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Mentalisering och terapeutisk allians: Samspelet i ett tidigt skede

Lundell Svanäng, Linda LU and Linder, Love LU (2011) PSPT02 20111
Department of Psychology
Abstract
The purpose of this study was to investigate the influence of the mentalization ability on the development and experience of early therapeutic alliance, in this case the early alliance that occurs in an interview setting. Research indicates that higher mentalization capacity in the patient is correlated with stronger therapeutic alliance during therapy, but little is known about this relationship early in treatment. The Adult Attachment Interview AAI was conducted with 25 participants within an age range of 19-52. The participants and the interviewers completed a modified version of HAq-II, a self-report measure concerning therapeutic alliance, and were also asked to describe the experience in their own words. The interviews were scored... (More)
The purpose of this study was to investigate the influence of the mentalization ability on the development and experience of early therapeutic alliance, in this case the early alliance that occurs in an interview setting. Research indicates that higher mentalization capacity in the patient is correlated with stronger therapeutic alliance during therapy, but little is known about this relationship early in treatment. The Adult Attachment Interview AAI was conducted with 25 participants within an age range of 19-52. The participants and the interviewers completed a modified version of HAq-II, a self-report measure concerning therapeutic alliance, and were also asked to describe the experience in their own words. The interviews were scored for mentalization according to the Reflective Functioning Manual, version 5. The results showed no influence of mentalization capacity in the participant on the rating of early therapeutic alliance during the interview, neither as rated by the participant nor as rated by the interviewer. However, there was a significant negative correlation between mentalization capacity in the participant and the participant rating on the item regarding sense of trust in the interviewer. When freely describing the experience of the interview, the participants low in mentalization ability emphasized their own perspective while those high in mentalization focused more on the interplay and the interviewer. The interviewers described a more easy-going atmosphere while interacting with participants low in mentalization. (Less)
Abstract (Swedish)
Syftet med denna studie var att undersöka hur mentaliseringsförmåga påverkar uppkomsten och upplevelsen av tidig terapeutisk allians, för både individen och den andre personen. Specifikt undersöks den tidiga allians som uppkommer under en intervjusituation. Tidigare forskning tyder på att en högre mentaliseringsförmåga hos patienten innebär större möjlighet att utveckla och upprätthålla en god terapeutisk allians under behandling, men hur detta ser ut i ett tidigt skede är ännu inte utforskat. Anknytningsintervjun AAI genomfördes med 25 deltagare i åldrarna 19-52, och därefter fick deltagarna och intervjuarna skatta upplevelsen av allians under intervjun genom att fylla i en modifierad version av självskattningsformuläret HAq-II som mäter... (More)
Syftet med denna studie var att undersöka hur mentaliseringsförmåga påverkar uppkomsten och upplevelsen av tidig terapeutisk allians, för både individen och den andre personen. Specifikt undersöks den tidiga allians som uppkommer under en intervjusituation. Tidigare forskning tyder på att en högre mentaliseringsförmåga hos patienten innebär större möjlighet att utveckla och upprätthålla en god terapeutisk allians under behandling, men hur detta ser ut i ett tidigt skede är ännu inte utforskat. Anknytningsintervjun AAI genomfördes med 25 deltagare i åldrarna 19-52, och därefter fick deltagarna och intervjuarna skatta upplevelsen av allians under intervjun genom att fylla i en modifierad version av självskattningsformuläret HAq-II som mäter terapeutisk allians, samt kortfattat med egna ord beskriva kontakten. Mentaliseringsförmåga kodades sen i intervjuerna utifrån Reflective Functioning Scale, RF-skalan. Resultatet visade inga samband mellan intervjupersonens mentaliseringsförmåga och skattningen av terapeutisk allians under intervjun, varken för intervjupersonens eller för intervjuarens skattning. Däremot syntes ett signifikant negativt samband mellan RF-poäng och skattning på frågan om upplevelse av att lita på intervjuaren. När deltagarna fått beskriva kontakten med egna ord har de med lägre RF-poäng beskrivit mer utifrån sin egen upplevelse medan de med högre RF-poäng reflekterat mer över samspelet och intervjuaren. Intervjuarna beskrev en mer lättsam stämning i kontakten med lågmentaliserande deltagare. (Less)
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author
Lundell Svanäng, Linda LU and Linder, Love LU
supervisor
organization
alternative title
Mentalization and early therapeutic alliance
course
PSPT02 20111
year
type
H3 - Professional qualifications (4 Years - )
subject
keywords
mentalisering, terapeutisk allians, tidig terapeutisk allians, anknytningsintervjun, reflective functioning
language
Swedish
id
1974583
date added to LUP
2011-06-14 11:49:46
date last changed
2011-06-14 11:49:46
@misc{1974583,
  abstract     = {The purpose of this study was to investigate the influence of the mentalization ability on the development and experience of early therapeutic alliance, in this case the early alliance that occurs in an interview setting. Research indicates that higher mentalization capacity in the patient is correlated with stronger therapeutic alliance during therapy, but little is known about this relationship early in treatment. The Adult Attachment Interview AAI was conducted with 25 participants within an age range of 19-52. The participants and the interviewers completed a modified version of HAq-II, a self-report measure concerning therapeutic alliance, and were also asked to describe the experience in their own words. The interviews were scored for mentalization according to the Reflective Functioning Manual, version 5. The results showed no influence of mentalization capacity in the participant on the rating of early therapeutic alliance during the interview, neither as rated by the participant nor as rated by the interviewer. However, there was a significant negative correlation between mentalization capacity in the participant and the participant rating on the item regarding sense of trust in the interviewer. When freely describing the experience of the interview, the participants low in mentalization ability emphasized their own perspective while those high in mentalization focused more on the interplay and the interviewer. The interviewers described a more easy-going atmosphere while interacting with participants low in mentalization.},
  author       = {Lundell Svanäng, Linda and Linder, Love},
  keyword      = {mentalisering,terapeutisk allians,tidig terapeutisk allians,anknytningsintervjun,reflective functioning},
  language     = {swe},
  note         = {Student Paper},
  title        = {Mentalisering och terapeutisk allians: Samspelet i ett tidigt skede},
  year         = {2011},
}