Therapist reactions to patient personality: A pilot study of clinicians' emotional and neural responses using three clinical vignettes from in treatment series.

ERPs LPPs hippocampus memory neural response patient personality psychotherapy therapist reaction

Journal

Frontiers in human neuroscience
ISSN: 1662-5161
Titre abrégé: Front Hum Neurosci
Pays: Switzerland
ID NLM: 101477954

Informations de publication

Date de publication:
2022
Historique:
received: 05 09 2022
accepted: 02 11 2022
entrez: 15 12 2022
pubmed: 16 12 2022
medline: 16 12 2022
Statut: epublish

Résumé

Therapists' responses to patients play a crucial role in psychotherapy and are considered a key component of the patient-clinician relationship, which promotes successful treatment outcomes. To date, no empirical research has ever investigated therapist response patterns to patients with different personality disorders from a neuroscience perspective. In the present study, psychodynamic therapists ( The results indicated that therapists showed distinct patterns of criticized/devalued and sexualized reactions to visual depictions of patients with different personality disorders, at statistically systematic and clinically meaningful levels. Moreover, therapists' late positive potentials (LPPs) in the hippocampus were able to determine which patient they observed during the EEG task, with high accuracy. These results, albeit preliminary, shed light on the role played by therapists' memory processes in psychotherapy. Clinical and neuroscience implications of the empirical investigation of therapist responses are discussed.

Identifiants

pubmed: 36518564
doi: 10.3389/fnhum.2022.1037486
pmc: PMC9742247
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1037486

Informations de copyright

Copyright © 2022 Tanzilli, Trentini, Grecucci, Carone, Ciacchella, Lai, Sabogal-Rueda and Lingiardi.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Références

Soc Neurosci. 2013;8(6):601-20
pubmed: 24053118
Biol Psychol. 2008 Feb;77(2):159-73
pubmed: 18022310
J Cogn Neurosci. 2007 Dec;19(12):2071-81
pubmed: 17892393
Psychotherapy (Chic). 2019 Jun;56(2):193-204
pubmed: 30869971
Philos Trans R Soc Lond B Biol Sci. 2007 May 29;362(1481):773-86
pubmed: 17395575
Cogn Affect Behav Neurosci. 2003 Jun;3(2):97-110
pubmed: 12943325
J Clin Psychol. 2012 Aug;68(8):943-53
pubmed: 22729478
Prog Brain Res. 2006;156:31-51
pubmed: 17015073
Neuropsychol Rev. 2014 Dec;24(4):461-90
pubmed: 25407470
Neuropsychologia. 2020 Sep;146:107554
pubmed: 32652090
Aging Clin Exp Res. 2021 Apr;33(4):1005-1013
pubmed: 32500367
Emotion. 2010 Dec;10(6):767-82
pubmed: 21058848
J Cogn Neurosci. 2008 Jun;20(6):977-88
pubmed: 18211235
J Pers Assess. 2020 Sep-Oct;102(5):616-627
pubmed: 31609644
Proc Natl Acad Sci U S A. 2001 Mar 27;98(7):4259-64
pubmed: 11259662
Psychotherapy (Chic). 2017 Jun;54(2):184-194
pubmed: 28581327
Psychother Res. 2012;22(1):12-25
pubmed: 22040366
Biol Psychol. 2008 Mar;77(3):247-65
pubmed: 18164800
Hippocampus. 2008;18(2):227-37
pubmed: 18157862
Cereb Cortex. 2008 Jan;18(1):217-29
pubmed: 17548799
Neuropsychologia. 2007 Jan 7;45(1):15-31
pubmed: 16797614
Psychiatry. 2004 Winter;67(4):310-30
pubmed: 15801375
Hippocampus. 1998;8(3):212-6
pubmed: 9662136
Brain Lang. 2019 Jul;194:84-92
pubmed: 31146214
Am J Psychiatry. 2010 Oct;167(10):1280
pubmed: 26649788
Psychotherapy (Chic). 2015 Jun;52(2):228-37
pubmed: 25383652
Hippocampus. 1999;9(1):83-98
pubmed: 10088903
Cereb Cortex. 1991 Jan-Feb;1(1):1-47
pubmed: 1822724
Hum Brain Mapp. 2000 Jul;10(3):120-31
pubmed: 10912591
J Pers Disord. 2020 Mar;34(Suppl):42-62
pubmed: 32186983
Cereb Cortex. 1999 Jul-Aug;9(5):415-30
pubmed: 10450888
Brain Res. 2007 May 7;1148:138-48
pubmed: 17391654
World Psychiatry. 2015 Oct;14(3):270-7
pubmed: 26407772
J Trauma Stress. 2018 Oct;31(5):687-697
pubmed: 30338570
Prog Brain Res. 2006;156:147-83
pubmed: 17015079
J Clin Psychol. 1998 Nov;54(7):923-31
pubmed: 9811129
Soc Neurosci. 2013;8(4):314-25
pubmed: 23706064
Psychophysiology. 2000 Mar;37(2):127-52
pubmed: 10731765
Emotion. 2005 Mar;5(1):3-11
pubmed: 15755215
Am J Psychiatry. 2015 May;172(5):415-22
pubmed: 25930131
J Pers Disord. 2020 Mar;34(Suppl):143-158
pubmed: 32186987
Assessment. 2012 Sep;19(3):370-82
pubmed: 22327208
Australas Phys Eng Sci Med. 2014 Dec;37(4):713-21
pubmed: 25359588
Psychol Sci. 2003 Nov;14(6):644-7
pubmed: 14629700
Psychophysiology. 1994 May;31(3):291-308
pubmed: 8008793
Hippocampus. 2010 Nov;20(11):1291-314
pubmed: 20928828
Brain. 2002 Aug;125(Pt 8):1808-14
pubmed: 12135971
Neuroimage. 2003 Aug;19(4):1369-80
pubmed: 12948695
Psychol Bull. 1997 May;121(3):331-54
pubmed: 9136640
J Consult Clin Psychol. 2014 Jun;82(3):460-71
pubmed: 24660675
Curr Opin Neurobiol. 2013 Apr;23(2):255-60
pubmed: 23206590
Biol Psychol. 2007 Apr;75(1):101-8
pubmed: 17275979
Psychol Rev. 2009 Jan;116(1):129-56
pubmed: 19159151
Am J Psychiatry. 2006 Jul;163(7):1285-7
pubmed: 16816238
Neuropsychologia. 2007 Apr 8;45(7):1363-77
pubmed: 17126370
Wiley Interdiscip Rev Data Min Knowl Discov. 2011 Jan;1(1):55-63
pubmed: 22523608
Am J Psychiatry. 1999 Feb;156(2):273-85
pubmed: 9989564
Int J Psychoanal. 2003 Aug;84(Pt 4):823-41
pubmed: 13678491
Psychophysiology. 2009 Jan;46(1):28-33
pubmed: 18992071
J Pers Assess. 2003 Jun;80(3):217-22
pubmed: 12763696
J Am Psychoanal Assoc. 1965 Jan;13:38-56
pubmed: 14261795
Compr Psychiatry. 2007 May-Jun;48(3):225-30
pubmed: 17445515
Clin Neurophysiol. 2009 Mar;120(3):505-10
pubmed: 19157974
J Affect Disord. 2004 Feb;78(2):119-30
pubmed: 14706722
J Comp Neurol. 2013 Dec 15;521(18):4124-44
pubmed: 23852922
Clin Neurophysiol. 1999 Dec;110(12):2086-93
pubmed: 10616113
Clin Neurophysiol. 2007 Oct;118(10):2128-48
pubmed: 17573239
Philos Trans R Soc Lond B Biol Sci. 2001 Sep 29;356(1413):1441-51
pubmed: 11571035
Neuropsychologia. 2002;40(8):1335-42
pubmed: 11931936
PLoS One. 2019 May 31;14(5):e0209461
pubmed: 31150397
Cogn Affect Behav Neurosci. 2021 Feb;21(1):191-211
pubmed: 33560494
Prog Neurobiol. 2020 Sep;192:101821
pubmed: 32446883
Front Psychol. 2016 Aug 19;7:1258
pubmed: 27594847
Biol Psychol. 2011 Dec;88(2-3):188-95
pubmed: 21846487
Behav Brain Sci. 2015;38:e1
pubmed: 24827452
Clin Psychol Psychother. 2020 Sep;27(5):697-713
pubmed: 32251550
Psychophysiology. 2000 Mar;37(2):257-61
pubmed: 10731776
Transl Neurosci. 2018 Jun 22;9:72-77
pubmed: 29967692
Behav Brain Res. 2001 Dec 14;127(1-2):199-207
pubmed: 11718892
Psychophysiology. 2015 Aug;52(8):997-1009
pubmed: 25903295
Hippocampus. 1993;3 Spec No:33-44
pubmed: 8287110
Neuropsychologia. 2007 Mar 25;45(6):1187-95
pubmed: 17118408
Personal Disord. 2016 Apr;7(2):147-58
pubmed: 26389623
Front Hum Neurosci. 2022 Feb 23;16:773593
pubmed: 35280205
Cogn Neuropsychiatry. 2006 May;11(3):198-218
pubmed: 17354068
Cogn Affect Behav Neurosci. 2002 Sep;2(3):252-63
pubmed: 12775189
Biol Psychol. 2015 Dec;112:27-38
pubmed: 26450006
Biol Psychol. 2013 Feb;92(2):114-24
pubmed: 23131616
Am J Psychiatry. 2014 Jan;171(1):102-8
pubmed: 24077643
Cereb Cortex. 2006 Sep;16(9):1249-57
pubmed: 16306325
Psychother Res. 2022 Jan;32(1):3-15
pubmed: 32404003
Trends Cogn Sci. 2000 Jun;4(6):215-222
pubmed: 10827444
Front Psychol. 2012 Nov 02;3:471
pubmed: 23130011
J Neural Transm (Vienna). 2009 Jun;116(6):735-46
pubmed: 18784899
Front Psychiatry. 2022 Feb 28;13:804440
pubmed: 35295769
Emotion. 2008 Apr;8(2):250-5
pubmed: 18410198
Prog Neurobiol. 1989;33(3):161-253
pubmed: 2682783
Electroencephalogr Clin Neurophysiol. 1995 May;96(3):248-60
pubmed: 7750450
Cogn Affect Behav Neurosci. 2015 Dec;15(4):736-48
pubmed: 25967930
Depress Anxiety. 2010 Mar;27(3):234-43
pubmed: 20196100
J Am Psychoanal Assoc. 2004 Spring;52(2):393-447
pubmed: 15222434
Biol Psychol. 2000 Mar;52(2):95-111
pubmed: 10699350
Psychol Med. 2009 Jul;39(7):1141-52
pubmed: 19079826
Clin Neurophysiol. 2001 Nov;112(11):2057-68
pubmed: 11682344
Psychotherapy (Chic). 2018 Dec;55(4):496-507
pubmed: 30335461
Neuropsychologia. 2004;42(10):1336-49
pubmed: 15193941
Brain Res Cogn Brain Res. 1996 Oct;4(3):211-24
pubmed: 8924049
Neuroimage. 2001 Apr;13(4):743-50
pubmed: 11305901
Cereb Cortex. 2007 May;17(5):1085-91
pubmed: 16769742
Neurosci Biobehav Rev. 2020 Nov;118:18-26
pubmed: 32707343
Neuroimage. 2013 Nov 1;81:15-25
pubmed: 23664945
Personal Disord. 2018 May;9(3):250-262
pubmed: 28836804
Res Psychother. 2019 Jan 17;22(1):331
pubmed: 32913777
Methods Find Exp Clin Pharmacol. 2002;24 Suppl D:5-12
pubmed: 12575463
Biol Psychol. 2018 May;135:170-179
pubmed: 29665432
Neuropsychologia. 2009 Nov;47(13):2975-80
pubmed: 19576234
J Neurol Neurosurg Psychiatry. 1957 Feb;20(1):11-21
pubmed: 13406589
Psychiatry Res. 2018 Dec;270:1059-1067
pubmed: 29910020
Psychophysiology. 2004 May;41(3):441-9
pubmed: 15102130
Psychophysiology. 2009 Jan;46(1):1-11
pubmed: 18778317
J Cogn Neurosci. 2011 Oct;23(10):2994-3007
pubmed: 21268668
Am J Psychother. 2007;61(4):375-93
pubmed: 18251383
Psychophysiology. 2000 Mar;37(2):190-203
pubmed: 10731769
Nat Neurosci. 2004 Mar;7(3):278-85
pubmed: 14758364
Proc Natl Acad Sci U S A. 2000 Sep 26;97(20):11125-9
pubmed: 11005879
Int J Psychoanal. 1995 Jun;76 ( Pt 3):475-85
pubmed: 7558607
Proc Natl Acad Sci U S A. 2005 Nov 8;102(45):16518-23
pubmed: 16260734
Psychol Rev. 2019 Jul;126(4):455-485
pubmed: 30973247
Psychophysiology. 2019 Apr;56(4):e13308
pubmed: 30548599
Psychophysiology. 2009 May;46(3):521-30
pubmed: 19496228
Am J Psychiatry. 2005 May;162(5):890-8
pubmed: 15863790
Acta Psychol (Amst). 1999 Apr;101(2-3):267-91
pubmed: 10344188
Ind Psychiatry J. 2009 Jan;18(1):70-3
pubmed: 21234168
Int J Psychoanal. 2014 Oct;95(5):865-88
pubmed: 24902768
J Pers Disord. 2013 Dec;27(6):735-45
pubmed: 23718787
World Psychiatry. 2015 Jun;14(2):237-9
pubmed: 26043343
Soc Cogn Affect Neurosci. 2008 Sep;3(3):270-8
pubmed: 19015119
Nat Neurosci. 2000 Nov;3(11):1149-52
pubmed: 11036273
Am J Psychiatry. 1999 Feb;156(2):258-72
pubmed: 9989563
Neuropsychologia. 2007 Jan 7;45(1):174-94
pubmed: 16854439
J Nerv Ment Dis. 2008 Sep;196(9):702-8
pubmed: 18791432
Soc Cogn Affect Neurosci. 2020 Jul 1;15(5):551-560
pubmed: 32440673
Neuroimage. 2010 Apr 1;50(2):727-33
pubmed: 20045736
J Anal Psychol. 2015 Feb;60(1):148-150
pubmed: 29749601
Int J Psychophysiol. 1997 Jul;27(1):55-67
pubmed: 9161892
Annu Rev Neurosci. 2004;27:279-306
pubmed: 15217334
Hippocampus. 2004;14(6):752-62
pubmed: 15318333
Neurosci Lett. 2004 May 13;362(1):1-5
pubmed: 15147767
Proc Natl Acad Sci U S A. 2004 Apr 27;101(17):6333-4
pubmed: 15096592
Am J Psychiatry. 2004 Oct;161(10):1743-54
pubmed: 15465966
Dev Neuropsychol. 2010;35(2):129-55
pubmed: 20390599

Auteurs

Annalisa Tanzilli (A)

Department of Dynamic, Clinical Psychology, and Health Studies, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy.

Cristina Trentini (C)

Department of Dynamic, Clinical Psychology, and Health Studies, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy.

Alessandro Grecucci (A)

Clinical and Affective Neuroscience Lab, Department of Psychology and Cognitive Sciences, University of Trento, Rovereto, Italy.

Nicola Carone (N)

Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.

Chiara Ciacchella (C)

Department of Dynamic, Clinical Psychology, and Health Studies, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy.

Carlo Lai (C)

Department of Dynamic, Clinical Psychology, and Health Studies, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy.

Miguel David Sabogal-Rueda (MD)

Department of Psychology, Catholic University of Sacred Heart, Milan, Italy.

Vittorio Lingiardi (V)

Department of Dynamic, Clinical Psychology, and Health Studies, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy.

Classifications MeSH