Abstract

This study examined the validity and potential yield of the Patient's Experience of the Relationship Scale (PER; Gill & Hoffman, 1982) as a means of studying the therapeutic relationship with inpatients. Transcripts of the initial sessions of brief inpatient treatments (N = 14) were rated using the PER and the Vanderbilt Therapeutic Alliance Scale (VTAS; Hartley & Strupp, 1983). Strong correlations were found between the PER variables and the Therapist subscale of the VTAS, with weaker correlations between the PER variables and the Patient subscale of the VTAS. The PER identified an average of 5.8 indirect patient expressions about the therapeutic relationship per half-hour session. These indirect expressions were judged to be mostly negative in nature and based on issues of mistrust. Excerpts from a therapy session illustrated the PER's ability to identify and elaborate the patient's indirectly expressed experience of the relationship and 1 possible therapeutic response. Conclusions highlighted the potential of the PER in future research.

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