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Implicit relational aspects of the therapeutic relationship in psychoanalytic treatments: An examination of linguistic style entrainment over time.

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Titel: Implicit relational aspects of the therapeutic relationship in psychoanalytic treatments: An examination of linguistic style entrainment over time.
Autoren: Aafjes-Van Doorn K; Ferkauf Graduate School of Psychology, Yeshiva University, New York, USA., Spina DS; Psychology Department, Pennsylvania State University, PA, USA., Müller-Frommeyer L; GKD Group, Düren, Germany., Gorman BS; Department of Psychology, Hofstra University, New York, USA.; Psychoanalytic Research Consortium, New York, USA.; Derner Institute, Adelphi University, New York, USA., Stukenberg K; Psychoanalytic Research Consortium, New York, USA.; School of Psychology, Xavier University, Cincinnati, USA., Waldron S; Psychoanalytic Research Consortium, New York, USA.
Quelle: Psychotherapy research : journal of the Society for Psychotherapy Research [Psychother Res] 2025 Jun; Vol. 35 (5), pp. 763-776. Date of Electronic Publication: 2024 Apr 24.
Publikationsart: Journal Article
Sprache: English
Info zur Zeitschrift: Publisher: Routledge Country of Publication: England NLM ID: 9110958 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1468-4381 (Electronic) Linking ISSN: 10503307 NLM ISO Abbreviation: Psychother Res Subsets: MEDLINE
Imprint Name(s): Publication: 2005- : London : Routledge
Original Publication: New York, NY, USA : Guilford Publications, [1991-
MeSH-Schlagworte: Psychoanalytic Therapy*/methods , Professional-Patient Relations* , Linguistics* , Outcome and Process Assessment, Health Care*, Humans ; Adult ; Male ; Female ; Middle Aged
Abstract: Objective: In an attempt to operationalize an implicit aspect of the therapeutic relationship, this study assesses reciprocal linguistic style entrainment (rLSM) between the patient and therapist. rLSM is defined as the dynamic adjustment of function word usage to synchronize or to be in rhythm with another person as they change over time.
Method: In this exploratory study, levels of rLSM per talk turn were analyzed for 540 sessions of 27 long-term psychoanalytic treatments in relation to treatment outcomes.
Results: Within sessions, rLSM appeared to decrease by the end of sessions and followed a negative linear trajectory, β linear  = -0.0002, SE  < .001, t  = -13.04, p  < .001. Between sessions, rLSM showed significant variability such that neither a linear, nor a quadratic, nor a cubic trend line fit the session-by-session change over treatment. On average, therapist talk turns had significantly lower rLSM than patient talk turns, while accounting for the nested nature of the data using multilevel models β SpeakerT  = -0.033, SE  = 0.009, t  = -3.65, p  < .001. Levels of rLSM did not relate to treatment outcome.
Conclusion: Most of the rLSM variance was at the within-patient and within-session level. rLSM was no indicator of psychoanalytic treatment outcomes.
Contributed Indexing: Keywords: language style matching; linguistic style entrainment; process-outcome; psychoanalytic treatment
Entry Date(s): Date Created: 20240424 Date Completed: 20250702 Latest Revision: 20250702
Update Code: 20250703
DOI: 10.1080/10503307.2024.2341780
PMID: 38657280
Datenbank: MEDLINE
Beschreibung
Abstract:Objective: In an attempt to operationalize an implicit aspect of the therapeutic relationship, this study assesses reciprocal linguistic style entrainment (rLSM) between the patient and therapist. rLSM is defined as the dynamic adjustment of function word usage to synchronize or to be in rhythm with another person as they change over time.<br />Method: In this exploratory study, levels of rLSM per talk turn were analyzed for 540 sessions of 27 long-term psychoanalytic treatments in relation to treatment outcomes.<br />Results: Within sessions, rLSM appeared to decrease by the end of sessions and followed a negative linear trajectory, β <subscript>linear </subscript> = -0.0002, SE  &lt; .001, t  = -13.04, p  &lt; .001. Between sessions, rLSM showed significant variability such that neither a linear, nor a quadratic, nor a cubic trend line fit the session-by-session change over treatment. On average, therapist talk turns had significantly lower rLSM than patient talk turns, while accounting for the nested nature of the data using multilevel models β <subscript>SpeakerT</subscript>  = -0.033, SE  = 0.009, t  = -3.65, p  &lt; .001. Levels of rLSM did not relate to treatment outcome.<br />Conclusion: Most of the rLSM variance was at the within-patient and within-session level. rLSM was no indicator of psychoanalytic treatment outcomes.
ISSN:1468-4381
DOI:10.1080/10503307.2024.2341780