ArticleFrontiers in psychology2020
The Action of Verbal and Non-verbal Communication in the Therapeutic Alliance Construction: A Mixed Methods Approach to Assess the Initial Interactions With Depressed Patients.
Article in Frontiers in psychology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 27 papers.
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27 citing papers in PubMed.
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- Evaluating the impact of restored nonverbal communication on medical service quality and patient loyalty in the post-pandemic era.Frontiers in public health · 2026Article
- Psychotherapists' Ethical Dilemmas Regarding Online and Face-to-Face Psychotherapy During the COVID-19 Pandemic: Survey Study.Journal of medical Internet research · 2025Article
- Impact of Remote Appointments on the Outcomes of Community Mental Health Nurses in Primary Care Since the Covid Pandemic: A Retrospective Observational Cohort Study.International journal of mental health nursing · 2025Observational
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- Being a Pakistani mother in Catalonia: a mixed methods study.Frontiers in psychology · 2024Article
- Application of indirect observation within mixed methods to contrast the results obtained through direct observation: a discussion with observed Pikler educators.Frontiers in psychology · 2024Article
- Exploring preference for delivery methods for a psychosocial intervention for prenatal anxiety: A qualitative study from a tertiary care hospital in Pakistan.Global mental health (Cambridge, England) · 2024Article
- Psychometric properties of comprehensive cognitive, affective, and psychomotor competency assessment scales in psychodynamic psychotherapy for borderline personality disorder.Frontiers in psychiatry · 2024Article
- An Exploratory Study of Verbal and Non-Verbal Communication in Saudi Arabian Families.Behavioral sciences (Basel, Switzerland) · 2023Article
- The role of interpersonal coordination dynamics in alliance rupture and repair processes in psychotherapy-A systematic review.Frontiers in psychology · 2023Review
- Future horizons in the analysis of technical-tactical performance in women's football: a mixed methods approach to the analysis of in-depth interviews with professional coaches and players.Frontiers in psychology · 2023Article
- Trainee psychotherapists' emotion recognition accuracy improves after training: emotion recognition training as a tool for psychotherapy education.Frontiers in psychology · 2023Article
- Methodological procedure based on quantitizing/liquefying: a case study to assess work climate in an emergency department.Frontiers in psychology · 2023Article
- Evaluating in the Real-World Educational Intervention to Improve Interference Control in Children with Autism Spectrum Disorder.Children (Basel, Switzerland) · 2022Article
Corrections and comments
- Erratum issued
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In psychodynamic psychotherapy, verbal (structures and intents) and non-verbal (voice and interruptions) dimensions of communication intertwine conveying information and determining the mutual regulation between therapist and patient through conversational sequences. The communication components interplay is the foundation for building the therapeutic alliance, a relational dimension that predicts a psychotherapy outcome and change, influenced by patient-therapist exchanges from the initial stages of their encounter. Depressed patients present specific verbal and non-verbal communication and show difficulties in developing and maintaining the therapeutic alliance. Based on the reviewed literature, the main aim of this study was to analyze how the action of specific communicative modes, implemented by the therapist and depressed patients, affect the reciprocal construction of the early therapeutic alliance by each participant during the mutual regulation processes. We employed a mixed methods approach based on a systematic observation of communication and alliance ruptures and repairs within the audio recordings and verbatim transcripts of 20 psychotherapy sessions (6,232 speaking turns) with seven depressed patients. The observational design was nomothetic, follow-up, and multidimensional. The choice of methodology is justified because we developed a comprehensive procedure that integrates an
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