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Abstract
The concept of cognitive conflicts and its relation to the success of psychoanalytically oriented psychotherapy are discussed. According to this model of therapy, patients should achieve insight into their conscious as well as unconscious conflicts. Therefore in the present study we assumed that demonstrable cognitive changes would occur over treatment for chronic pain, as measured by Kelly's (1955) Repertory Grid Test. Grids were analyzed with regard to conflicts on the basis of the concept of unbalanced triads. A triad may be described as unbalanced when logical inconsistencies can be demonstrated on the basis of a correlative comparison of three corresponding construct pairs. Construct systems were checked for unbalanced triads by means of a new computer program derived by the authors. A case study serves to demonstrate the possibilities for analysis and interpretation of unbalanced triads offered by this novel method. Results indicate that cognitive restructuring had indeed taken place during therapy and had decreased the relative number of cognitive conflicts.