Lingustic realization of resistance in psychodynamic psychotherapy

这个跨学科的项目旨在更好地理解心理动力学心理治疗的核心概念“抵抗”。它研究了在心理治疗过程中，抵抗力如何变化，这取决于治疗反应和患者变量。在一个混合的方法，结合语言，会话分析和心理，心理治疗方法，录像和门诊心理治疗会议的成绩单进行分析。 基于180个完整的心理动力学治疗抑郁症患者（单相情感障碍，患有焦虑和抑郁症状的患者和抑郁性人格障碍患者），语言实现的阻力。治疗互动的前一个序列和治疗师对阻力的反应也将包括在分析中。这些分析将产生一个分类矩阵，该矩阵允许捕获耐药性的实现类型和对耐药性的治疗反应类型。我们的目标是开发一个语言和互动为基础的类型学的实现阻力和形式的治疗反应的阻力，这可以作为一个基础，探讨在心理治疗过程中的阻力变化的动态。分类矩阵将转换为编码系统，用于识别治疗过程中不同类型耐药的频率和强度变化。如何电阻变化的治疗干预的效果的问题将纵向研究，定性，使用会话分析和Interestinglinguistics的方法，和定量，使用编码，问卷调查数据和统计分析。将对第5、15和30次治疗共110次治疗进行分析。它将被测试如何实现阻力及其变化取决于各种患者，治疗师和过程变量一方面和治疗反应的另一方面。从理论上讲，该项目的目标是发展一个基于语言和互动的概念，在心理动力学心理治疗中实现阻力及其管理。因此，该项目将有助于更好地理解语言和互动如何影响心理治疗的变化。相关的实践和培训的结果，在心理动力学心理治疗将进行讨论。

This interdisciplinary project aims for a better understanding of a core concept of psychodynamic psychotherapy, ‚resistance‘. It studies how resistance changes over the course of psychotherapeutic treatment, depending on therapeutic reactions and patient variables. In a mixed methods approach, which combines linguistic, conversation-analytic and psychological, psychotherapeutic methods, video-recordings and transcripts of outpatient psychotherapeutic sessions will be analyzed. On the basis of 180 complete psychodynamic therapies with depressive patients (unipolar affective disorder, patients suffering from anxiety and depressive symptoms and patients with a depressive personality disorder), linguistic realizations of resistance are identified. The immediately preceding sequences of therapeutic interaction and the therapist’s responses to resistance will also be included in the analysis. The analyses will result in a categorical matrix that allows to capture both types of realizations of resistance and types of therapeutic responses to resistance. The goal is to develop a linguistically and interactionally based typology of realizations of resistance and of forms of therapeutic responses to resistance, which can serve as a basis for inquiring into the dynamics of change of resistance over the course of psychotherapeutic treatment processes. The categorical matrix will be transformed into a coding-system, which will be used to identify changes in frequency and intensity of different types of resistance over the course of the therapeutic sessions. The issue of how resistance changes as an effect of therapeutic interventions will be studied longitudinally both qualitatively, using the approach of conversation analysis and interactional linguistics, and quantitatively, using coding, questionnaire data and statistical analysis. Sessions 5, 15 and 30 will be subjected to analysis in a total of 110 therapies. It will be tested how realization of resistance and its change depends on various patient, therapist and process variables on the one hand and on therapeutic responses on the other hand. Theoretically, the project sets as ist goal to develop a linguistically and interactionally based concept of the realization of resistance and its management in psychodynamic psychotherapy. The project thus will contribute to a better understanding of how language and interaction matter for psychotherapeutic change. The relevance of the results for practice and training in psychodynamic psychotherapy will be discussed.