[Relationship, resistance and insight as depicted in measures concerning form and content of speech - a textual analysis of the course of a female in-patient with eating disorder].
OBJECTIVE
This multi-methodical single case study examines how relationship, resistance and insight, the important therapeutic factors, are conveyed in a therapeutic process.


METHODS
For depicting interaction the textual parameters - direct speech, acknowledgement tokens, activity of speech and personal pronouns - of Formal Psycholinguistic Text Analysis (Overbeck et al., 1996) are applied. The activity of the unconscious theme is measured by the Interferenzindex (Argelander, 1984). The link of emotional experiences with words is depicted by the Computerized Referential Activity method (Mergenthaler and Bucci, 1999). The attainment of emotional insight in the Model of the Therapeutic Cycle is perceived via the Emotion-/Abstraction-Patterns (Mergenthaler, 1997).


RESULTS
Three phases are discriminated accordingly: Resistance, characterised by defensive intellectualization, symbolic representation on the basis of the secure relationship and emotional insight and detachment.


CONCLUSIONS
The validity of the results in this single case study is guaranteed by the multi-methodical strategy.
Michal
M
M
Klinik für Psychosomatische Medizin und Psychotherapie, Universität Frankfurt, Frankfurt/ M., Germany. michal@em.uni-frankfurt.de
Overbeck
G
G
Grabhorn
R
R
Stirn
A
A
Mergenthaler
E
E
Jordan
J
J
D001364:Awareness; D003674:Defense Mechanisms; D004644:Emotions; D001068:Feeding and Eating Disorders / Q000523:psychology* / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D009769:Object Attachment; D011573:Psychoanalytic Interpretation; D011575:Psychoanalytic Therapy; D011578:Psycholinguistics; D012815:Signal Processing, Computer-Assisted; D013061:Speech Acoustics; D014705:Verbal Behavior