How narrative source impacts convergence of ratings from the Social Cognition and Object Relations Scale–Global Rating Method with psychotherapy process measures

Jenelle M Slavin-Mulford, Luke R. Amerson, Lylli A. Cain, Mark J. Hilsenroth, Melanie M. Wilcox, Michelle B. Stein

Research output: Contribution to journalArticlepeer-review

Abstract

This study examines the construct validity of the Social Cognition and Object Relations Scale–Global Rating Method (SCORS-G; Westen, 1995; see also Stein & Mulford, 2018) by exploring the degree of convergence across different narrative sources (i.e., early memories [EM] and psychotherapy narratives [PT]) in relation to patient- and therapist-rated psychotherapy process measures. Using a university-based outpatient sample (n = 81), we found limited convergence for SCORS-G ratings across narrative type. First, paired t tests showed that the means for six of the eight SCORS-G dimensions differed significantly between the EM and PT narratives with the majority having a large magnitude of effect. Moreover, despite 29 significant correlations between a SCORS-G dimension and either an alliance or session quality variable, only two of the eight SCORS-G dimensions significantly correlated with the same process variable across narrative type (e.g., patient-rated session depth with SCORS-G Self Esteem [SE] and Identity and Coherence of Self [ICS]). Importantly, the high degree of theoretical coherence in the associations that emerged between the SCORS-G dimensions and the process variables suggest that the lack of convergence was not due to limited validity of the SCORS-G. Instead, the results underscore the importance of multi-method assessment techniques by highlighting that the manner in which a narrative is elicited will impact the object relational content patients provide. Future research and clinical implications related to the SCORS-G, alliance and psychotherapy process are discussed.

Original languageEnglish (US)
JournalClinical Psychology and Psychotherapy
DOIs
StateAccepted/In press - 2021

Keywords

  • alliance
  • early memories
  • narrative convergence
  • psychotherapy narratives
  • psychotherapy process
  • Social Cognition and Object Relations Scale-Global Rating Method (SCORS-G)

ASJC Scopus subject areas

  • Clinical Psychology

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