Converging Evidence for Identification of Recurrent Relationship Themes: Comparison of Two Methods

Document Type

Article

Publication Date

1-1-1989

Description

The therapeutic process is complex, and researchers and clinicians alike search for organizing principles or underlying structures that will reduce this complexity and thereby augment the efficacy of their respective endeavors. As other papers in this issue indicate, one such organizing principle is the concept of a recurring relationship theme that can be identified in the patient’s descriptions of current and past relationships, as well as observed in the patient’s interaction with the therapist. This concept has its origins in Freud’s discovery of the transference phenomenon (1912), wherein the patient reenacts early relationships with significant others in the relationship with the analyst, and in Sullivan’s interpersonal theory of psychiatry, with its central tenet that “personality is the relatively enduring pattern of recurrent interpersonal situations which characterize a human life” (1953, pp. 110-11). In the psychoanalytic and interpersonal therapies, these recurrent interpersonal themes, associated with the patient’s difficulty in living and characterized as self-defeating and self-perpetuating, can potentially serve three main purposes: diagnosing and describing patients’ difficulties, focusing therapeutic interventions, and measuring change on an individual basis. However, until recently, research on transference and rigidity of interpersonal style has been hampered by the lack of objective and clinically relevant measures for quantifying this clinical phenomenon (Kiesler 1986; Luborsky and Spence 1978).

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