Relational offers and demands: analysing the conflictual interactional components of anaclitic and introjective female depressive patients / Ofertas y demandas relacionales: análisis de los componentes interaccionales conflictivos de pacientes mujeres depresivas anaclíticas e introyectivas

Abstract

Spanish

Depressive symptoms are associated with typical ways of relating to and handling conflict with others. This study empirically analysed the most frequent relational ‘demands’ and ‘offers’ identified in the verbal expressions of depressive patients during the first session, comparing them according to their personality organization (anaclitic vs introjective). The CCRT-LU-S Category System was used to analyse the first session of 27 patients with depressive symptomatology. The results showed that the highest percentage of depressive patients’ interactional components identified were relational ‘offers’, whereas the remainder percentage were relational ‘demands’. At the same time, the highest percentage of those interactional components were verbalized as disharmonious (weakness, withdrawing, unpleasant and fighting) by anaclitic patients, while the highest percentage were verbalized as harmonious (loving or having self-determination) by introjective patients. Implications for clinical relevance of these results are discussed.

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References

Albani

Pokorny

Blaser

Grueninger

Koenig

Marschke

Kächele

(2002). Reformulation of the core conflictual relationship theme (CCRT) categories: The CCRT-LU category system. Psychotherapy Research, 12, 319–338. doi:10.1093/ptr/12.3.319

Allen

J. G.

(2006). Mentalizing in practice. In Allen

J. G.

Fonagy

(Eds.), Handbook of mentalization-based treatment (pp. 3–30). West Sussex: John Wiley & Sons.

American Psychiatric Association . (2000). Diagnostic and statistical manual of mental disorders - text revision (DSM-IV-TR) (4th ed.). Washington, DC: Author.

Barber

J. P.

Foltz

Weinryb

R. M.

(1998). The central relationship questionnaire: Initial report. Journal of Counseling Psychology, 45, 131–142. doi:10.1037/0022-0167.45.2.131

Blatt

S. J.

(2004). Experiences of depression: Theoretical, clinical and research perspectives. Washington, DC: American Psychological Association.

Blatt

S. J.

(2007). A fundamental polarity in psychoanalysis: Implications for personality development, psychopathology and the therapeutic process. Psychoanalytic Inquiry, 26, 494–520. doi:10.1080/07351690701310581

Blatt

S. J.

(2008). Polarities of experience: Relatedness and self-definition in personality development, psychopathology, and the therapeutic process. Washington, DC: American Psychological Association. doi:10.1037/11749-006

Blatt

S. J.

Shahar

(2004). Psychoanalysis with whom, for what, and how? Comparisons with psychotherapy. Journal of the American Psychoanalytic Association, 52, 393–447. doi:10.1177/00030651040520020401

Blatt

S. J.

Shahar

Zuroff

(2001). Anaclitic (sociotropic) and introjective (autonomous) dimensions. Psychotherapy: Theory, Research, Practice, Training, 38, 449–454. doi:10.1037/0033-3204.38.4.449

10.

Bruner

(1986). Actual minds, possible worlds. Cambridge, MA: Harvard University Press.

11.

Bucci

(1995). The power of the narrative: A multiple code account. In Pennebaker

J. W.

(Ed.), Emotion, disclosure and health (pp. 71–92). Washington, DC: American Psychological Association.

12.

Choi-Kain

L. W.

Gunderson

J. G.

(2008). Mentalization: Ontogeny, assessment, and application in the treatment of borderline personality disorder. American Journal of Psychiatry, 165, 1127–1135. doi:10.1176/appi.ajp.2008.07081360

13.

Conradi

H. J.

Jonge

(2009). Recurrent depression and the role of adult attachment: A prospective and a retrospective study. Journal of Affective Disorders, 116, 93–99. doi:10.1016/j.jad.2008.10.027

14.

Diguer

Lefebvre

Drapeau

Luborsky

Rousseau

J. P.

Hébert

. (2001). The core conflictual relationship theme (CCRT) of psychotic, borderline and neurotic personality organizations. Psychotherapy Research, 11, 169–186. doi:10.1093/ptr/11.2.169

15.

Espinosa

D. H.

Valdés

(2012). Codificación de Episodios Relacionales a partir de la versión en castellano del Método del Tema Central de Conflicto Relacional CCRT-LU-S: Manual de Procedimiento. Proyecto Fondecyt N°3130367. Unpublished manuscript. Retrieved from http://www.milenio-depresion.cl/wp-content/uploads/2013/12/Manual-CCRT-LU-S.pdf

16.

Fonagy

Gergely

Jurist

Target

(2002). Affect regulation, mentalization and the development of self. New Work, NY: Other Press.

17.

Hamilton

Kivlighan

D. M.

(2009). Therapists’ projection: The effects of therapists’ relationship themes on their formulation of clients’ relationship episodes. Psychotherapy Research, 19, 312–322. doi:10.1080/10503300902838130

18.

Höping

(2004). Selbstaufmerksamkeit als Vulnerabilitätsfaktor für Selbstfokussiertheit und Depression. Eine Untersuchung mit dem Dot Probe Task (Doctoral Dissertation). Retrieved from http://miami.uni-muenster.de/servlets/DerivateServlet/Derivate-1939/selbstaufmerksam-keitsvermeidung.pdf

19.

Hoyer

Klein

(2000). Self-reflection and well-being: Is there a healthy amount of introspection? Psychological Reports, 86, 135–141. doi:10.2466/pr0.2000.86.1.135

20.

López Del Hoyo

Ávila

Pokorny

Albani

(2004). Adaptación del sistema de categorías CCRT-LU a lengua castellana: El sistema de categorías CCRT-LU-S [Adaptation of the CCRT-LU category system to Spanish language: The CCRT-LU-S category system]. Intersubjetivo, 6, 296–308.

21.

Luborsky

Crits-Christoph

(1990). Understanding transference: The core conflictual relationship theme method. New York, NY: Basic Books.

22.

Luyten

Blatt

Corveleyn

(2005). Towards integration in the theory and treatment of depression? the time is now. In Corveleyn

Luyten

Blatt

(Eds.), The theory and treatment of depression towards a dynamic interactionism model (1st ed., pp. 253–284). Leuven: Leuven University Press.

23.

Luyten

Blatt

S. J.

Van Houdenhove

Corveleyn

(2006). Depression research and treatment: Are we skating to where the puck is going to be? Clinical Psychology Review, 26, 985–999. doi:10.1016/j.cpr.2005.12.003

24.

Mor

Winquist

(2002). Self-focused attention and negative affect: A meta-analysis. Psychological Bulletin, 128, 638–662. doi:10.1037/0033-2909.128.4.638

25.

Roten

Drapeau

Stigler

Despland

J. N.

(2004). Yet another look at the CCRT: The relation between core conflictual relationship themes and defensive functioning. Psychotherapy Research, 14, 252–260. doi:10.1093/ptr/kph021

26.

Salvo

Cordes

Valdés

(2012). Pauta de Observación para el diagnóstico de Sintomatología Depresiva [Observation guideline for the diagnosis of depressive symptoms]. Unpublished manuscript.

27.

Slade

Grienenberger

Bernbach

Levy

Locker

(2005). Maternal reflective functioning, attachment and the transmission gap: A preliminary study. Attachment & Human Development, 7, 283–298. doi:10.1080/14616730500245880

28.

Taubner

Kessler

Buchheim

Kächele

Staun

(2011). The role of mentalization in the psychoanalytic treatment of chronic depression. Psychiatry: Interpersonal and Biological Processes, 74, 49–57. doi:10.1521/psyc.2011.74.1.49

29.

Trapnell

P. D.

Campbell

J. D.

(1999). Private self-consciousness and the five-factor model of personality: Distinguishing rumination from reflection. Journal of Personality and Social Psychology, 76, 284–304. doi:10.1037/0022-3514.76.2.284

30.

Vanhuele

Desmet

Roseel

Meganck

(2006). Core transference themes in depression. Journal of Affective Disorders, 91, 71–75. doi:10.1016/j.jad.2005.12.012

31.

Verhaeghe

(2004). On being normal and other disorders. Handbook of psychodiagnostics. New York, NY: Other Press.