Research on Adolescent Psychodynamic Psychotherapy Process: An Italian Contribution to the Adolescent Psychotherapy Q-Set (APQ)

2019 ◽  
Vol 18 (3) ◽  
pp. 274-287
Author(s):  
Mauro Di Lorenzo ◽  
Alfio Maggiolini
Keyword(s):  
Psychodynamic Psychotherapy ◽  
Psychotherapy Process ◽  
Adolescent Psychotherapy

scholarly journals Development of Brazilian prototypes for short-term psychotherapies

2016 ◽  
Vol 38 (2) ◽  
pp. 71-79 ◽  
Author(s):  
Fernanda Barcellos Serralta ◽  
John Stuart Ablon
Keyword(s):  
Psychodynamic Psychotherapy ◽  
Behavioral Therapy ◽  
Psychotherapy Process ◽  
Cognitive Behavioral ◽  
Factor Scores ◽  
Short Term ◽  
Initial Support ◽  
Type Factor ◽  
Expert Ratings

Abstract Introduction: The Psychotherapy Process Q-Set (PQS) prototype method is used to measure the extent to which ideal processes of different psychotherapies are present in real cases, allowing researchers to examine how adherence to these models relates to or predicts change. Results from studies of short-term psychotherapies suggest that the original psychodynamic prototype is more suitable for studying psychoanalysis and long-term psychodynamic psychotherapy than its time-limited counterparts. Furthermore, culture probably influences how therapies are typically conducted in a given country. Therefore, it seems appropriate to develop Brazilian prototypes on which to base studies of short-term psychodynamic and cognitive-behavioral processes in this country. Objective: To develop prototypes for studying processes of short-term psychotherapies and to examine the degree of adherence of two real psychotherapy cases to these models. Methods: Expert clinicians used the PQS to rate a hypothetical ideal session of either short-term psychodynamic psychotherapy (STPP) or cognitive-behavioral therapy (CBT). Ratings were submitted to Q-type factor analysis to confirm the two groups. Regressive factor scores were rank ordered to describe the prototypes. These ideal models were correlated with ratings of actual therapy processes in two complete psychotherapy cases, one STPP and the other CBT. Results: Agreement levels between expert ratings were high and the two ideal models were confirmed. As expected, the PQS ratings for actual STPP and CBT cases had significant correlations with their respective ideal models, but the STPP case also adhered to the CBT prototype. Conclusion: Overall, the findings reveal the adequacy of the prototypes for time-limited therapies, providing initial support of their validity.

scholarly journals A developmental perspective on adolescent psychoanalytic psychotherapy. An Italian study with the Adolescent Psychotherapy Q-Set

2015 ◽  
Vol 18 (2) ◽  
Author(s):  
Mauro Di Lorenzo ◽  
Alfio Maggiolini ◽  
Virginia Anna Suigo
Keyword(s):  
Psychodynamic Psychotherapy ◽  
Behavioral Therapy ◽  
Therapeutic Process ◽  
Psychotherapy Research ◽  
Clinical Expertise ◽  
Adolescent Psychotherapy ◽  
Therapeutic Approaches ◽  
Developmental Approach ◽  
The Subject ◽  
Therapist Response

Introduction: despite large and widely accepted research on effectiveness, most of psychotherapy research has been done with adults; few studies have been published on the process of adolescent psychotherapy, due to the complexity of the subject and the absence of instruments sensitive enough to empirically capture its nuances. Within psychoanalytic framework, a developmental approach is particu-larly helpful in the psychotherapy of adolescents. Objective: the purpose of this study was to investigate the typical features of Italian Adolescence Psychodynamic Psychotherapy and its similarities and differences with other adolescence psycho-therapeutic approaches; We also aimed at analyzing typical therapists’ responses to adolescent patients. Method: 50 italian adolescence psychotherapists filled a brief questionnaire about their clinical expertise, completed the Adolescent Psychothe-rapy Q – Set (APQ) and the Therapist Response Questionnaire (TRQ) in order to describe their “actual” practice with adolescents. Results: therapeutic process is characterized by a priority to helping adolescent make sense of his own experience, it focuses on present relationships and emotions rather than on past. Strong similar-ities with Mentalization Based Therapy, mild and no correlations with Cognitive-Behavioral Therapy and Classical Psychoanalysis respectively were found; towards adolescents therapists generaly display positive and protective countertransference responses. They less frequenlty show negative responses as overprotection, hostility or feeling of overwhelming. Conclusions: APQ and TRQ can provide meaningfull information about adolescent psychotherapy process. Instruments’ improvement (i.e. reviewd items for APQ) and future perspectives are also discussed.

scholarly journals Psychotherapy Dropout: Using the Adolescent Psychotherapy Q-Set to Explore the Early In-Session Process of Short-Term Psychodynamic Psychotherapy

2021 ◽  
Vol 12 ◽  
Author(s):  
Hanne Gotaas Fredum ◽  
Felicitas Rost ◽  
Randi Ulberg ◽  
Nick Midgley ◽  
Agneta Thorén ◽  
...  
Keyword(s):  
Psychodynamic Psychotherapy ◽  
Patient Characteristics ◽  
Drop Out ◽  
Adolescent Psychotherapy ◽  
Short Term ◽  
Therapist Variables ◽  
Emotional Detachment ◽  
Pre Treatment ◽  
Psychotherapy Dropout ◽  
Patient Resistance

Research suggests that short-term psychodynamic psychotherapy (STPP) is an effective treatment for depression in adolescence, yet treatment dropout is a major concern and what leads to dropout is poorly understood. Whilst studies have begun to explore the role of patient and therapist variables, there is a dearth of research on the actual therapy process and investigation of the interaction between patient and therapist. This study aims to address this paucity through the utilisation of the Adolescent Psychotherapy Q-set (APQ) to examine the early treatment period. The sample includes 69 adolescents aged 16–18 years with major depressive disorder receiving STPP as part of the First Experimental Study of Transference Work–in Teenagers (FEST-IT) trial. Of these, 21 were identified as dropouts and were compared to completers on pre-treatment patient characteristics, symptomatology, functioning, and working alliance. APQ ratings available for an early session from 16 of these drop out cases were analysed to explore the patient-therapist interaction structure. Results from the Q-factor analysis revealed three distinct interaction structures that explained 54.3% of the total variance. The first described a process of mutual trust and collaboration, the second was characterised by patient resistance and emotional detachment, the third by a mismatch and incongruence between therapist and adolescent. Comparison between the three revealed interesting differences which taken together provide further evidence that the reasons why adolescents drop out of therapy vary and are multidimensional in nature.

scholarly journals Interaction Structures in Psychodynamic Psychotherapy for Adolescents

2021 ◽  
Vol 18 (24) ◽  
pp. 13007
Author(s):  
Barış Can ◽  
Sibel Halfon
Keyword(s):  
Multilevel Modeling ◽  
Externalizing Problems ◽  
Psychodynamic Psychotherapy ◽  
Specific Treatment ◽  
Psychotherapy Research ◽  
Principal Component ◽  
Evidence Base ◽  
Study Cohort ◽  
Adolescent Psychotherapy ◽  
Resistant Patient

Despite advances in psychotherapy research showing an evidence-base for psychodynamic psychotherapy (PDT) in adolescents, developmentally specific treatment characteristics are under-researched. We aimed to identify interaction structures (IS: reciprocal patterns of in-session interactions involving therapist interventions, patient behaviors, and the therapeutic relationship) and assess associations between IS and outcome. The study cohort comprised 43 adolescents (Mage = 13.02 years) with nonclinical, internalizing, and comorbid internalizing–externalizing problems in PDT. A total of 123 sessions from different treatment phases were rated based on the Adolescent Psychotherapy Q-Set (APQ). Outcome was assessed with the Brief Problem Monitor-Youth (BPM-Y) administered repeatedly over the treatment course. Principal component analysis of APQ items resulted in five IS, named “Negative Therapeutic Alliance”, “Demanding Patient, Accommodating Therapist”, “Emotionally Distant Resistant Patient”, “Inexpressive Patient, Inviting Therapist”, and “Exploratory Psychodynamic Technique” (EPT). Multilevel modeling analyses with Bayesian Markov chain Monte Carlo (MCMC) estimations indicated a two-way interaction effect between EPT and problem levels at baseline such that patients with lower problems at baseline showed good outcome in the context of EPT, whereas an inverse relationship was found for patients with higher problems. Findings provide empirical evidence for characteristic components of PDT for adolescents and preliminary answers about who benefits from psychodynamic techniques.

Adolescent Psychotherapy Process Q-Set

2007 ◽  
Author(s):  
Michael Bambery ◽  
John H. Porcerelli ◽  
J. Stuart Ablon
Keyword(s):  
Psychotherapy Process ◽  
Adolescent Psychotherapy

scholarly journals Adolescent psychotherapy process research: adaptation of the instrument APQ

Psico-USF ◽  
2017 ◽  
Vol 22 (2) ◽  
pp. 197-205 ◽  
Author(s):  
Silvia Pereira da Cruz Benetti ◽  
Georgius Cardoso Eisswein ◽  
Nathália Bohn da Silva ◽  
Gabriel Soares Carvalho Bernardi ◽  
Ana Calderón
Keyword(s):  
Factor Analysis ◽  
Process Research ◽  
Psychotherapy Process ◽  
Cognitive Behavioral ◽  
Adolescent Psychotherapy ◽  
Model Data ◽  
Psychotherapy Process Research ◽  
Behavioral Factor ◽  
Brazilian Version ◽  
Two Factors

Abstract The aim of this paper is to present the Brazilian version of the instrument APQ (Adolescent Psychotherapy Q-Set), including its translation and initial adaptation, followed by the construction of psychotherapy prototypes for psychoanalytic and cognitivebehavioral approaches. A total of 10 psychoanalytic and 10 cognitive-behavioral therapists were asked to classify the APQ items in relation to relevance to their theoretical model. Data were analyzed with factor analysis. The extraction of two factors explained 48.07% of the total variance. The Cronbach’s alpha for the psychoanalytic factor was 0.85 and for the cognitive-behavioral factor, 0.86. The former presented factor loadings ranging from .61 to .73, whilst the latter from .49 to 80. The prototypes were developed through linear regression calculations of each APQ item’s contribution to each of the factors. It was observed that the two prototypes adequately discriminated psychoanalytic and cognitive behavioral approaches, indicating that the APQ is an appropriate tool for research in psychotherapy.

scholarly journals Uncovering Interaction Structures in a Brief Psychodynamic Psychotherapy

2016 ◽  
Vol 26 (64) ◽  
pp. 255-263
Author(s):  
Fernanda Barcellos Serralta
Keyword(s):  
Psychodynamic Psychotherapy ◽  
Treatment Phase ◽  
Term Treatment ◽  
Psychotherapy Process ◽  
Short Term ◽  
Successful Case ◽  
Long Term Treatment ◽  
Type Factor ◽  
Analysis Of Variation

Abstract Interaction structures refers to the repetitive ways of interaction between the patient-therapist dyad over the course of treatment. This construct is operationalized by the repeated application of the Psychotherapy Process Q-Set (PQS) to psychotherapy sessions. Studies in this line of research have so far focused only on long-term treatment. The present study examines whether interaction structures can be detected empirically in short-term psychotherapies. All sessions (N = 31) of a successful case of brief psychodynamic psychotherapy were coded with the Psychotherapy Process Q-Set (PQS). The application of Q type factor analysis procedures with varimax rotation revealed five interaction structures: resistance, alliance, facing depression, expectation of change, and introspection and hearing. The analysis of variation of these structures over the course of the treatment showed that these interactions are nonlinear, may be positively or negatively protruding in different sessions, or be predominant at some treatment phase.

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