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This study looks intensively at two patients who differ markedly in their self-reported post-treatment view of their therapy. David reports 1325 “relatively high satisfaction,” while Lisa reports being “largely dissatisf ied” with therapy. Three dimensions are looked at in relation to satisfaction: (1) attachment style as measured by the Reciprocal Attachment Questionnaire, or RAQ (West and Sheldon-Keller 1994), adapted for use with the therapist functioning as an attachment figure); (2) capacity for self-reflection as measured by the Reflective Functioning Scale, or RF (Fonagy et al. 1998); and (3) ways in which representations of the therapeutic dialogue are internalized, measured by the Representation of the Therapeutic Dialogue, or RTD (Geller et al. 2005).
We hypothesize that attachment, reflective functioning, and ways in which the object relationship with the therapist is internalized are all related to the individual's experience of treatment as largely “effective” or “ineffective.”
In 1996, ninety-nine clinic patients from the Institute of Psychoanalytic Training and Research (IPTAR) Clinical Center completed Seligman's Effectiveness Questionnaire, or EQ (Seligman 1995), assessing self-reported satisfaction. To lend “clinical validity” to these findings, 20 patients with varying EQ scores returned a year or two