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Motive‐oriented therapeutic relationship in brief psychodynamic intervention for patients with depression and personality disorders
Author(s) -
Kramer Ueli,
Rosciano Alessandra,
Pavlovic Mirjana,
Berthoud Laurent,
Despland JeanNicolas,
de Roten Yves,
Caspar Franz
Publication year - 2011
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/jclp.20806
Subject(s) - psychology , major depressive disorder , clinical psychology , personality disorders , depression (economics) , intervention (counseling) , psychotherapist , psychodynamic psychotherapy , personality , psychiatry , mood , social psychology , economics , macroeconomics
Motive‐Oriented Therapeutic Relationship (MOTR, also called Complementary Therapeutic Relationship) has already shown itself to be related to therapeutic outcome in several studies. The present study aims to test MOTR in a 4‐session Brief Psychodynamic Intervention for patients presenting with major depressive disorder (MDD) and comorbid personality disorder (PD). In total, N = 20 patients were selected; n = 10 had MDD, n = 10 had MDD with comorbid PD. The first therapy session was videotaped and analyzed by means of Plan Analysis and the MOTR scale. Results suggest a differential effect on outcome: only the nonverbal component of MOTR is related to symptomatic change in patients presenting with MDD and comorbid PD; no such effect was found for patients with MDD alone. These results are discussed in line with the generalization and refinement of the conclusions of previous findings on the MOTR. © 2011 Wiley Periodicals, Inc. J Clin Psychol 67:1–11, 2011.