title: Motive-oriented therapeutic relationship in brief psychodynamic intervention for patients with depression and personality disorders.
abstract: Motive-Oriented Therapeutic Relationship (MOTR, also called Complementary Therapeutic Relationship) has already shown itself to be related to therapeutic outcome in several studies. The present study aims to test MOTR in a 4-session Brief Psychodynamic Intervention for patients presenting with major depressive disorder (MDD) and comorbid personality disorder (PD). In total, N = 20 patients were selected; n = 10 had MDD, n = 10 had MDD with comorbid PD. The first therapy session was videotaped and analyzed by means of Plan Analysis and the MOTR scale. Results suggest a differential effect on outcome: only the nonverbal component of MOTR is related to symptomatic change in patients presenting with MDD and comorbid PD; no such effect was found for patients with MDD alone. These results are discussed in line with the generalization and refinement of the conclusions of previous findings on the MOTR.
authors.affiliation: Institute of Psychotherapy, Department of Psychiatry, CHUV, University of Lausanne, Switzerland. Ueli.Kramer@chuv.ch
authors.forename: Ueli
authors.initials: U
authors.lastname: Kramer
authors.forename: Alessandra
authors.initials: A
authors.lastname: Rosciano
authors.forename: Mirjana
authors.initials: M
authors.lastname: Pavlovic
authors.forename: Laurent
authors.initials: L
authors.lastname: Berthoud
authors.forename: Jean-Nicolas
authors.initials: JN
authors.lastname: Despland
authors.forename: Yves
authors.initials: Y
authors.lastname: de Roten
authors.forename: Franz
authors.initials: F
authors.lastname: Caspar
mesh_terms: D000328:Adult; D015897:Comorbidity; D003865:Major Depressive Disorder / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D009042:Motivation; D017063:Outcome Assessment, Health Care; D010554:Personality Disorders / Q000628:therapy*; D011614:Psychotherapy, Brief / Q000379:methods*; D013557:Switzerland