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Articles

Patient Personality and Relational Patterns in Psychotherapy: Factor Structure, Reliability, and Validity of the Psychotherapy Relationship Questionnaire

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Pages 96-106 | Received 16 Jul 2016, Published online: 01 Feb 2017

References

  • Albani, C., Pokorny, D., Blaser, G., Grüninger, S., König, S., Marschke, F., … Kächele, H. (2002). Reformulation of the Core Conflictual Relationship Theme (CCRT) categories: The CCRT–LU category system. Psychotherapy Research, 12, 319–338. doi:10.1093/ptr/12.3.319
  • Allen, J. G., Stein, H., Fonagy, P., Fultz, J., & Target, M. (2005). Rethinking adult attachment: A study of expert consensus. Bulletin of the Menninger Clinic, 69, 59–80. doi:10.1521/bumc.69.1.59.62266
  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
  • Baskin-Sommers, A., Krusemark, E., & Ronningstam, E. (2014). Empathy in narcissistic personality disorder: From clinical and empirical perspectives. Personality Disorders: Theory, Research, and Treatment, 5, 323–333. doi:10.1037/per0000061
  • Bateman, A. W., & Fonagy, P. (2006). Mentalization based treatment for borderline personality disorder: A practical guide. Oxford, UK: Oxford University Press. doi:10.1093/med/9780198570905.001.0001
  • Bateman, A. W., Fonagy, P., & Gabbard, G. O. (2007). “The use of transference dynamic psychotherapy”: Reply. The American Journal of Psychiatry, 164, 680. doi:10.1176/appi.ajp.164.4.680-a
  • Beck, A. T., Davis, D. D., & Freeman, A. (2004). Cognitive therapy of personality disorders (2nd ed.). New York, NY: Guilford.
  • Bender, D. A. (2005). The therapeutic alliance in the treatment of personality disorders. Journal of Psychiatric Practice, 11, 73–87. doi:10.1097/00131746-200503000-00002
  • Benjamin, L. S. (1974). Structural analysis of social behavior. Psychological Review, 81, 392–425. doi:10.1037/h0037024
  • Blagov, P. S., Bi, W., Shedler, J., & Westen, D. (2012). The Shedler–Westen Assessment Procedure (SWAP): Evaluating psychometric questions about its reliability, validity, and impact of its fixed score distribution. Assessment, 19, 370–382. doi:10.1177/1073191112436667
  • Block, J. (1978). The Q-sort method in personality assessment and psychiatric research. Palo Alto, CA: Consulting Psychologists Press.
  • Bourke, M. E., & Grenyer, B. S. (2010). Psychotherapists’ response to borderline personality disorder: A core conflictual relationship theme analysis. Psychotherapy Research, 20, 680–691. doi:10.1080/10503307.2010.504242
  • Bourke, M. E., & Grenyer, B. S. (2013). Therapists’ accounts of psychotherapy process associated with treating patients with borderline personality disorder. Journal of Personality Disorders, 27, 735–745. doi:10.1521/pedi_2013_27_108
  • Bradley, R., Heim, A. K., & Westen, D. (2005). Transference patterns in the psychotherapy of personality disorders: Empirical investigation. The British Journal of Psychiatry, 186, 342–349. doi:10.1192/bjp.186.4.342
  • Bradley, R., Hilsenroth, M., Guarnaccia, C., & Westen, D. (2007). Relationship between clinician assessment and self-assessment of personality disorders using the SWAP–200 and PAI. Psychological Assessment, 19, 225–229. doi:10.1037/1040-3590.19.2.225
  • Bühner, M. (2010). Einführung in die Test- und Fragebogenkonstruktion [Introduction to test and questionnaire construction] (3rd ed.). München, Germany: Pearson Studium.
  • Cassidy, J., & Shaver P. R. (2008). Handbook of attachment: Theory, research and clinical applications (2nd ed.). New York, NY: Guilford Press.
  • Cogan, R., & Porcerelli, J. (2004). Personality pathology, adaptive functioning, and strengths at the beginning and end of psychoanalysis. Journal of the American Psychoanalytic Association, 52, 1230–1231.
  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.
  • Cohen, J., & Cohen, P. (1983). Applied multiple regression/correlation analysis for the behavioral sciences. Hillsdale, NJ: Erlbaum.
  • Colli, A., Tanzilli, A., Gualco, I., & Lingiardi, V. (2016). Empirically derived relational pattern prototypes in the treatment of personality disorders. Psychopathology, 49, 364–373. doi:10.1159/000448623
  • Drapeau, M., & Perry, J. C. (2004). Interpersonal conflicts in borderline personality disorder: An exploratory study using the CCRT–LU. Swiss Journal of Psychology, 63(1), 53–57. doi:10.1024/1421-0185.63.1.53
  • Drapeau, M., & Perry, J. C. (2009). The Core Conflictual Relationship Themes (CCRT) in borderline personality disorder. Journal of Personality Disorders, 23, 425–431. doi:10.1521/pedi.2009.23.4.425
  • Drapeau, M., Perry, J. C., & Koerner, A. (2009). An empirical examination of three models of the interpersonal functioning of patients with borderline personality disorder. Psychiatry: Interpersonal and Biological Processes, 72, 143–153. doi:10.1521/psyc.2009.72.2.143
  • Fabrigar, L. R., Wegener, D. T., MacCallum, R. C., & Strahan, E. J. (1999). Evaluating the use of exploratory factor analysis in psychological research. Psychological Methods, 4, 272–299. doi:10.1037/1082-989X.4.3.272
  • Freud, S. (1912). The dynamics of transference. In J. Strachey (Ed. & Trans.), The standard edition of the complete psychological works of Sigmund Freud (Vol. 12, pp. 97–108). London, UK: Hogarth Press.
  • Freud, S. (1917). Introductory lectures on psychoanalysis: Part III. General theory of neurosis. In J. Strachey ( Ed. & Trans.), The standard edition of the complete psychological works of Sigmund Freud (Vol. 16, pp. 243–436). London, UK: Hogarth Press.
  • Gabbard, G. O. (2009). Transference and countertransference: Developments in the treatment of narcissistic personality disorder. Psychiatric Annals, 39, 129–136. doi:10.3928/00485713-20090301-03
  • Gabbard, G. O. (2014). Psychodynamic psychiatry in clinical practice (5th ed.). Washington, DC: American Psychiatric Publishing.
  • Gelso, C. (2014). A tripartite model of the therapeutic relationship: Theory, research, and practice. Psychotherapy Research, 24, 117–131. doi:10.1080/10503307.2013.845920
  • Gelso, C. J., & Bhatia, A. (2012). Crossing theoretical lines: The role and effect of transference in nonanalytic psychotherapies. Psychotherapy, 49, 384–390. doi:10.1037/a0028802
  • Gilbert, N. P., & Leahy, R. (2007). The therapeutic relationship in the cognitive behavioral psychotherapies. London, UK: Routledge.
  • Gunderson, J. G. (2007). Disturbed relationships as a phenotype for borderline personality disorder. The American Journal of Psychiatry, 164, 1637–1640. doi:10.1176/appi.ajp.2007.07071125
  • Høglend, P. (2014). Exploration of the patient–therapist relationship in psychotherapy. The American Journal of Psychiatry, 171, 1056–1066. doi:10.1176/appi.ajp.2014.14010121
  • Hooper, D., Coughlan, J., & Mullen, M. R. (2008). Structural equation modeling: Guidelines for determining model fit. Electronic Journal of Business Research Methods, 6(1), 53–59.
  • Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55. doi:10.1080/10705519909540118
  • Jöreskog, K. G., & Sörbom, D. (2006a). LISREL for Windows (Version 8.8) [Computer software]. Skokie, IL: Scientific Software International.
  • Jöreskog, K. G., & Sörbom, D. (2006b). PRELIS for Windows (Version 2.80) [Computer software]. Skokie, IL: Scientific Software International.
  • Kernberg, O. (1975). Borderline conditions and pathological narcissism. Northvale, NJ: Aronson.
  • Kernberg, O. F. (1984). Severe personality disorders: Psychotherapeutic strategies. New Haven, CT: Yale University Press.
  • Klonsky, E. D., Oltmanns, T. F., & Turkheimer, E. (2002). Informant reports of personality disorder: Relation to self-reports and future research directions. Clinical Psychology: Science and Practice, 9, 300–311. doi:10.1093/clipsy.9.3.300
  • Kohut, H. (1971). The analysis of the self. New York, NY: International Universities Press.
  • Kohut, H. (1984). How does analysis cure? Chicago, IL: University of Chicago Press.
  • Lingiardi, V., Filippucci, L., & Baiocco, R. (2005). Therapeutic alliance evaluation in personality disorders psychotherapy. Psychotherapy Research, 15(1–2), 45–53. doi:10.1080/10503300512331327047
  • Lingiardi, V., & McWilliams, N. (2015). The psychodynamic diagnostic manual, 2nd edition (PDM–2). World Psychiatry, 14, 237–239. doi:10.1002/wps.20233
  • Lingiardi, V., Tanzilli, A., & Colli, A. (2015). Does the severity of psychopathological symptoms mediate the relationship between patient personality and therapist response? Psychotherapy, 52, 228–237. doi:10.1037/a0037919
  • Luborsky, L., & Crits-Christoph, P. (1990). Understanding transference: The Core Conflictual Relationship Theme method (2nd ed.). Washington, DC: American Psychological Association.
  • MacCallum, R. C., Widaman, K. F., Zhang, S., & Hong, S. (1999). Sample size in factor analysis. Psychological Methods, 4, 84–89. doi:10.1037/1082-989X.4.1.84
  • Mallinckrodt, B. (2010). The psychotherapy relationship as attachment: Evidence and implications. Journal of Social and Personal Relationships, 27, 262–270. doi:10.1177/0265407509360905
  • McWilliams, N. (2011). Psychoanalytic diagnosis: Understanding personality structure in the clinical process (2nd ed.). New York, NY: Guilford Press.
  • Mullins-Sweatt, S., & Widiger, T. A. (2007). The Shedler and Westen Assessment Procedure from the perspective of general personality structure. Journal of Abnormal Psychology, 116, 618–623. doi:10.1037/0021-843X.116.3.618
  • Multon, K. D., Patton, M. J., & Kivlighan, D. J. (1996). Development of the Missouri Identifying Transference Scale. Journal of Counseling Psychology, 43, 243–252. doi:10.1037/0022-0167.43.3.243
  • Ogrodniczuk, J. S., & Kealy, D. (2013). Interpersonal problems of narcissistic patients. In J. S. Ogrodniczuk (Ed.), Understanding and treating pathological narcissism (pp. 113–127). Washington, DC: American Psychological Association. doi:10.1037/14041-000
  • Parish, M., & Eagle, M. N. (2003). Attachment to the therapist. Psychoanalytic Psychology, 20, 271–286. doi:10.1037/0736-9735.20.2.271
  • PDM Task Force. (2006). Psychodynamic diagnostic manual. Silver Spring, MD: Alliance of Psychoanalytic Organizations.
  • Podsakoff, P. M., MacKenzie, S. B., Lee, J., & Podsakoff, N. P. (2003). Common method biases in behavioral research: A critical review of the literature and recommended remedies. Journal of Applied Psychology, 88, 879–903. doi:10.1037/0021-9010.88.5.879
  • Ruiz, M. A., Pincus, A. L., & Bedics, J. B. (1999). Using the Structural Analysis of Social Behavior (SASB) to differentiate young adults with borderline personality disorder features. Journal of Personality Disorders, 13, 187–198. doi:10.1521/pedi.1999.13.2.187
  • Shedler, J., Mayman, M., & Manis, M. (1993). The illusion of mental health. American Psychologist, 48, 1117–1131.
  • Shedler, J., & Westen, D. (2004). Refining personality disorder diagnosis: Integrating science and practice. The American Journal of Psychiatry, 161, 1350–1365. doi:10.1176/appi.ajp.161.8.1350
  • Shedler, J., & Westen, D. (2007). The Shedler–Westen Assessment Procedure (SWAP): Making personality diagnosis clinically meaningful. Journal of Personality Assessment, 89, 41–55. doi:10.1080/00223890701357092
  • Shedler, J., Westen, D., & Lingiardi, V. (2014). The evaluation of personality with the SWAP–200. Milan, Italy: Raffaello Cortina.
  • Slade, A. (2008). The implications of attachment theory and research for adult psychotherapy: Research and clinical perspectives. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (2nd ed., pp. 762–782). New York, NY: Guilford.
  • Smith, S. W., Levy, S. R., Hilsenroth, M. J., Fiori, K., & Bornstein, R. F. (2016). Relationship between patient SWAP–200 personality characteristics and therapist-rated therapeutic alliance early in treatment. Journal of Nervous & Mental Disease, 204, 437–444. doi:10.1097/NMD.0000000000000526
  • Stern, M. I., Herron, W. G., Primavera, L. H., & Kakuma, T. (1997). Interpersonal perceptions of depressed and borderline inpatients. Journal of Clinical Psychology, 53(1), 41–49. doi:10.1002/(SICI)1097-4679(199701)53 :1<41::AID-JCLP6>3.0.CO;2-Y
  • Streiner, D. L. (2003). Being inconsistent about consistency: When coefficient alpha does and doesn't matter. Journal of Personality Assessment, 80, 217–222. doi:10.1207/S15327752JPA8003_01
  • Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Boston, MA: Pearson/Allyn & Bacon.
  • Tanzilli, A., Colli, A., Del Corno, F., & Lingiardi, V. (2016). Factor structure, reliability, and validity of the Therapist Response Questionnaire. Personality Disorders: Theory, Research, and Treatment, 7, 147–158. doi:10.1037/per0000146
  • Tanzilli, A., Colli, A., Muzi, L., & Lingiardi, V. (2015). Clinician emotional response toward narcissistic patients: A preliminary report. Research in Psychotherapy: Psychopathology, Process and Outcome, 18(1), 1–9. doi:10.7411/RP.2014.023
  • Westen, D. (2000). Psychotherapy Relationship Questionnaire (PRQ) manual. Departments of Psychology and Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA.
  • Westen, D., DeFife, J. A., Bradley, B., & Hilsenroth, M. J. (2010). Prototype personality diagnosis in clinical practice: A viable alternative for DSM–5 and ICD–11. Professional Psychology: Research and Practice, 41, 482–487. doi:10.1037/a0021555
  • Westen, D., & Gabbard, G. O. (2002). Developments in cognitive neuroscience: II. Implications for theories of transference. Journal of the American Psychoanalytic Association, 50, 99–134. doi:10.1177/00030651020500011601
  • Westen, D., & Muderrisoglu, S. (2006). Clinical assessment of pathological personality traits. The American Journal of Psychiatry, 163, 1285–1287. doi:10.1176/appi.ajp.163.7.1285
  • Westen, D., & Shedler, J. (1999a). Revising and assessing Axis II, Part I: Developing a clinically and empirically valid assessment method. The American Journal of Psychiatry, 156, 258–272.
  • Westen, D., & Shedler, J. (1999b). Revising and assessing Axis II, Part II: Toward an empirically based and clinically useful classification of personality disorders. The American Journal of Psychiatry, 156, 273–285.
  • Westen, D., & Shedler, J. (2007). Personality diagnosis with the Shedler–Westen Assessment Procedure (SWAP): Integrating clinical and statistical measurement and prediction. Journal of Abnormal Psychology, 116, 810–822. doi:10.1037/0021-843X.116.4.810
  • Westen, D., & Weinberger, J. (2004). When clinical description becomes statistical prediction. American Psychologist, 59, 595–613. doi:10.1037/0003-066X.59.7.595
  • Yeomans, F. E., Clarkin, J. F., & Kernberg, O. F. (2015). Transference-focused psychotherapy for borderline personality disorder: A clinical guide. Washington, DC: American Psychiatric Publishing.

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