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Assessment of Change in Psychoanalysis : Another Way of Using the Change After Psychotherapy Scales

Pires, António Pazo; Gonçalves, João; Sá, Vânia; Silva, Andrea and Sandell, Rolf LU (2016) In Journal of the American Psychoanalytic Association 64(2). p.285-305
Abstract

A systematic method is presented whereby material from a full course of psychoanalytic treatment is analyzed to assess changes and identify patterns of change. Through an analysis of session notes, changes were assessed using the CHange After Psychotherapy scales (CHAP; Sandell 1987a), which evaluate changes in five rating variables (symptoms, adaptive capacity, insight, basic conflicts, and extratherapeutic factors). Change incidents were identified in nearly every session. Early in the analysis, relatively more change incidents related to insight were found than were found for the other types of change. By contrast, in the third year and part of the fourth year, relatively more change incidents related to basic conflicts and adaptive... (More)

A systematic method is presented whereby material from a full course of psychoanalytic treatment is analyzed to assess changes and identify patterns of change. Through an analysis of session notes, changes were assessed using the CHange After Psychotherapy scales (CHAP; Sandell 1987a), which evaluate changes in five rating variables (symptoms, adaptive capacity, insight, basic conflicts, and extratherapeutic factors). Change incidents were identified in nearly every session. Early in the analysis, relatively more change incidents related to insight were found than were found for the other types of change. By contrast, in the third year and part of the fourth year, relatively more change incidents related to basic conflicts and adaptive capacity were found. While changes related to symptoms occurred throughout the course of treatment, such changes were never more frequent than other types of change. A content analysis of the change incidents allowed a determination of when in the treatment the patient’s main conflicts (identified clinically) were overcome. A crossing of quantitative data with clinical and qualitative data allowed a better understanding of the patterns of change.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
CHAP, psychic change, psychoanalysis
in
Journal of the American Psychoanalytic Association
volume
64
issue
2
pages
21 pages
external identifiers
  • Scopus:84966559904
  • WOS:000375725800002
ISSN
0003-0651
DOI
10.1177/0003065116644743
language
English
LU publication?
yes
id
326f8e3c-cc41-4147-a629-30b2c932f2fb
date added to LUP
2016-10-10 13:39:32
date last changed
2017-01-01 08:36:18
@article{326f8e3c-cc41-4147-a629-30b2c932f2fb,
  abstract     = {<p>A systematic method is presented whereby material from a full course of psychoanalytic treatment is analyzed to assess changes and identify patterns of change. Through an analysis of session notes, changes were assessed using the CHange After Psychotherapy scales (CHAP; Sandell 1987a), which evaluate changes in five rating variables (symptoms, adaptive capacity, insight, basic conflicts, and extratherapeutic factors). Change incidents were identified in nearly every session. Early in the analysis, relatively more change incidents related to insight were found than were found for the other types of change. By contrast, in the third year and part of the fourth year, relatively more change incidents related to basic conflicts and adaptive capacity were found. While changes related to symptoms occurred throughout the course of treatment, such changes were never more frequent than other types of change. A content analysis of the change incidents allowed a determination of when in the treatment the patient’s main conflicts (identified clinically) were overcome. A crossing of quantitative data with clinical and qualitative data allowed a better understanding of the patterns of change.</p>},
  author       = {Pires, António Pazo and Gonçalves, João and Sá, Vânia and Silva, Andrea and Sandell, Rolf},
  issn         = {0003-0651},
  keyword      = {CHAP,psychic change,psychoanalysis},
  language     = {eng},
  number       = {2},
  pages        = {285--305},
  series       = {Journal of the American Psychoanalytic Association},
  title        = {Assessment of Change in Psychoanalysis : Another Way of Using the Change After Psychotherapy Scales},
  url          = {http://dx.doi.org/10.1177/0003065116644743},
  volume       = {64},
  year         = {2016},
}