Processes in Psychotherapy and the MATRIX: The Case of Projective Identification

Mendlovic, S., Ben Yehuda, A., Saad, A., Sopher, A., & Doron, A. (2018). Processes in Psychotherapy and the MATRIX: The Case of Projective Identification. Psychodynamic psychiatry, 46(3), 393-410.

Abstract

Objective: The present study aimed to examine the association between patient-therapist micro-level congruence/incongruence ratio and psychotherapeutic outcome. Method: Nine good- and nine poor-outcome psychodynamic treatments (segregated by comparing pre- and post-treatment BDI-II) were analyzed (N = 18) moment by moment using the MATRIX (total number of MATRIX codes analyzed = 11,125). MATRIX congruence was defined as similar adjacent MATRIX codes. Results: the congruence/incongruence ratio tended to increase as the treatment progressed only in good-outcome treatments. Conclusion: Progression of MATRIX codes’ congruence/incongruence ratio is associated with good outcome of psychotherapy.

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