Background There is widespread scepticism concerning the reliability and validity of psychoanalytic judgements of patient therapist transactions.
We predicted that (a) in reviewing tie initial part of 14 videotaped assessment interviews with borderline and dystnymic subjects, dynamic psychotherapists would agree in their ratings of psychoanalytically relevant characteristics ofsubjects'interpersonal relations ; (b) intercorrelations among the ratings would conform with those expected from psychoanalytic descriptions of'paranoid-schizoid'and'depressive position'states of mind ; and (c) these ratings would differentiate between borderline and dysthymic groups.
Method Six trained psychotherapists who were blind to the design ofthe study, independently rated qualities of interpersonal relatedness during the first 30 minutes ofeach interview, on a 30-item'personal relatedness profile'Results There was satisfactory interrater reliability in judgements among the raters, and evidence that the items were interrelated.
There was also a significant difference between the two subject groups.
Conclusions It is possible to make reliable psychoanalytic judgements about qualities of interpersonal relatedness.
Moreover, there is evidence that paranoid-schizoid and depressive positive aspects of psychological functioning do constitute a meaningful constellation of clinically grounded phenomena.
Mots-clés Pascal : Relation thérapeutique, Jugement, Objectivité subjectivité, Psychothérapie analytique, Traitement, Pratique professionnelle, Attitude, Psychothérapeute, Personnel sanitaire, Santé mentale, Homme
Mots-clés Pascal anglais : Therapeutic relation, Judgment, Objectivity subjectivity, Analytical psychotherapy, Treatment, Professional practice, Attitude, Psychotherapist, Health staff, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0427335
Code Inist : 002B18I12. Création : 25/01/1999.