A Pilot Study on Expert Agreement to Identify and Classify Transference Situations in Short Term Psychoanalytic Psychotherapy

短期分析式心理治療移情情境之辨識與分類－專家一致性的先驅研究

林玉華(Yu-Hua Lin)

《台灣精神醫學》 22卷3期 (2008/09) Pp. 178-192

https://doi.org/10.29478/TJP.200809.0003

摘要

Objective: This study was to investigate the phenomena of a short term psychoanalytic psychotherapy process based on an analysis of the ”transference situation.” Methods: The researcher conducted 20 sessions of psychoanalytic psychotherapy with a 22 year-old woman, who had shown narcissistic character during the assessment before the treatment. The treatment was under supervision by a senior consultant child psychotherapist. All of the therapy sessions were recorded. The session notes were then transcribed and revised for the purpose of confidentiality. Three psychoanalytically trained clinicians were asked to read the transcripts and identify episodes of patient-therapist interaction characterized by evidence of the ”transference situation.” A trained interviewer interviewed the three clinicians about their thought process while identifying these transference phenomena. All interviews were taped and transcribed. Based on 1988 Mahrer's discovery-oriented method, the researcher then studied and classified the interview content using the modified template analysis style (miller 1966). Results: Kendall coefficient of concordance showed that agreement was found among the three clinicians in identifying the ”transference situation” (Kendall (W) =0.694), and the consistency was significant (χ2=39.58, p＜0.01). Qualitative analysis showed that the identified ”transference situation” included five types of ”self-representation transference,” three types of ”object representation transference,” and six types of ”object relations transference.” Amongst them, the six most frequent transference situations were identified. Conclusion: The agreement among the clinicians in the identification and classification of transference situations in the short term psychotherapy process used in this study supports their potential application in psychotherapy.

關鍵字

移情詮釋 ； 精神分析 ； 心理治療歷程研究

並列摘要

Objective: This study was to investigate the phenomena of a short term psychoanalytic psychotherapy process based on an analysis of the ”transference situation.” Methods: The researcher conducted 20 sessions of psychoanalytic psychotherapy with a 22 year-old woman, who had shown narcissistic character during the assessment before the treatment. The treatment was under supervision by a senior consultant child psychotherapist. All of the therapy sessions were recorded. The session notes were then transcribed and revised for the purpose of confidentiality. Three psychoanalytically trained clinicians were asked to read the transcripts and identify episodes of patient-therapist interaction characterized by evidence of the ”transference situation.” A trained interviewer interviewed the three clinicians about their thought process while identifying these transference phenomena. All interviews were taped and transcribed. Based on 1988 Mahrer's discovery-oriented method, the researcher then studied and classified the interview content using the modified template analysis style (miller 1966). Results: Kendall coefficient of concordance showed that agreement was found among the three clinicians in identifying the ”transference situation” (Kendall (W) =0.694), and the consistency was significant (χ2=39.58, p＜0.01). Qualitative analysis showed that the identified ”transference situation” included five types of ”self-representation transference,” three types of ”object representation transference,” and six types of ”object relations transference.” Amongst them, the six most frequent transference situations were identified. Conclusion: The agreement among the clinicians in the identification and classification of transference situations in the short term psychotherapy process used in this study supports their potential application in psychotherapy.

並列關鍵字

psychoanalysis ； transference ； psychotherapy process research ； interpretation

參考文獻

Lin YH(2005).Narcissistic condition and negative transference: a study of dream analysis.Research in Applied Psychology.25,179-211.

Lin YH(2004).Unconscious phantasy and transference interpretation: psychoanalytic psychotherapy assessment.Formosa Journal of Mental Health.3,75-100.

Abraham K(1919).A particular from of neurotic resistance against the psychoanalytic method, in Selected Papers on Psycho-Analysis.London:Hogarth.

Andersen SM,Glassman NS,Sorrention RM,Higgins ET (eds.)(1996).Handbook of, Motivation and Cognition.New York:Guilford.

Bateman A,Holmes J(1995).Introduction to Psychoanalysis-contemporary Theory and Practice.London:Routledge.