Aim of the study: This study investigated the association between therapist interventions and patient defensive functioning in low-alliance and high-alliance sessions over the course of short-term dynamic psychotherapy (STDP) (n= 22).
Subject or material and methods: Lag sequential analysis was used to determine if there were predictable sequences of therapist interventions and patient defenses in low-alliance and high alliance sessions and whether these two sequences differ.
Results: The results of this study suggest that sequences between alliance session groups are different. Specifically, defense interpretation depth unfolds in a predictable fashion during a low-alliance session while supportive strategies appear more predictable during high-alliance sessions.
Discussion: The statistical trends obtained in this study are discussed in light of prior research studies in this area. Specifically, differences between low and high alliance sessions are discussed.
Conclusions: Defense interpretation depth is a clinical construct that warrants further study in psychotherapy research.
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