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A scale for rating suitability for insight‐oriented psychotherapy
Author(s) -
Persson G.,
Alstrom J. E.
Publication year - 1983
Publication title -
acta psychiatrica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.849
H-Index - 146
eISSN - 1600-0447
pISSN - 0001-690X
DOI - 10.1111/j.1600-0447.1983.tb06989.x
Subject(s) - neuroticism , psychology , rating scale , clinical psychology , personality , psychodynamic psychotherapy , scale (ratio) , trait , construct validity , convergent validity , psychotherapist , psychometrics , developmental psychology , social psychology , physics , quantum mechanics , computer science , internal consistency , programming language
– An instrument for rating patients as suitable (I) or not suitable (NI) for insight‐oriented psychotherapy, is described. It is based on factors suggested by Dewald, and consists of 24 scales, each with 5 steps. Inter‐rater reliability was > 0.60 in 11 of the scales in a study of 25 cases, and four subscales were significantly correlated to suitability for insight‐oriented psychotherapy according to the total scale: “influence of environmental factors on the symptoms”, “variability of the symptoms during the last year”, “self‐confidence”, and “possibility of psychodynamic formulation with a circumscribed focus”. Construct validity was estimated by comparing 29 pairs of I and NI patients. I patients belonged to a higher social class, scored higher on the personality trait dominance and lower on neuroticism, had a more positive experience of the therapist, had lower symptom intensities, and were given a lower global rating of the disorder. I patients were more improved than NI patients when given unspecific treatments. The differences were, however, small. Predictive validity in 38 patients was low which may be due to the fact that the rater had to consider the research points of view, the global nature of several variables and the coarse criteria for correct allocation.