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Measurement of Transference Interpretations

Received April 16, 1999; accepted June 3, 1999. From the Department of Psychiatry, University of Oslo, Norway. Address correspondence to Dr. Bøgwald, Department of Psychiatry, University of Oslo, P.O. Box 85 Vinderen, 0319 Oslo, Norway; e-mail: k.p.bogwald{at}psykiatri.uio.no

The authors present a cost-efficient process rating scale for detailed measurement of how much transference interpretations and related therapist interventions are used in brief dynamic psychotherapy. Theoretical and methodological considerations on how to operationalize and quantify such therapeutic interventions are discussed. The scale had highly satisfactory interrater reliability for three raters, who rated 60 whole sessions from an ongoing randomized study of two manualized forms of brief dynamic psychotherapy. In one treatment group, moderate emphasis on transference analysis was intended. In the other, minor or no use of the studied component was intended. The two treatment groups differed significantly in the use of transference interpretations and related interventions. There was no significant difference in therapists' general therapeutic skill or use of supportive interventions. The treatment differentiation was consistent with the manuals.

Key Words: Transference • Brief Dynamic Psychotherapy • Process Scale • Therapist Interventions

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