The Dream in the Therapeutic Encounter: A Theoretical Formulation and Single Case Study

  • Liam Bang The New School for Social Research

Abstract

The present paper seeks to better understand the underlying mechanisms and phenomenology of dreaming and dream telling in the psychotherapeutic encounter. Toward that end, this paper offers a theoretical framework regarding the interplay between intrapsychic and intersubjective mechanisms underlying dreaming, dream telling, and dream interpretation in psychodynamic psychotherapy, with a focus on the capacity of the dream to facilitate unique communicative pathways. This theoretical framework informs a discussion of the results of several self-report psychotherapy process measures from a single 12-session treatment, including the Working Alliance Inventory, Session Evaluation Questionnaire and Session Impact Scale.

Keywords: introjection, projection, projective identification, introjective projective identification in the dream, transitionality, dream telling in psychotherapy

References

Alpher, V. S. (1996). Identity and introject in dissociative disorders. Journal of Consulting and Clinical Psychology, 64(6), 1238. http://dx.doi.org/10.1037/0022-006X.64.6.1238

Armelius, K., & Granberg. (2000). Self-image and perception of mother and father in psychotic and borderline clients. Psychotherapy Research, 10(2), 147-158. https://doi.org/10.1080/713663671

Benjamin, L. S. (1974). Structural analysis of social behavior. Psychological Review, 81, 392-425. http://dx.doi.org/10.1037/h0037024

Benjamin, L. S., Rothweiler, J. C., & Critchfield, K. L. (2006). The use of structural analysis of social behavior (SASB) as an assessment tool. Annu. Rev. Clin. Psychol., 2, 83-109. https://doi.org/10.1146/annurev.clinpsy.2.022305.095337

Bennett, D., & Parry, G. (1998). The accuracy of reformulation in cognitive analytic therapy: A validation study. Psychotherapy Research, 8(1), 84-103. https://doi.org/10.1080/10503309812331332217

Bion, W. R. (1963). Elements of Psychoanalysis New York.

Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, research & practice, 16(3), 252. http://dx.doi.org/10.1037/h0085885

Coady, N. F. (1991). The association between client and therapist interpersonal processes and outcomes in psychodynamic psychotherapy. Research on Social Work Practice, 1(2), 122-138. https://doi.org/10.1177/104973159100100202

Connolly, M. B., Crits-Christoph, P., Demorest, A., Azarian, K., Muenz, L., & Chittams, J. (1996). Varieties of transference patterns in psychotherapy. Journal of Consulting and Clinical Psychology, 64(6), 1213. http://dx.doi.org/10.1037/0022-006X.64.6.1213

Constantino, M. J. (2000). Interpersonal process in psychotherapy through the lens of the Structural Analysis of Social Behavior. Applied and Preventive Psychology, 9(3), 153-172. https://doi.org/10.1016/S0962-1849(05)80002-2

Crits-Christoph, P., Demorest, A., & Connolly, M. B. (1990). Quantitative assessment of interpersonal themes over the course of psychotherapy. Psychotherapy: Theory, Research, Practice, Training, 27(4), 513. http://dx.doi.org/10.1037/0033-3204.27.4.513

Elliott, R., & Wexler, M. M. (1994). Measuring the impact of sessions in process: experiential therapy of depression: The Session Impacts Scale. Journal of Counseling Psychology, 41(2), 166. http://dx.doi.org/10.1037/0022-0167.41.2.166

Ferenczi, S. (1913). To whom does one relate one's dreams. Further contributions to the theory and technique of psycho-analysis, 349.

Freud, S. (1900). The interpretation of dreams. Standard Edition (Vols. 4–5, pp. ix–627).

Frick, E., & Halevy, C. (2004). Is Structural Analysis of Social Behavior (SASB) suitable for the content analysis of dreams?. Sleep and Hypnosis, 6, 29-42. https://login.libproxy.newschool.edu/login?url=https://search.proquest.com/docview/197762464?accountid=12261.

Friedman, R. (2004). Dream-telling as a request for containment-Reconsidering the group-analytic approach to the work with dreams. Group analysis, 37(4), 508-524. https://doi.org/10.1177/0533316404047783

Greenberg, L. S. (1979). Resolving splits: Use of the two chair technique. Psychotherapy: Theory, Research & Practice, 16(3), 316. http://dx.doi.org/10.1037/h0085895

Greenberg, L. S., & Malcolm, W. (2002). Resolving unfinished business: Relating process to outcome. Journal of Consulting and Clinical Psychology, 70(2), 406. http://dx.doi.org/10.1037/0022-006X.70.2.406

Henry, W. P. (1996). Structural analysis of social behavior as a common metric for programmatic psychopathology and psychotherapy research. Journal of Consulting and Clinical Psychology, 64(6), 1263. http://dx.doi.org/10.1037/0022-006X.64.6.1263

Horvath, A. O., Greenberg, L. S., & Greenberg, P. (1986). The psychotherapeutic process: A research handbook.

Kanzer, M. (1955). The communicative function of the dream. International Journal of Psycho-Analysis, 36, 260-266. https://www.pep-web.org/document.php?id=ijp.036.0260a

Mumma, G. H., & Smith, J. L. (2001). Cognitive–behavioral-interpersonal scenarios: interformulator reliability and convergent validity. Journal of Psychopathology and Behavioral Assessment, 23(4), 203-221. https://doi.org/10.1023/A:1012738802126

Paivio, S. C., & Greenberg, L. S. (1995). Resolving" unfinished business": Efficacy of experiential therapy using empty-chair dialogue. Journal of Consulting and Clinical Psychology, 63(3), 419. http://dx.doi.org/10.1037/0022-006X.63.3.419

Rudy, J. P., McLemore, C. W., & Gorsuch, R. L. (1985). Interpersonal behavior and therapeutic progress: Therapists and clients rate themselves and each other. Psychiatry, 48(3), 264-281. https://doi.org/10.1080/00332747.1985.11024287

Schloredt, K. A., & Heiman, J. R. (2003). Perceptions of sexuality as related to sexual functioning and sexual risk in women with different types of childhood abuse histories. Journal of Traumatic Stress: Official Publication of The International Society for Traumatic Stress Studies, 16(3), 275-284. https://doi.org/10.1023/A:1023752225535

Sohlberg, S., & Birgegard, A. (2003). Persistent complex subliminal activation effects: First experimental observations. Journal of personality and social psychology, 85(2), 302. http://dx.doi.org/10.1037/0022-3514.85.2.302

Stiles, W. B. (1980). Measurement of the impact of psychotherapy sessions. Journal of consulting and clinical psychology, 48(2), 176. http://dx.doi.org/10.1037/0022-006X.48.2.176

Tracey, T. J., & Kokotovic, A. M. (1989). Factor structure of the working alliance inventory. Psychological Assessment: A journal of consulting and clinical psychology, 1(3), 207. http://dx.doi.org/10.1037/1040-3590.1.3.207

Wiser, S., & Goldfried, M. R. (1998). Therapist interventions and client emotional experiencing in expert psychodynamic–interpersonal and cognitive–behavioral therapies. Journal of Consulting and Clinical Psychology, 66(4), 634. http://dx.doi.org/10.1037/0022-006X.66.4.634

Published
2020-07-27