Therapeutic Atmosphere in Psychotherapy Sessions

Marte L. Siegel, Eva M. Gullestad Binder, Hanne Sofie J. Dahl, Nikolai O. Czajkowski, Kenneth L. Critchfield, Per A. Høglend and Randi Ulberg
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Marte L. Siegel: Department of Psychology, University of Oslo, Forskningsveien 3A, 0373 Oslo, Norway
Eva M. Gullestad Binder: Department of Psychology, University of Oslo, Forskningsveien 3A, 0373 Oslo, Norway
Hanne Sofie J. Dahl: Department of Psychology, University of Oslo, Forskningsveien 3A, 0373 Oslo, Norway
Nikolai O. Czajkowski: Department of Psychology, University of Oslo, Forskningsveien 3A, 0373 Oslo, Norway
Kenneth L. Critchfield: Department of Graduate Psychology, James Madison University, Harrisonburg, VA 22807, USA
Per A. Høglend: Division of Mental Health and Addiction, University of Oslo, Kirkeveien 166, 0450 Oslo, Norway
Randi Ulberg: Division of Mental Health and Addiction, University of Oslo, Kirkeveien 166, 0450 Oslo, Norway

IJERPH, 2020, vol. 17, issue 11, 1-13

Abstract: There is uncertainty concerning what the active ingredients in psychotherapy are. The First Experimental Study of Transference interpretations (FEST) was a randomized controlled trial of the effects of transference work (TW) in psychodynamic psychotherapy. Women with low quality of object relations (QOR) showed a large positive effect of transference work, while men with high QOR showed a slight negative effect. The present study aimed to expand the knowledge from the FEST by investigating the therapeutic atmosphere with Structural Analysis of Social Behavior (SASB). Two-way ANOVAs were conducted to investigate differences between SASB cluster scores between subgroups. The therapeutic atmosphere was characterized by Protect–Trust, Affirm–Disclose and Control–Submit. Multilevel modeling was used to assess the relationship between a therapist variable and outcomes for men and women. Contrary to expectations, no significant differences in therapeutic atmosphere between subgroups (with or without TW in women with low QOR and men with high QOR) were observed using the process measure SASB.

Keywords: SASB; FEST; transference work; object relations; process; outcome; psychodynamic; atmosphere (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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