Relationships Between Categories: The Context of the Symptom in Practice
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The current paper introduces a clinical method for experience-near interpretation of transference patterns taking place in the symptom context. This research is a qualitative metasynthetic study. The method of Luborsky’s Core Conflictual Relationship Themes was conducted here on 33 transference case studies published in peer-reviewed journals and sourced from an appropriate database. Case components were categorized and relationships between them were analyzed using the method of Relationship Between Categories. We found that transferential components observed in the context of the symptom were a powerful source of distress. These components were found to be interlinked in patterns of two, three or four core categories. Based on these findings we suggest a therapeutic method that enhances self-understanding and maps out milestones for change. The suggested method is sensitive to a set of the patients’ covert associations, which thus becomes a key to undermining the unconscious balance between healthy and pathologic urges.
KeywordsRelationship Between Categories (RBC) method Symptom context Transference Experience-near interpretation Qualitative metasynthesis Case study research
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Conflict of interest
The author declares that she has no conflict of interest.
Human and Animal Rights
This article does not contain any studies with human participants or animals performed by any of the authors.
- Casement, P. (1985). On learning from the patient. London: Tavistock.Google Scholar
- Crits-Christoph, P., & Luborsky, L. (1998). Change in CCRT pervasiveness during psychotherapy. Understanding transference: The Core Conflictual Relationship Theme method (2nd ed.). Washington, DC: American Psychological Association.Google Scholar
- Freud, S. (1912). The dynamics of transference. In Standard edition (Vol. 12, pp. 209–253). London: Hogarth Press.Google Scholar
- Freud, S. (1913). On beginning the treatment. In Standard edition (Vol. 12, pp. 121–144). London: Hogarth Press.Google Scholar
- Freud, S. (1914). Remembering, repeating, and working through. In Standard edition (Vol. 12, pp. 145–156). London: Hogarth Press.Google Scholar
- Freud, S. (1923). The ego and the id. In Standard edition (Vol. 19, pp. 12–66). London: Hogarth Press.Google Scholar
- Luborsky, L., & Crits-Christoph, R. (2006). A relationship pattern measure: The core conflictual relationship theme. In A. M. Cooper (Ed.), Contemporary psychoanalysis in America: Leading analysts present their work (pp. 383–400). Washington, DC: American Psychiatric Publishing.Google Scholar
- Luborsky, L., & Diguer, L. (1998). The reliability of CCRT measure: Results from eight studies. In L. Luborsky & P. Crits-Christoph (Eds.), Understanding transference: The core conflictual relationship theme method (2nd ed., pp. 97–107). Washington, DC: American Psychological Association.CrossRefGoogle Scholar
- Luborsky, L., & Luborsky, E. (2006). Research and psychotherapy: The vital link. Lanham, MD: Jason Aronson.Google Scholar
- Mosak, H. H., & Fasula, A. (2011). Transference in the Light of Adlerian Psychology. Journal of Individual Psychology,67, 343–348.Google Scholar
- Strauss, A., & Corbin, J. (1990). Open coding. In A. Strauss & J. Corbin (Eds.), Basics of qualitative research: Grounded theory procedures and techniques (pp. 101–121). Thousand Oaks: Sage.Google Scholar
- Sullivan, H. S. (1953). The interpersonal theory of psychiatry. New York: Norton.Google Scholar
- Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioner’s guide. New York: Guilford Press.Google Scholar