The construction of a positive therapeutic relationship was shown to be related with outcome in psychotherapy, but there are only a few prescriptive concepts helping the therapist to contribute to such a process. The present case illustrates the use of Plan Analysis (PA) and the motive-oriented therapeutic relationship (MOTR) in the explanation of the construction of a positive therapeutic relationship. We analyze the case of Sharon, a 22-year-old student presenting with major depressive disorder. We present the case formulation according to PA and select Session 7 from the therapeutic process to illustrate three moments of the therapist focus on the underlying motives: (a) a first moment when the therapist presents with nonoptimal features of responding to the patient's profile, (b) a second moment when the therapist intervenes optimally, and (c) a third moment when the therapist intervenes excellently. We discuss this case from the perspective of personalizing psychotherapy.
Bibliographical noteFunding Information:
The authors thank Franz Caspar for his helpful comments on an earlier version of the manuscript. The study was supported by a grant from the Israeli Science Foundation (Grant 186/15).
© 2022 The Authors. Journal of Clinical Psychology Published by Wiley Periodicals LLC.
- Plan Analysis
- case formulation
- case study
- motive-oriented therapeutic relationship
- psychodynamic psychotherapy
- therapeutic relationship
ASJC Scopus subject areas
- Clinical Psychology
- Arts and Humanities (miscellaneous)