Locati Francesca, Carli Pietro De, Lang Margherita, Parolin Laura
Department of Psychology, University of Milan-Bicocca, Milan.
Department of Psychology, University of Padua, Padua, Italy.
Res Psychother. 2019 Jul 30;22(2):384. doi: 10.4081/ripppo.2019.384. eCollection 2019 Aug 9.
The present single case study explored whether a positive collaboration may conceal some of the patient's dysfunctional interpersonal schemas, hence reflecting a collaboration. In particular, we reasoned that conceiving collaborations only as adaptive relations may prevent a comprehensive insight of the therapeutic relationship itself. To explore this possibility, we used an intersubjective approach that emphasizes the integration of specific and non-specific factors in an interdependent way. In particular, we assessed different constructs ( therapeutic alliance, technical interventions, defense mechanism, therapeutic relationship) of the therapeutic process and combined them through statistical methods able to investigate the micro- and macro-analytic processes that define each interaction. Results of a single case study (Sara) showed that the collaborative functioning may hold back many critical aspects, that hardly conciliate with the classic positive definition of collaboration. These findings, therefore, indicate that Sara's collaborative alliance works mainly as a .
本单病例研究探讨了积极的合作是否可能掩盖患者某些功能失调的人际图式，从而反映出一种合作。具体而言，我们推断仅将合作视为适应性关系可能会妨碍对治疗关系本身的全面洞察。为了探究这种可能性，我们采用了一种主体间性方法，该方法强调以相互依存的方式整合特定和非特定因素。具体来说，我们评估了治疗过程的不同构成要素（治疗联盟、技术干预、防御机制、治疗关系），并通过能够研究界定每次互动的微观和宏观分析过程的统计方法将它们结合起来。单病例研究（萨拉）的结果表明，合作功能可能会抑制许多关键方面，而这些方面很难与合作的经典积极定义相协调。因此，这些发现表明萨拉的合作联盟主要起到一种……的作用。
