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McFarquhar, Tara 
ORCID: https://orcid.org/0000-0002-8931-1061, Luyten, Patrick and Fonagy, Peter
(2023)
A typology for the interpersonal affective focus in dynamic interpersonal therapy based on a contemporary interpersonal approach.
Psychotherapy, 60 (2).
171–181.
ISSN 0033-3204
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Abstract
Dynamic Interpersonal Therapy (DIT) is a brief, time-limited psychodynamic individual therapy in which depressive and anxious symptoms are understood as responses to interpersonal difficulties. Problematic interpersonal representations of the self and others are conceptualized in DIT as the interpersonal affective focus (IPAF), a predominant and recurring interpersonal pattern that is connected to the symptoms and becomes the foundation of treatment. This article reports the development of a typology for classifying IPAFs, which characterizes the predominant style based on contemporary interpersonal approaches. If such a typology can be shown to have validity in a clinical setting, it could have multiple uses that would improve understanding of how DIT works and for whom it might be effective, for example, assisting the therapist in formulating the IPAF, allowing investigations of treatment outcome and process research, and informing training. An IPAF typology was developed by means of a hybrid method of qualitative analysis of transcriptions of audio recordings of DIT sessions using data from a randomized control and feasibility trial. Results revealed four themes, that is, patterns of relating, which could be described as hostile–dominant, hostile–submissive, friendly–dominant, or friendly–submissive. Limitations include the sample size and diversity, the impact of the inclusion and exclusion criteria of the pilot feasibility trial, and the clinical need to titrate the IPAF. Future research should focus on the reliability and validity of the typology and whether it can be employed in outcome and process research.
| Item Type: | Article |
|---|---|
| Additional Information: | Funding Information: This article is based on a thesis chapter completed by McFarquhar (2021). This report is independent research supported by the National Institute for Health Research Applied Research Collaboration North Thames. Peter Fonagy received funding from Grant PB-PG-0610-22287 from Research for Patient Benefit Programme. The views expressed in this publication are those of the authors and not necessarily those of the National Institute for Health Research or the Department of Health and Social Care. Both Patrick Luyten and Peter Fonagy have been involved in the development, evaluation, and dissemination of Dynamic Interpersonal Therapy and have received royalties from the publisher. |
| Uncontrolled Keywords: | depression,dynamic interpersonal therapy,interpersonal problems,outcomes,typology,clinical psychology,psychiatry and mental health ,/dk/atira/pure/subjectarea/asjc/3200/3203 |
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 03 Oct 2022 12:31 |
| Last Modified: | 28 Jun 2023 09:32 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/88814 |
| DOI: | 10.1037/pst0000462 |
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