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A Variable in Psychotherapy Research

Peter T. Janulis, MD

Arch Gen Psychiatry. 1970;23(3):284-287.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

I SHALL explore here one facet of the therapeutic relationship and its implications for psychotherapy research: the degree to which the therapist responds appropriately and adequately to the patient's valid, realistic need for intervention.

Theoretical Considerations

A significant component of the patient's total needs, as manifested in therapy, may be assumed to be exaggerated and infantile. Nevertheless, his needs for clarification, timely interpretation, and empathetic understanding are legitimate. To the degree that these are inadequately met, a disappointed or angry reaction on the part of the patient rests on realistic grounds and should not be dismissed as negative transference.

Cohen and Cohen¹ found a high percentage of negative responses to the therapist's questions (60%) and comments (67%). Patients' important communications frequently remained unacknowledged and legitimate questions unanswered. One patient had already, by the ninth hour, begun to dislike herself. The authors allude to the valid need for information, clarification, . . . [Full Text PDF of this Article]

Author Affiliations
New York

From the Department of Psychiatry, Cornell University Medical College, New York.

Footnotes
Accepted for publication Feb 26, 1970.

Reprint requests to Department of Psychiatry, Cornell University Medical College, New York 10021.

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