Internalization is widely theorized to be a key process in the creation and maintenance of psychotherapeutic gains. The goal of the following study was to examine the process of internalization, as measured by the Therapist Involvement Scale (TIS) of the Therapist Representation Inventory (TRI), over a course of psychotherapy for a diverse sample of university clinic clients. This process was examined alongside the therapeutic alliance, as measured by the Working Alliance Inventory - Short Form (WAI-S). This study sought to determine the relationship between these two processes and their impact on in-treatment therapeutic change, as measured by intake and later treatment scores on the SCL-90-R, IIP, and Target Complaints Form. Given the difficulties of gathering complete data for a psychotherapy population, collateral analyses attempted to 'validate' the results of the small group of subjects who completed all of the measures by means of point-to-point comparisons with the larger set of subjects who did not have entirely complete data. It was hypothesized that greater positive internalizations would be associated with positive change and, conversely, that greater negative internalizations would be associated with negative change. Results supported only the latter. Internalization ratings appeared to be related to attachment style, with fearful-avoidant clients reporting more between-session use of their representations. The hypothesized relationship between the strength of the working alliance and the degree of positive internalization was not supported, suggesting that these are separate processes within psychotherapy. The relationship between degree of internalization and treatment duration was not supported for short-term treatment, but was supported for longer-term therapy, suggesting the value of long-term treatment models. Implications and areas for further study are discussed.CHAPTER VI DISCUSSION When it comes to psychotherapy research, there are no easy answers. The complexities in ... How do changes in internalization relate to changes in the working - DISCUSSION APPENDICES 130 REFERENCES 142 .
|Title||:||The Process of Internalization in Psychotherapy and Its Relationship to the Working Alliance and Therapeutic Change|
|Publisher||:||ProQuest - 2009|