دانلود کتاب Understanding transfert the core conflictual relationship method

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FOREWORD FOREWORD PREFACE ACKNOWLEDGMENTS PROJECT PARTICIPANTS I THE BASICS OF THE CCRT METHOD AND ITS SCORING THE EARLY LIFE OF THE IDEA FOR THE CORE CONFLICTUAL RELATIONSHIP THEME METHOD THE LINEAGE OF THE CENTRAL RELATIONSHIP PATTERN CONCEPT From the Psychoanalysts From the Personality Researchers From the Developmental and the Object Relations Researchers From the Early Attempts to Develop a Transference Measure Systematic Clinical Formulation of the Transference Paradigms Agreement on the Conventional Unguided Transference Formulations Rating the Amount of Transference Formulation of the Patient’s Main Communication in a Session as a Focus for Interpretations Formulation and Rating of the Symptom-Context Theme CONCLUSION A GUIDE TO THE CCRT METHOD PHASE A: LOCATION RELATIONSHIOP EPISODES Definition of a Relationship Episode Types of Other Persons in Relationship Episodes RE: Specific Other People RE: Therapist RE: Self Current Versus Past Relationship Episodes Completeness of Relationship Episodes Assignment of Scoring Judges PHASE B: SCORING THE CCRT Step 1: Identifying the Types of CCRT Components Locating and Underlining Parts of the Relationship Episode to Be Scored Identifying Types of Components Preparing the Transcript for Scoring Keeping Within the Range of Levels of Inference From Literal to Moderately Abstract Step 2: Counting the Types of Components and Formulating the CCRT Step 1': Re-Identifying the Types of CCRT Components to Make a Final Formulation Step 2': Recounting and Reformulating the CCRT on the Basis of Step 1' Step 3: Choosing and Rating the Standard Categories for the CCRT Options Among Standard Category Lists Related Lists of Standard Categories Applications of Standard Categories System 1 System 2 Detailed Guides for Scoring the Components: Wishes, Responses From Other, and Responses of Self Wishes Responses From Other Responses of Self Positive and Negative Responses RO and RO-Expected OPTIONAL STEPS Step 4: Distinguishing Between Expressed and Not Expressed Responses of Self Step 5: Judging the Intensity of Theme Components Step 6: Recording the Sequence of the Appearance of Each Component Step 7: Estimating the Patient’s Moment-to-Moment Experience of the Components of the CCRT in the Relationship With the Therapist Step 8: Randomizing Relationship Episodes Before Scoring Step 9: Additional Quantitative Specification of the CCRT SUPPLEMENTARY ISSUES Estimating Reliability of Tailor-Made Categories Agreement Judges Paired Comparisons The Need of the CCRT Judge for Uniform Background Information About the Patient The Best Sample Size of Relationship Episodes for Deriving the CCRT The Use of Dreams and Fantasies Training Procedures for Learning to Score the CCRT CONCLUSION Note TABLE 1 Completeness Ratings of Hypothetical Relationship Episodes Figure 1. Figure 2. Figure 3. TABLE 2 Level of Inference in Scoring Wishes TABLE 3 Intensity Ratings Appendix A: Summary of Basic Steps for Scoring the CCRT PHASE A: LOCATING RELATIONSHIP EPISODES Notations for the Relationship Episodes PHASE B: EXTRACTING THE CCRT Step 1 Step 2 Step 1' Step 2’ Step 3 Step 4 Step 5 (optional) Step 6 (optional) Step 7 (optional) Step 8 (optional) Step 9 (optional) NOTATIONS FOR THE CCRT COMPONENTS Steps 1—2 and 1'—2' Wishes Responses From Other Responses of the Self APPENDIX B WISHES RESPONSES FROM OTHER RESPONSES OF SELF A GUIDE TO THE CCRT STANDARD CATEGORIES AND THEIR CLASSIFICATION DEVELOPMENT OF THE STANDARD CATEGORIES PROCEDURE FOR A CLUSTER-BASED CLASSIFICATION RESULTS DISCUSSION Wishes Responses From Others Responses of Self CONCLUSIONS EXHIBIT 1 A Standard List of Scoring Categories: Edition 1 Based on the CCRT in a Normative Group (n = 16) TABLE 1 Standard CCRT Categories: Edition 2 Table 1 cont. Table 1 cont. TABLE 2 CCRT Clustered Standard Categories; Edition 3 POSITIVE VERSUS NEGATIVE CCRT PATTERNS RELIABILITY OF SCORING THE POSITIVE AND NEGATIVE DIMENSIONS OF THE CCRT The Two-Category System A New Four-Category Positive and Negative Scale PROPORTION OF POSITIVE AND NEGATIVE NARRATIVES IN CHILDREN, ADULT PATIENTS, AND NORMAL CONTROLS CHANGES IN POSITIVE AND NEGATIVE DIMENSIONS OVER THE COURSE OF PSYCHOTHERAPY RELATIONSHIP TO PSYCHOTHERAPY OUTCOMES CONCLUSION Note Figure 1. Figure 2. TABLE 1 Pearson Correlations Between Positive and Negative CCRT Response of Other (RO) and Response of Self (RS) Scores with the Health-Sickness Rating Scale (HSRS) and Mastery Scale ILLUSTRATIONS OF THE CCRT SCORING GUIDE MS. SMYTH: SHORT-TERM PSYCHODYNAMIC PSYCHOTHERAPY Clinical Evaluation Initial Termination Six-Month Follow-up CCRT Data and Results Ms. Smyth: CCRT Scoring of Relationship Episodes Session 3 RE 2: Ex-employers, Completeness Rating 4.0 RE 3: Brother and His Wife, Completeness Rating 4.5 RE 4: Boyfriend, Completeness Rating 5.0 Session 5 RE 5: Father, Completeness Rating 3.0 RE 6: Boss, Completeness Rating 2.5 MR. EDWARD HOWARD: PSYCHOANALYTIC PSYCHOTHERAPY Clinical Evaluation Initial Termination (After About 90 Sessions) CCRT Data and Results Mr. Howard: CCRT Scoring of Relationship Episodes (Condensed) Session 3 RE 1: Mother RE 2: Mother RE 3: Therapist RE 4: Mother RE 5: Girlfriend RE 6: Mother Mr. Howard: CCRT Scoring of Relationship Episodes (Condensed) Sessions 82 and 83 RE 1: Therapist (Session 82) Dream A: Trainers3 RE 2: Boyfriend Dream B: Store (Session 83) Dream C: Store Owner RE 3: Therapist RE 4: Father MS. CATHY CUNNINGHAM: PSYCHOANALYSIS Clinical Evaluation Initial Termination (After About 1,300 Sessions) CCRT Data and Results Ms. Cunningham: CCRT Scoring of Relationship Episodes (Condensed) Session 5 RE 1: Assistant RE 3: Husband RE 4: Boys and parents RE 5: Therapist RE 7: Professor Ms. Cunningham: CCRT Scoring of Relationship Episodes (Condensed) Session 1,208 RE 1: Therapist RE 2: Self RE 3: Assistant RE 4: Husband RE 5: Self RE 6: Therapist CONCLUSIONS Note EXHIBIT 1 SYMBOLS FOR CCRT SCORING TO BE APPLIED TO THE RELATIONSHIP EPISODES TABLE 1 CCRT Score Sheet for Each Relationship Episode, Tailor-Made System TABLE 2 CCRT Score Sheet, Tailor-Made System: Summary Across All Relationship Episodes TABLE 3 CCRT Summary: Standard Categories TABLE 4 CCRT Score Sheet for Each Relationship Episode, Tailor-Made System TABLE 5 CCRT Score Sheet, Tailor-Made System: Summary Across All Relationship Episodes TABLE 6 CCRT Summary: Standard Categories TABLE 7 CCRT Score Sheet for Each Relationship Episode, Tailor-Made System TABLE 8 CCRT Score Sheet for Each Relationship Episode, Tailor-Made System: Summary Across All Relationship Episodes TABLE 9 CCRT Summary: Standard Categories TABLE 10 CCRT Score Sheet for Each Relationship Episode, Tailor-Made System TABLE 11 CCRT Score Sheet, Tailor-Made System: Summary Across All Relationship Episodes TABLE 12 CCRT Summary: Standard Categories TABLE 13 CCRT Score Sheet for Each Relationship Episode, Tailor-Made System TABLE 14 CCRT Score Sheet, Tailor-Made System: Summary Across All Relationship Episodes TABLE 15 CCRT Summary: Standard Categories THE RELIABILITY OF THE CCRT MEASURE: RESULTS FROM EIGHT SAMPLES AGREEMENT ON THE SELECTION OF RELATIONSHIP EPISODES FROM SESSIONS Completeness of Each Relationship Episode Selection of the Main Other Person in Each RE Location of the Relationship Episode AGREEMENT ON THE CCRT The Earliest Study of CCRT Reliability Agreement on the CCRT for Matched Versus Mismatched Cases Agreement on the CCRT for One Patient Sample A: Agreement on the CCRT by Three Independent Judges for 8 Patients Sample B: The First Large-Scale Study of Interjudge Agreement on the CCRT Samples C and D: A Comparison of the CCRT in Dreams Versus Narratives Samples E and F: A Comparison of the CCRT for Session Narratives Versus Relationship Anecdote Paradigm Narratives Reliability of the CCRT From Psychotherapy Sessions (Sample E) Reliability of the CCRT from RAP Narratives (Sample F) Sample G: A Comparison of the CCRTs of Children From Age 3 to Age 5 Percentage of Agreement Between Two Judges Weighted Kappa Agreement Sample H: A Comparison of Adolescents at Age 14 and at Age 18 on the Basis of RAP Narratives Sample I: The Core Conflictual Relationship Themes of Borderline Personality Disorder CONCLUSIONS Note TABLE 1 Summary of Eight Samples for Reliabilities of CCRT Components THE RELATIONSHIP ANECDOTES PARADIGM (RAP) INTERVIEW AS A VERSATILE SOURCE OF NARRATIVES ADMINISTRATION OF THE RAP INTERVIEW Instructions Improving Rapport and Dealing With Special Contingencies CHARACTERISTICS OF RAP NARRATIVES USES OF RAP NARRATIVES RAP Narratives as Data for the CCRT Measure Other Uses of the RAP Interview Procedure As a Database for Studies of Explanatory Style As a Source of Data for Developmental Studies of Central Relationship Patterns As a Basis for Studies of Self-Understanding As a Basis for the Comparison Among Diagnostic Groups As a Basis for Intergenerational Comparisons CONCLUSIONS TABLE 1 Descriptive Characteristics of RAP Narratives in an Outpatient Psychiatric Clinic Sample (N = 24) TABLE 2 CCRT Score Sheet Summary (Number of Relationship Episodes Containing Each Component) APPENDIX The RAP Interview for Mr. Edward Howard: An 8-Year-Follow-up RE 1: Therapist RE 2: Work Supervisor RE 3: Sister WHY EACH CCRT PROCEDURE WAS CHOSEN DATABASE DECISIONS To Rely on Psychotherapy Sessions To Restrict the Database to Narratives About Relationship Episodes To Include Behavioral Enactments of the Relationship With the Therapist SCORING SYSTEM DECISIONS To Use Guided Judgments To Identify the Main Other Person Within Each Relationship Episode With Whom the Speaker Is Interacting To Rely on Three Components of Narratives: Wishes, Responses From Others, and Responses of Self To Use a Theme Format That Highlights Conflicts To Judge All Responses as Either Positive or Negative To Use Both Tailor-Made and Standard Categories To Rely on Redundancy Across the Narratives (Pervasiveness) as the Indicator of the CCRT To Allow Only One Score per Relationship Episode for Each Different Category To Use Our Usual System for Counting All Scorable Components Regardless of Sequence INFERENCE LEVEL AND FOCUS DECISIONS To Stay Within the Range of Moderate Inference To Add a Re-Review of the Relationship Episodes by Steps 1' and 2' To Focus on the Patient’s Perspective CONCLUSIONS II DISCOVERIES FROM THE CCRT METHOD THE NARRATIVES TOLD DURING PSYCHOTHERAPY AND THE TYPES OF CCRTs WITHIN THEM NUMBER AND COMPLETENESS OF NARRATIVES LENGTH OF NARRATIVES TOLD DURING THERAPY SESSIONS MAIN OTHER PEOPLE IN NARRATIVES CCRTs OF PATIENTS TYPES OF TAILOR-MADE CCRTs WITHIN NARRATIVES TYPES OF STANDARD CATEGORY CCRTs WITHIN NARRATIVES CCRT SEQUENCES OF COMPONENTS FOR THE WISH TO BE CLOSE VERSUS THE WISH TO BE INDEPENDENT The Wish to Be Close or Be Loved The Wish to Be Independent COMPARISON OF THE SEQUENTIAL CCRT AND THE REGULAR CCRT POSITIVE VERSUS NEGATIVE RESPONSES WITHIN CCRTs DIFFERENCES IN CCRTs BY DIAGNOSIS (DYSTHYMIA AND NONDYSTHYMIA) RESULTS, DISCUSSION, AND CONCLUSIONS TABLE 1 Frequency of Different Other Persons in Narratives (N = 33) TABLE 2 Tailor-Made CCRT Categories for the Penn Psychotherapy Project Sample (N = 33) With Subsamples of Dysthymic (n = 12) and Nondysthymic (n = 21) Groups TABLE 3 Clustered Standard Categories Within Narratives for Penn Psychotherapy Project Sample (N = 33) With Subsamples of Dysthymic (n = 12) and Nondysthymic (n = 21) Groups TABLE 4 Most Frequent Tailor-Made and Standard Clustered Categories for the Penn Psychotherapy Project Sample (N = 33) TABLE 5 Positive Versus Negative CCRT Components Related to the Therapist or Others CHANGES IN CCRT PERVASIVENESS DURING PSYCHOTHERAPY PROCEDURE Combination of Judges’ CCRT Formulations Patients and Therapists Treatment, Sessions, and Judges RESULTS CCRT Pervasiveness Scores Were Highly Reliable Measures of CCRT Change Were Low to Moderately Intercorrelated CCRT Pervasiveness Was Greatest for the Wishes CCRT Pervasiveness Decreased From Early to Late in Therapy Some Early-in-Therapy Pervasiveness Scores Were Related to Initial Symptoms and to Initial Health–Sickness Change in CCRT Pervasiveness Was Moderately Correlated With Change in Symptoms and Change in Health-Sickness DISCUSSION Reliability of Pervasiveness Score CCRT Pervasiveness Across the Narratives CCRT Pervasiveness Changes in Therapy CCRT Change Tends to Correlate With Symptom Reduction Limitations of the Measure of CCRT Pervasiveness CONCLUSIONS Note TABLE 1 Intercorrelations of CCRT Pervasiveness Change Measures (Residual Gain Scores) TABLE 2 Mean Percentages Early and Late in Treatment for CCRT Pervasiveness Scores (N = 33) TABLE 3 Partial Correlations of Change in CCRT Pervasiveness Measures With Change in Symptoms and Change in Health-Sickness THE PARALLEL OF THE CCRT FOR THE THERAPIST WITH THE CCRT FOR OTHER PEOPLE AIMS AND PROCEDURES Phase 1: Formulating Other Person-CCRTs Phase 2: Comparing Other Person-CCRTs With Therapist-REs RESULTS Interjudge Reliability of the CCRT Was Adequate Therapist-REs and Other Person-CCRTs Showed Similarity Similarity Was Greater for Cases With Three or More Therapist-REs THE DIRECTIONS THAT LEAD FROM HERE Increasing the Number of Relationship Episodes Examining Concomitants of Different Other Persons Improving the Level of Similarity of Therapist-REs and Other Person-REs CONCLUSIONS Figure 1. Figure 2. Figure 3. Figure 4. Figure 5. THE PARALLEL OF THE CCRT FROM WAKING NARRATIVES WITH THE CCRT FROM DREAMS STUDY 1: THE PARALLEL OF THE CCRT FROM WAKING NARRATIVES WITH THE CCRT FROM DREAMS[7] Selection of Dreams, Narratives, and Judges CCRT Tailor-Made and Standard Categories Results Ms. Apfel (Case 1) Wishes Derived From Dreams Plus Associations and From Dreams Plus Whole Sessions Ms. Bauman (Case 2) Mr. Crane (Case 3) Summary and Discussion STUDY 2: THE PARALLEL OF THE CCRT FROM WAKING NARRATIVES WITH THE CCRT FROM DREAMS: A FURTHER VALIDATION Method Results Reliability Common Types of CCRT Components in Dreams and Narratives Similarity Between Dream and Narrative CCRT Components Negativity of Responses SUMMARY AND CONCLUSIONS Note TABLE 1 Tailor-Made Wishes Scored From Dreams Alone for Ms. Apfel TABLE 2 Standard Category Wishes for Ms. Apfel TABLE 3 Standard Category Responses From Other or of Self for Ms. Apfel TABLE 4 Standard Category Wishes and Responses From Other or of Self for Ms. Bauman TABLE 5 Standard Category Wishes and Responses From Other or of Self for Mr. Crane TABLE 6 Agreement by Weighted Kappa of Two Judges in Scoring the CCRT TABLE 7 Percentage of Cases in Which a Standard Category CCRT Cluster Appeared as the First Rank, Most Frequent CCRT Cluster TABLE 8 Number of Participants With the Same Highest Frequency Clusters in Dreams and Narratives TABLE 9 Negativity of CCRT Components THE MEASUREMENT OF ACCURACY OF INTERPRETATIONS PROCEDURES Patients Therapist and Treatment Characteristics Measures Identifying Interpretations Combining Judges’ CCRT Formulations Accuracy of Interpretations Errors in Technique Scale Helping Alliance Counting Signs Scale Treatment Outcome RESULTS The Average Level of Accuracy of Interpretations Was Low The Predictors of Accuracy Were Unrelated to Each Other Accuracy of the Wish Plus Response From Other Was the Best Predictor of Outcome The Impact of Accurate Interpretations Was Not Limited to When the Alliance Was Positive DISCUSSION Congruence of Interpretations With the CCRT Noninteraction With the Helping Alliance Nonsignificant Relationship With the Errors in Technique Scale Limits of Correlational Findings CONCLUSIONS Note TABLE 1 Characteristics of Patients (N = 43) TABLE 2 Patient Diagnosis (N = 43) Figure 1. Figure 2. TABLE 3 Means and Standard Deviations for Accuracy Dimensions (N = 43) TABLE 4 Intercorrelations of Predictors TABLE 5 Prediction of Outcome by Accuracy, Helping Alliance, and Errors in Technique Measures (N = 43) SELF-UNDERSTANDING OF THE CCRT PROCEDURE Patients and Sessions Measures The CCRT Measure Self-Understanding of the CCRT Health-Sickness Rating Scale Outcome Measures RESULTS Reliability of Judging Self-Understanding Was Good Level of Self-Understanding Was Low Level of Self-Understanding Predicted Outcome; Change in Self-Understanding Did Not SUMMARY, DISCUSSION, AND CONCLUSIONS The Findings and Their Meaning The Search for Better Operational Measures Note TABLE 1 Interjudge Reliability of the Self-Understanding Scale TABLE 2 Mean Self-Understanding for Session 3 and Session 5 (N = 43) TABLE 3 Prediction of Outcome From Level of and Change in Self-Understanding (N = 43) THE PERSPECTIVE OF PATIENTS VERSUS THAT OF CLINICIANS IN THE ASSESSMENT OF CENTRAL RELATIONSHIP THEMES AIM PROCEDURE RESULTS Self-Report CCRT Questionnaire (SR-CCRT) Retest Reliability Was Moderate; Internal Consistency Was Marginal Three Factors Were Found Self-Interpretation of the RAP Interview Consistency Over Narratives Was High Correlation With the Self-Report CCRT Was Poor Clinical Judge’s Scoring: Comparisons With Self-Report and Self-Interpretation Patients Tended to Give High Ratings to Wishes Identified by the Clinicians SUMMARY AND DISCUSSION CONCLUSION EXHIBIT 1 Wishes Rated in the CCRT Self-Report Questionnaire TABLE 1 Reliability of Self-Report CCRT Questionnaire on Wishes TABLE 2 Factor Analysis of Wishes TABLE 3 Self-Interpretation of RAP: Consistency of Wishes Across 10 Relationship Episodes TABLE 4 Correlations Between Self-Report and Self-Interpretation TABLE 5 Comparison of Patient’s Report With Clinician-Identified Wishes STABILITY OF THE CCRT FROM AGE 3 TO 5 BACKGROUND OF RELATED RESEARCH Clinical Retrospection Infancy Research Narratives Told by Young Children PROCEDURE Subjects A Doll Family Story Method For Collecting Narratives Data Analyses An Example of a Scored Narrative Compliance of 3- and 5-Year-Olds With the Narrative-Telling Task RESULTS Do the Judges Agree in Scoring the CCRT? How Pervasive Are the Clusters of CCRT Standard Categories Within Narratives at Age 3 and Age 5? Is There a Core Relationship Theme for Each Child? How Constant Does Each Child’s Profile of Clusters Remain From Age 3 to Age 5? How Constant From Age 3 to Age 5 Were the Highest Clusters of the CCRT Patterns? How Positive and How Negative Were the Relationship Patterns at Ages 3 and 5? Are There Gender Differences in Central Relationship Patterns at Ages 3 and 5? SUMMARY, DISCUSSION, AND CONCLUSIONS WHAT IS NEXT IN THIS LINE OF RESEARCH? Notes Figure 1. "Lost Car Keys" Story Figure 2. TABLE 1 Comparison of Children at Ages 3 and 5 for the Number of Times Highest or Next Highest for Each Wish Cluster (N = 19) TABLE 2 Comparison of Children at Ages 3 and 5 for the Number of Times Highest or Next Highest for Each Response From Other Cluster (N = 18) Table 3 Comparison of Children at Ages 3 and 5 for the Number of Times Highest or Next Highest for Each Response of Self Cluster (N = 18) TABLE 4 Positive and Negative CCRT Responses (Percentages) STABILITY OF THE CCRT FROM BEFORE PSYCHOTHERAPY STARTS TO THE EARLY SESSIONS METHOD The Core Conflictual Relationship Theme Method The RAP Interview Method Procedure RESULTS Reliability of the CCRTs Derived From the RAP Interviews Reliability of the CCRTs Derived From Therapy Sessions Correspondence Between CCRTs From RAPs (Before Therapy) and CCRTs From Sessions CONCLUSIONS Note TABLE 1 Interjudge Agreement and Reliability for the CCRT From the RAP Interview and Therapy Sessions, and Comparisons of CCRTs From RAP Interview Versus Therapy Sessions THE MEASUREMENT OF MASTERY OF RELATIONSHIP CONFLICTS MEASUREMENT OF MASTERY METHOD RESULTS SUMMARY, DISCUSSION, AND CONCLUSIONS Note TABLE 1 Mastery Scale, Version I TABLE 2 Pearson Correlations Between Mastery Scale Residual Change Scores and Clinical Outcome Scores Figure 1. Figure 2. III CLINICAL USES OF THE CCRT THE EVERYDAY CLINICAL USES OF THE CCRT THE USES OF THE CCRT IN DYNAMIC PSYCHOTHERAPY As a Guide to Formulations and Interpretations As an Aid to Maintaining a Treatment Focus As a Help in Choosing a Part of the CCRT for Each Interpretation As a Help in Timing Interpretations As a Clue to the Conflicts Sparking the Formation of Symptoms As a Supplement to DSM Diagnoses As a Special Aid in the Functioning of Inpatient Units THE DIFFERENT CONSEQUENCES OF DIFFERENT PSYCHOTHERAPEUTIC SYSTEMS ON THE INTERPRETATIVE FOCUS Dynamic Therapy CCRT-Guided Dynamic Therapy Davanloo’s Therapy Sifneos’s Therapy Mann’s Therapy Cognitive Therapy PROCEDURES FOR THERAPISTS TO LEARN TO RELY ON THE CCRT IN PSYCHOTHERAPY Instruction in the CCRT During Supervision Scoring Practice Sets of Relationship Episodes Practice With CCRT-Based Interpretations During Tape Playbacks Training Through a Self-Reported and Self-Analyzed CCRT Training in the CCRT During Psychiatric Residency: A Survey of Therapists’ Benefits CONCLUSIONS Figure 1. ALTERNATIVE MEASURES OF THE CENTRAL RELATIONSHIP PATTERN SKETCHES OF THE ALTERNATIVE METHODS Plan Diagnosis Structural Analysis of Social Behavior (SASB) Configurational Analysis Frame Script Theory Patient’s Experience of the Relationship with the Therapist (PERT) Cyclical Maladaptive Pattern (CMP) Plan Analysis (PA) Impact Message Inventory, Form IIA (IMI) Clinical Evaluation Team The Seattle Psychotherapy Language Analysis Schema The Check List of Psychotherapy Transactions-Revised (CLOPT-R) and the Check List of Interpersonal Transactions-Revised (CLOIT-R) Idiographic Conflict Formulation (ICF) Consensual Response Formulation Quantitative Analysis of Interpersonal Themes (QUAINT) Personal Scripts COMPARISONS AMONG METHODS OF MEASURING CENTRAL RELATIONSHIP PATTERNS QUESTIONNAIRE MEASURES OF TRANSFERENCE PATTERNS SUMMARY, DISCUSSION, AND CONCLUSIONS Note TABLE 1 Central Relationship Pattern Measures Based on Sessions IV WHAT’S NOW AND WHAT’S NEXT THE CONVERGENCE OF FREUD’S OBSERVATIONS ABOUT TRANSFERENCE WITH THE CCRT EVIDENCE FREUD’S OBSERVATIONS COMPARED WITH CCRT EVIDENCE DISCUSSION The Nature of Freud’s Observations The Correspondence of Freud’s Observations With CCRT Evidence CONCLUSIONS TABLE 1 Freud’s “Transference Template” Observations and the CCRT Evidence Figure 1 WHERE WE ARE IN UNDERSTANDING THE CCRT HOW MUCH MORE RELIABLE IS THE CCRT METHOD THAN THE USUAL CLINICAL METHOD? DO TAILOR-MADE OR STANDARD CATEGORIES WORK BETTER? MIGHT THE TRANSFERENCE BE A MERE PRODUCT OF SUGGESTION BY THE THERAPIST? IS THE CCRT FROM THERAPY NARRATIVES SIMILAR TO THE CCRT FROM RAP NARRATIVES? ARE RAP NARRATIVES ABOUT “REAL” EVENTS SIMILAR TO “STORIES” FROM THE TAT? WOULD BEHAVIORAL ENACTMENTS OF RELATIONSHIPS REVEAL MORE THAN THE USUAL NARRATIVES ABOUT RELATIONSHIPS? WHAT WOULD BE LEARNED FROM SCORING SEQUENCES OF CCRT COMPONENTS? ARE DEFENSES CLASSIFIABLE WITHIN THE RESPONSES OF SELF? HOW CAN THE OBSERVATION BE TESTED THAT THE TRANSFERENCE IS “PARTLY OUT OF AWARENESS” WHY RELY ON NARRATIVES ABOUT RELATIONSHIPS AS THE BASIS FOR THE CCRT? Characteristics of Narratives The Truth Value of Narratives The Revelations of Narratives About Modes of Thought The Interpretability of Narratives HOW DID EACH PERSON’S CCRT ORIGINATE AND WHY IS IT SO PERSISTENT? Source Factor 1: Learning the Pattern From Parental Figures Source Factor 2: Needing to Gratify Certain Pressing Wishes Source Factor 3: Repeating of Traumatic Ideas and Scenes Source Factor 4: Repeating in the Service of Mastery HOW MUCH DOES THE CCRT CORRESPOND WITH THE TRANSFERENCE? CONCLUSIONS REFERENCES ABOUT THE AUTHORS