Therapist interventions using the Psychodynamic Interventions Rating Scale (PIRS) in dynamic therapy, psychoanalysis and CBT
Abstract
One requirement for psychotherapy research is an accurate assessment of therapeutic interventions across studies. This study compared frequency and depth of therapist interventions from a dynamic perspective across four studies, conducted in four countries, including three treatment arms of psychodynamic psychotherapy, and one each of psychoanalysis and CBT. All studies used the Psychodynamic Intervention Rating Scales (PIRS) to identify 10 interventions from transcribed whole sessions early and later in treatment. The PIRS adequately categorized all interventions, except in CBT (only 91-93% categorized). As hypothesized, interpretations were present in all dynamic therapies and relatively absent in CBT. Proportions of interpretations increased over time. Defense interpretations were more common than transference interpretations, which were most prevalent in psychoanalysis. Depth of interpretations also increased over time. These data can serve as norms for measuring where on the supportive-interpretive continuum a dynamic treatment lies, as well as identify potentially mutative interventions for further process and outcome study.
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Similar techniques and exercises might be used in different therapeutic approaches although the specific language and the theoretical embedding might differ.
“This is consistent with general findings from the literature, showing that similar techniques and exercises might be used in different therapeutic approaches although the specific language and the theoretical embedding might differ (Kazantzis et al., 2005; Cuijpers et al., 2019; Banon et al., 2013).”
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- Authors
- Banon, E., Perry, J. C., Semeniuk, T., Bond, M., de Roten, Y., Hersoug, A. G., & Despland, J.-N.
- Affiliations
- Jewish General Hospital (CA)
- University of Oslo (NO)
- Centre Hospitalier Universitaire Vaudois (CH)
- Corresponding author
- Banon, Elisabeth
- Venue
- Psychotherapy Research
- Publisher
- Informa UK Limited
- Published
- 2012-12-14
- Volume
- 23
- Issue
- 2
- Pages
- 121-136
- ISSN
- 1050-3307 (ISSN-L)
- 1468-4381
- OpenAlex
- W2093044824
- Cited by
- 27
- References
- 65
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 6 · 2023: 1 · 2022: 2 · 2021: 1 · 2019: 2 · 2018: 2 · 2017: 1 · 2016: 1 · 2015: 2 · 2014: 4 · 2013: 2
- FWCI
- 2.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychotherapy Research (publishedVersion)
- PubMed (publishedVersion)
- IRIS (submittedVersion)
- SERVAL (Université de Lausanne) (submittedVersion)
- Funders
- University of Pennsylvania
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Social Sciences › Psychology › Social Psychology › Counseling Practices and Supervision
- Keywords
- therapist interventions, psychodynamic psychotherapy, psychoanalysis, cognitive behavioral therapy, interpretation, defense mechanisms, transference
- MeSH terms
- Mental Disorders, Major Depressive Disorder, Humans, Psychoanalytic Therapy, Psychotherapy, Transference, Psychology, Cognitive Behavioral Therapy, Process Assessment, Health Care
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