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Table 5 Segments with Relational Interventions from the patient–therapist dialogue in a mid-therapy session rated with Relational Work Scale

From: Relational interventions in psychotherapy: development of a therapy process rating scale

Individual speaking

Parts of dialogue

(RI): Category 1–5

Rated 0–4:

(T): Timing

(C): Content

(V): Valence

(R): Response

Therapist

You have previously focused on whether you wanted to continue to work with your colleagues in that committee.

RI: 1

C: Other (4)

V: Supportive (1), Challenging (1)

Patient

I planned to refuse reelection to the committee. However, I was persuaded to continue by the other members. I kind of regret accepting the position because it takes time from other things I want to do like participate in the literature group with my friends.

C: Other (3)

R: Associations/self-reflections (3), Cooperative (3), Emotional (3)

Therapist

Then the other members in the committee think you are a great chap. You care for your family, colleagues and friends, but do you care about your own needs?

RI: 2 and 3

T: Connect natural (3)

Precise/striking (4)

C: Other (4)

V: Supportive (3)

Challenging (1)

Patient

At home my kids know my wife’s opinion, but not mine. They want me to be more explicit. On the other side, I get guilty conscience and fear of them getting angry if I am too opinionated.

C: Other (3)

R: Associations/self reflections (2), Cooperative (3), Emotional (2)

Therapist

Yes, they have even told you to stop care so much about them and start prioritize what is necessary for yourself, for example to buy yourself some new clothes. Do you think that is a common concern among children and teenagers nowadays?

RI:2

T: Connect natural (2)

Precise/striking (3)

C: Others (3)

V: Supportive (1), Challenging (3)