Images of the Psychotherapist: A Theoretical and Methodological Perspective

Abstract

This paper presents a theoretical and methodological approach to studying the ways in which psychotherapy patients create and interpret mental representations of their therapists and the psychotherapeutic process both during therapy and after termination. A network of measures, The Therapist Representation Inventory, was developed to specify the interrelationships between the stylistic, functional and formal properties of such symbolic evocations across different states of consciousness and in different situations. It includes a method of examining the ability to formulate a concept of the psychotherapist and guidelines for interpreting both the thematic content and conceptual level of that object representation. The second scale measures the ability to specify the formal properties of therapist representations, as distinct from their particular contents. The third instrument seeks to identify the functions which therapist “introjects” serve for a given individual. Normative data, based upon a sample of 206 psychotherapists who themselves have been patients in psychotherapy and/or psychoanalysis indicate that the vividness of the representation and the use of the representation for the purpose of continuing the therapeutic dialogue are significantly correlated with self-perceived improvement.