Therapists' in-session feelings in psychotherapy can be seen as indications of the development of the therapeutic relationship and the therapeutic process. To manage them appropriately, it is important to know to what extent they may be influenced by patients' pretreatment characteristics. This study aims to improve the understanding of therapists' emotional reactions in the psychotherapeutic setting by investigating if patients' pretreatment mentalization ability and attachment style predicted therapist in-session feelings. In a sample of 87 therapy dyads treated with interpersonal psychotherapy and cognitive behavioral therapy for depression, patient attachment was measured using self-reported Experiences in Close Relationships (ECR) and mentalization using Reflective Functioning (RF). ECR and RF were hypothesized to predict therapist feelings measured by the Feeling Word Checklist-24 at different treatment phases over the full course of treatment. Treatment method, patient age, gender, and pretreatment depression were evaluated as potential confounders. Multilevel modeling was used to analyze the data. Lower RF in patients predicted more negative therapist feelings in the mid- to late-treatment phases and less positive feelings in the late-treatment phase. Self-reported attachment anxiety or avoidance did not predict therapist feelings. Findings indicate that patients' ability to mentalize is important to consider when conducting psychotherapy, as it can influence therapists' feelings in the therapeutic process. Limitations of the present study's approach are discussed, and directions for future research are considered. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译：

---

患者依恋和反思功能是治疗师在治疗中感受的预测因素。


治疗师在心理治疗中的感受可以被视为治疗关系和治疗过程发展的标志。为了适当地管理它们，重要的是要知道它们可能在多大程度上受到患者治疗前特征的影响。本研究旨在通过调查患者的治疗前心智化能力和依恋风格是否可以预测治疗师在治疗中的感受，来提高对治疗师在心理治疗环境中情绪反应的理解。在接受人际心理治疗和认知行为疗法治疗抑郁症的 87 名治疗二人组样本中，使用自我报告的亲密关系经历 (ECR) 和使用反射功能 (RF) 的心理化来测量患者依恋。假设 ECR 和 RF 可以预测整个治疗过程中不同治疗阶段通过情感词检查表 24 测量的治疗师感受。治疗方法、患者年龄、性别和治疗前抑郁症被评估为潜在的混杂因素。使用多级建模来分析数据。患者的 RF 较低，预示治疗师在治疗中后期会有更多的消极情绪，而在治疗后期，治疗师的积极情绪会减少。自我报告的依恋焦虑或回避并不能预测治疗师的感受。研究结果表明，在进行心理治疗时，考虑患者的心理化能力很重要，因为它可以影响治疗师在治疗过程中的感受。讨论了本研究方法的局限性，并考虑了未来研究的方向。 （PsycInfo 数据库记录 (c) 2024 APA，保留所有权利）。