title: Change in self-protect ion and symptoms after dynamic psychotherapy: the influence of pretreatment motivation.
abstract: The First Experimental Study of Transference-interpretations (FEST) is a dismantling, randomized clinical trial of the long-term effects of transference interpretation. This article looks at the influence of motivation on the ability to self-protect and symptoms. Patients were randomized to receive a moderate level of transference interpretations or no transference interpretation. Assessments were made at pretreatment, midtreatment, posttreatment, and at two follow-ups. The outcome measure, change in ability to self-protect, was cluster 4 of the Structural Analysis of Social Behavior (SASB) Long Form Intrex Introject Questionnaire, a measure close to the SASB-coded treatment process. Symptom change (SCL-90) was also analyzed. Pretreatment motivation was a significant moderator of change in the ability to self-protect and in symptom distress. Those with low motivation had a significant, positive, and long-term treatment effect of transference interpretation. Patients with low motivation showed a significant, negative effect of transference interpretation.
authors.affiliation: Department of Psychiatry, University of Oslo, Norway. alice.marble@medisin.uio.no
authors.forename: Alice
authors.initials: A
authors.lastname: Marble
authors.forename: Per
authors.initials: P
authors.lastname: Høglend
authors.forename: Randi
authors.initials: R
authors.lastname: Ulberg
mesh_terms: D000328:Adult; D006801:Humans; D008875:Middle Aged; D009042:Motivation; D017063:Outcome Assessment, Health Care; D010361:Patients / Q000523:psychology*; D011613:Psychotherapy; D011795:Surveys and Questionnaires; D014167:Transference, Psychology