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Therapist Perceptions of Process in Psychodynamic Therapy Treating Compulsive Sexual Behavior Disorder and Comorbid Borderline Personality Disorder.

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Title: Therapist Perceptions of Process in Psychodynamic Therapy Treating Compulsive Sexual Behavior Disorder and Comorbid Borderline Personality Disorder.
Authors: Goodman, Geoff (AUTHOR), Clark, Adam (AUTHOR), Chung, Hyewon (AUTHOR)
Source: Sexual Health & Compulsivity. Apr-Jun2026, Vol. 33 Issue 2, p185-204. 20p.
Subjects: Psychodynamic psychotherapy, Compulsive behavior, Psychotherapist attitudes, Human sexuality, Questionnaires, Time series analysis, Sex customs, Borderline personality disorder, Case studies, Data analysis software, Physical therapy students
Abstract: This study examined the relations between therapist perceptions of psychodynamic therapy (PDT) process, adherence to PDT principles, and interaction structures formed between therapist and patient. A graduate student therapist treated a 28-year-old man diagnosed with compulsive sexual behavior disorder and borderline personality disorder with PDT (N = 52 sessions). Following each session, the therapist completed the Psychotherapy Process Q-Set (PQS) to capture his perceptions of session process. Independent coders completed the PQS from session audio-recordings. Preceding each session, the patient completed the Outcome Questionnaire to measure psychological distress. The therapist was most discrepant on items pertaining to his own attitudes and behavior (including interventions), indicating countertransference. Therapist agreement with the independent coders was positively correlated with PDT session adherence and negatively correlated with untherapeutic interaction structures (i.e. reciprocal patterns of interaction) identified in a previous study. Simulation modeling analysis revealed that increased therapist agreement and psychological distress independently preceded increases in a potentially therapeutic interaction structure observed one session later. Therapist agreement was associated with PDT session adherence and interaction structures, suggesting routine monitoring to protect treatment fidelity and therapeutic interaction structures. KEY PRACTITIONER MESSAGE: Therapists sometimes misperceive what they say and do in therapy, potentially denying their infidelity to their therapeutic principles and denying disruptions to the quality of relationships they form with their patients. Therapists must monitor their need to perceive themselves as maintaining perfect allegiance to their therapeutic principles and perfect relationships with their patients. A lack of awareness of these needs can make their patients feel misunderstood. [ABSTRACT FROM AUTHOR]
Copyright of Sexual Health & Compulsivity is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Therapist Perceptions of Process in Psychodynamic Therapy Treating Compulsive Sexual Behavior Disorder and Comorbid Borderline Personality Disorder.
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  Data: <searchLink fieldCode="JN" term="%22Sexual+Health+%26+Compulsivity%22">Sexual Health & Compulsivity</searchLink>. Apr-Jun2026, Vol. 33 Issue 2, p185-204. 20p.
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– Name: Abstract
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  Data: This study examined the relations between therapist perceptions of psychodynamic therapy (PDT) process, adherence to PDT principles, and interaction structures formed between therapist and patient. A graduate student therapist treated a 28-year-old man diagnosed with compulsive sexual behavior disorder and borderline personality disorder with PDT (N = 52 sessions). Following each session, the therapist completed the Psychotherapy Process Q-Set (PQS) to capture his perceptions of session process. Independent coders completed the PQS from session audio-recordings. Preceding each session, the patient completed the Outcome Questionnaire to measure psychological distress. The therapist was most discrepant on items pertaining to his own attitudes and behavior (including interventions), indicating countertransference. Therapist agreement with the independent coders was positively correlated with PDT session adherence and negatively correlated with untherapeutic interaction structures (i.e. reciprocal patterns of interaction) identified in a previous study. Simulation modeling analysis revealed that increased therapist agreement and psychological distress independently preceded increases in a potentially therapeutic interaction structure observed one session later. Therapist agreement was associated with PDT session adherence and interaction structures, suggesting routine monitoring to protect treatment fidelity and therapeutic interaction structures. KEY PRACTITIONER MESSAGE: Therapists sometimes misperceive what they say and do in therapy, potentially denying their infidelity to their therapeutic principles and denying disruptions to the quality of relationships they form with their patients. Therapists must monitor their need to perceive themselves as maintaining perfect allegiance to their therapeutic principles and perfect relationships with their patients. A lack of awareness of these needs can make their patients feel misunderstood. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Sexual Health & Compulsivity is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=194166042
RecordInfo BibRecord:
  BibEntity:
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      – Type: doi
        Value: 10.1080/26929953.2026.2623014
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      – Code: eng
        Text: English
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        PageCount: 20
        StartPage: 185
    Subjects:
      – SubjectFull: Psychodynamic psychotherapy
        Type: general
      – SubjectFull: Compulsive behavior
        Type: general
      – SubjectFull: Psychotherapist attitudes
        Type: general
      – SubjectFull: Human sexuality
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Time series analysis
        Type: general
      – SubjectFull: Sex customs
        Type: general
      – SubjectFull: Borderline personality disorder
        Type: general
      – SubjectFull: Case studies
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Physical therapy students
        Type: general
    Titles:
      – TitleFull: Therapist Perceptions of Process in Psychodynamic Therapy Treating Compulsive Sexual Behavior Disorder and Comorbid Borderline Personality Disorder.
        Type: main
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            NameFull: Goodman, Geoff
      – PersonEntity:
          Name:
            NameFull: Clark, Adam
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            NameFull: Chung, Hyewon
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            – D: 01
              M: 04
              Text: Apr-Jun2026
              Type: published
              Y: 2026
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              Value: 33
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            – TitleFull: Sexual Health & Compulsivity
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