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Dropout and narcissism: an exploratory research about situational factors and personality variables of the psychotherapist

The premature interruption of psychotherapeutic treatments is a significant phenomenon, with rates that can be above 50%, although differences emerge among studies. In general, the variables related to the psychotherapists have a significant effect on the treatment and a greater extent than the situ...

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Autores principales: Oasi, Osmano, Maggio, Simone, Pacella, Sara, Molgora, Sara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PAGEPress Publications, Pavia, Italy 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7451389/
https://www.ncbi.nlm.nih.gov/pubmed/32913800
http://dx.doi.org/10.4081/ripppo.2019.369
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author Oasi, Osmano
Maggio, Simone
Pacella, Sara
Molgora, Sara
author_facet Oasi, Osmano
Maggio, Simone
Pacella, Sara
Molgora, Sara
author_sort Oasi, Osmano
collection PubMed
description The premature interruption of psychotherapeutic treatments is a significant phenomenon, with rates that can be above 50%, although differences emerge among studies. In general, the variables related to the psychotherapists have a significant effect on the treatment and a greater extent than the situational variables. In this study a multi-method research has been conducted to test the situations of impasse ending in dropout and the relationship between these situations and the covert narcissistic dimension of the therapist. Each participant was administrated the Impasse Interview, asking the therapist to focus on a salient or recent dropout case, and the Hypersensitive Narcissism Scale. The linguistic analysis of the interviews carried out with T-Lab produced 4 thematic clusters. Furthermore, as for the covert narcissistic dimension, 11 therapists reported a score below the average (Group A) and 9 scoring in the average (Group B). Finally, the association between the four clusters and the two groups of therapists was investigated. The therapeutic alliance and the emotional reaction of the therapist, influenced by his narcissistic dimension, represent key variables for the outcome of the therapy.
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spelling pubmed-74513892020-09-09 Dropout and narcissism: an exploratory research about situational factors and personality variables of the psychotherapist Oasi, Osmano Maggio, Simone Pacella, Sara Molgora, Sara Res Psychother Article The premature interruption of psychotherapeutic treatments is a significant phenomenon, with rates that can be above 50%, although differences emerge among studies. In general, the variables related to the psychotherapists have a significant effect on the treatment and a greater extent than the situational variables. In this study a multi-method research has been conducted to test the situations of impasse ending in dropout and the relationship between these situations and the covert narcissistic dimension of the therapist. Each participant was administrated the Impasse Interview, asking the therapist to focus on a salient or recent dropout case, and the Hypersensitive Narcissism Scale. The linguistic analysis of the interviews carried out with T-Lab produced 4 thematic clusters. Furthermore, as for the covert narcissistic dimension, 11 therapists reported a score below the average (Group A) and 9 scoring in the average (Group B). Finally, the association between the four clusters and the two groups of therapists was investigated. The therapeutic alliance and the emotional reaction of the therapist, influenced by his narcissistic dimension, represent key variables for the outcome of the therapy. PAGEPress Publications, Pavia, Italy 2019-07-30 /pmc/articles/PMC7451389/ /pubmed/32913800 http://dx.doi.org/10.4081/ripppo.2019.369 Text en ©Copyright: the Author(s), 2019 http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Article
Oasi, Osmano
Maggio, Simone
Pacella, Sara
Molgora, Sara
Dropout and narcissism: an exploratory research about situational factors and personality variables of the psychotherapist
title Dropout and narcissism: an exploratory research about situational factors and personality variables of the psychotherapist
title_full Dropout and narcissism: an exploratory research about situational factors and personality variables of the psychotherapist
title_fullStr Dropout and narcissism: an exploratory research about situational factors and personality variables of the psychotherapist
title_full_unstemmed Dropout and narcissism: an exploratory research about situational factors and personality variables of the psychotherapist
title_short Dropout and narcissism: an exploratory research about situational factors and personality variables of the psychotherapist
title_sort dropout and narcissism: an exploratory research about situational factors and personality variables of the psychotherapist
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7451389/
https://www.ncbi.nlm.nih.gov/pubmed/32913800
http://dx.doi.org/10.4081/ripppo.2019.369
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