially harmful influence on the quality of working alliance.
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spelling doaj-art-8178d1f736404a38a0a054a3427f5b272025-08-20T03:35:07ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502014-01-0171217518210.2298/VSP1402175S0042-84501402175STransference patterns and working alliance during the early phase of psychodynamic psychotherapySamardžić Ljiljana0Nikolić Gordana1Clinical Center Niš, Clinic for Mental Health, NišClinical Center Niš, Clinic for Mental Health, NišBackground/Aim. Working alliance, as a collaborative part of the therapeutic relationship has been proven to be one of the most powerful therapeutic factors in psychotherapy in general, regardless many technical differences between numerous psychotherapeutic modalities. On the other hand, transference is the basic concept of psychodynamic psychotherapy, and, according to the psychoanalytic theory and practice, it forms a major part of the therapeutic relationship. The aim of our paper was to determine the differences between the groups of patients with low, middle, and high working alliance scores and the dropout group in transference patterns, sociodemographic and clinical parameters, during the early phase of psychodynamic psychotherapy. Methods. Our sample consisted of 61 non-psychotic patients, randomly selected by the method of consecutive admissions and treated with psychoanalytic psychotherapy in the outpatient clinical setting. The patients were prospectively followed during 5 initial sessions of the therapeutic process. The working alliance inventory and Core conflictual relationship theme method were used for the estimation of working alliance and transference patterns, respectively. According to the Working Alliance Inventory scores, four groups of patients were formed and than compared. Results. Our results show a significant difference between the groups of patients with low, middle, and high working alliance inventory scores and the dropout group on the variable - transference patterns in the therapeutic relationship. Conclusion. Disharmonious transference patterns are more frequent in patients who form poor quality working alliance in the early phase of psychotherapy, or early dropout psychotherapy. It is of great importance to recognize transference patterns of a patient at the beginning of the psychotherapeutic process, because of their potentially harmful influence on the quality of working alliance.http://www.doiserbia.nb.rs/img/doi/0042-8450/2014/0042-84501402175S.pdfpsychotherapyyoung adultphysician-patient relationstransference (psychology)
spellingShingle Samardžić Ljiljana
Nikolić Gordana
Transference patterns and working alliance during the early phase of psychodynamic psychotherapy
Vojnosanitetski Pregled
psychotherapy
young adult
physician-patient relations
transference (psychology)
title Transference patterns and working alliance during the early phase of psychodynamic psychotherapy
title_full Transference patterns and working alliance during the early phase of psychodynamic psychotherapy
title_fullStr Transference patterns and working alliance during the early phase of psychodynamic psychotherapy
title_full_unstemmed Transference patterns and working alliance during the early phase of psychodynamic psychotherapy
title_short Transference patterns and working alliance during the early phase of psychodynamic psychotherapy
title_sort transference patterns and working alliance during the early phase of psychodynamic psychotherapy
topic psychotherapy
young adult
physician-patient relations
transference (psychology)
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2014/0042-84501402175S.pdf
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