Abstract
The therapeutic process of 89 members in time-limited group psychotherapy was investigated using a group modification of the Vanderbilt Psychotherapy Process Scale (GRP-VPPS) applied to the most focused on member, or Main Actor, in each 30-minute group segment. The means of each patient's GRP-VPPS scores during those segments in which he or she was Main Actor were subjected to Principal Component Analysis, resulting in three factors: Therapeutic Participation, Negative Reaction and Ease of Self-Expression. Exploration of the relation of process to outcome found that Therapeutic Participation was positively related to therapeutic benefit as judged by patients, therapists, and independent raters. Negative reaction was negatively related to change on two scales, while ease of self-expression was negatively related to improvement in self-esteem. For several outcome variables there was an interaction indicating that more resistant behavior was related to better outcome for patients who were main actor only a few times, whereas the relationship was reversed for more active patients.
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