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dc.contributor.authorStenius, Jaakko
dc.contributor.authorKnekt, Paul
dc.contributor.authorHeinonen, Erkki
dc.contributor.authorHolma, Juha
dc.contributor.authorAntikainen, Risto
dc.contributor.authorLindfors, Olavi
dc.date.accessioned2021-05-10T12:42:31Z
dc.date.available2021-05-10T12:42:31Z
dc.date.issued2021
dc.identifier.citationStenius, J., Knekt, P., Heinonen, E., Holma, J., Antikainen, R., & Lindfors, O. (2021). Predicting the working alliance over the course of long-term psychodynamic psychotherapy with the Rorschach Ego Impairment Index, self-reported defense style, and performance-based intelligence : An evaluation of three methodological approaches. <i>Psychoanalytic Psychology</i>, <i>38</i>(1), 58-67. <a href="https://doi.org/10.1037/pap0000318" target="_blank">https://doi.org/10.1037/pap0000318</a>
dc.identifier.otherCONVID_41746053
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/75417
dc.description.abstractBetter therapeutic alliances are known to predict better treatment outcomes, but little knowledge still exists on the patient characteristics that lead to better alliances. In a sample of 128 outpatients assigned to long-term psychodynamic psychotherapy and suffering from mood and/or anxiety disorder, this study evaluated how the alliance, measured using the Working Alliance Inventory (WAI), is predicted by three different measures for assessing psychological resources and vulnerabilities: the Wechsler Adult Intelligence Scale—Revised (WAIS–R), the Defense Style Questionnaire (DSQ), and the Rorschach-based Ego Impairment Index (EII-2). All the three measures showed some ability to predict the development of the alliance during long-term therapy. The WAIS–R was found to be the strongest independent predictor, with higher intelligence scores predicting favorable development of both the patient- and therapist-rated alliance. Lower DSQ values, indicating less use of immature defenses, predicted greater improvement in the patient- but not the therapist-rated alliance. Higher EII-2 values, indicating more problematic ego functioning, predicted likewise greater patient-rated alliance improvement over the course of treatment. These findings support the value of pretreatment multimethod psychological assessment when tailoring treatment to the individual needs of patients.en
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherAmerican Psychological Association (APA)
dc.relation.ispartofseriesPsychoanalytic Psychology
dc.rightsIn Copyright
dc.subject.otherWechsler Adult Intelligence Scale—Revised
dc.subject.otherDefense Style Questionnaire
dc.subject.otherRorschach
dc.subject.otherEgo
dc.subject.otherImpairment Index
dc.subject.otherWorking Alliance Inventory
dc.titlePredicting the working alliance over the course of long-term psychodynamic psychotherapy with the Rorschach Ego Impairment Index, self-reported defense style, and performance-based intelligence : An evaluation of three methodological approaches
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202105102703
dc.contributor.laitosPsykologian laitosfi
dc.contributor.laitosDepartment of Psychologyen
dc.contributor.oppiainePsykologiafi
dc.contributor.oppiainePsychologyen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.format.pagerange58–67
dc.relation.issn0736-9735
dc.relation.numberinseries1
dc.relation.volume38
dc.type.versionacceptedVersion
dc.rights.copyright© 2021 APA
dc.rights.accesslevelopenAccessfi
dc.subject.ysoahdistus
dc.subject.ysotutkimusmenetelmät
dc.subject.ysopsykoterapia
dc.subject.ysomittarit (mittaus)
dc.subject.ysoahdistuneisuushäiriöt
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p4621
jyx.subject.urihttp://www.yso.fi/onto/yso/p415
jyx.subject.urihttp://www.yso.fi/onto/yso/p2587
jyx.subject.urihttp://www.yso.fi/onto/yso/p21210
jyx.subject.urihttp://www.yso.fi/onto/yso/p21091
dc.rights.urlhttp://rightsstatements.org/page/InC/1.0/?language=en
dc.relation.doi10.1037/pap0000318
dc.type.okmA1


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