Changes in rigidity and symptoms among adolescents in psychodynamic psychotherapy

Dana Atzil Slonim*, Gaby Shefler, Shira Dvir Gvirsman, Orya Tishby

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


The present study examined changes in the rigidity of interpersonal patterns and symptoms in adolescents (ages 15-18) in a year-long psychodynamic psychotherapy. Seventy-two adolescents (30 in treatment and 42 in a non-treatment "community group") underwent Relationship Anecdote Paradigm (RAP) interviews according to the Core Conflictual Relationship Theme method (CCRT; Luborsky & Crits-Christoph, 1998), and completed outcome measures at two time points. Results: Adolescents in the treatment group became less rigid in their interpersonal patterns and improved significantly in their symptoms, whereas no such changes were observed in the community group. Levels of rigidity were not related to initial symptom distress; however, changes in rigidity were related to improvement in symptoms within the treatment group.

Original languageEnglish
Pages (from-to)685-697
Number of pages13
JournalPsychotherapy Research
Issue number6
StatePublished - Nov 2011
Externally publishedYes


  • adolescents
  • outcome
  • process
  • psychodynamic psychotherapy
  • rigidity


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