RESUMO
The McGill Object Relations Scale (MORS) is an instrument for assessing levels of drive-based object relations along a continuum of positions representative of psychosexual development. Its theoretical foundations as well as empirical antecedents are presented, and its rating procedure is demonstrated through a case application. The MORS was applied, by five experienced psychiatrists, to 67 adult patients seeking psychoanalytic psychotherapy, in order to assess interrater reliability, internal structure, and construct validity. Results indicate that overall maturity of object relations stems from structural indices of self-object differentiation determined by a particular configuration of many positions, rather than from the thematic aspects included in the individual psychosexual positions.
Assuntos
Apego ao Objeto , Inventário de Personalidade/estatística & dados numéricos , Terapia Psicanalítica , Adulto , Feminino , Humanos , Psicometria , Reprodutibilidade dos TestesRESUMO
A set of criteria for psychoanalytic work that can be used to define various forms of psychoanalytic therapy is proposed. Four patients who were involved in short-term individual psychotherapy with the same therapist, but who evidenced considerably different therapy process and outcome, are used to illustrate the criteria. Implications for practice and research are cited.
Assuntos
Terapia Psicanalítica , Adulto , Conflito Psicológico , Contratransferência , Feminino , Humanos , Pessoa de Meia-Idade , Motivação , Interpretação Psicanalítica , Psicoterapia Breve , Regressão Psicológica , Transferência PsicológicaRESUMO
The relationships between the object (person) focus of therapist interpretations and outcome were examined for 21 patients who received short-term individual psychotherapy. Percentages of single objects and linked objects, e.g. therapist-parent link, were derived from an analysis of the therapy sessions. Patients, therapists and an independent assessor provided pre-therapy, post-therapy and six-month follow-up outcome scores. Contrary to other reports in the literature little evidence was found to support the hypothesis of a direct linear relationship between object focus and favourable outcome. Several explanations for the findings are discussed.
Assuntos
Apego ao Objeto , Interpretação Psicanalítica , Psicoterapia Breve , Feminino , Seguimentos , Humanos , Masculino , Transtornos Mentais/terapiaRESUMO
Pretherapy training for group psychotherapy is conceptualized in terms of learned conditions of preparedness (objectives) and in terms of methods of preparation (procedures). Controlled studies of pretraining for group psychotherapy were reviewed in reference to these two dimensions and their effects. A controlled study of pretraining involving five outpatient therapy groups that used a new cognitive-experiential approach to pretraining was performed. Pretrained groups had significantly higher patient attendance and significantly fewer dropouts than nonpretrained groups.
