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Therapist Interventions in Early Sessions of Brief Supportive-Expressive Psychotherapy for Depression

Received February 4, 1998; revised April 22, 1998; accepted April 23, 1998. From the University of Pennsylvania Medical Center, Center for Psychotherapy Research, Department of Psychiatry, 3600 Market Street, 7th Floor, Philadelphia, Pennsylvania 19104-2648. Send correspondence to Dr. Connolly at the above address.

Although psychotherapy manuals provide treatment guidelines, detailed descriptions of therapist interventions in manual-guided therapies are lacking. The purpose of the present investigation was to evaluate the types of therapist interventions in Supportive-Expressive (SE) psychotherapy for depression by using a molecular method of assessment and then to compare the results with those attained with a molar method. Four percent of therapist statements per session early in treatment were interpretations, which most often focused on the patient's parents, significant others, and self in the present time frame. This molecular method for assessing therapist interventions did converge with the molar adherence/competence method. (The Journal of Psychotherapy Practice and Research 1998; 7:290–300)

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