The Significant Other History: An Interpersonal-Emotional History Procedure Used with the Early-onset Chronically Depressed Patient
Abstract
Foreward
Introduction
Psychological Insults and Trauma
Goals of SOH
Clarification of the Circularity, Two-Person Assumption in Interpersonal Theory as it Pertains to Early-Onset Chronic Depression
![](/cms/10.1176/appi.psychotherapy.2011.65.3.225/asset/images/00003_psisdgajp653_v65i3a3_page_5_1.jpg)
![](/cms/10.1176/appi.psychotherapy.2011.65.3.225/asset/images/00003_psisdgajp653_v65i3a3_page_6_1.jpg)
Felt Safety
Clarifying the Origins of the Core Interpersonal Fear
Representative Early Abuse Material Available from Recent Research
The Significant Other History Procedure
Common Challenges in Administering the SOH
SIGNIFICANT OTHER HISTORY PROCEDURE DURING SESSION 2 |
Step 1. Therapist: I want you to give me a list of no more than six people who have, for better or for worse, had a significant impact on your life-we call these persons, Significant Others. These persons are the “big players,” the ones who’ve left a “stamp” on you or had a lasting emotional effect on you or, those persons who’ve influenced the direction your life has taken. These stamps or emotional influences may either be positive or negative. Patient’s Response Patient provides the names of no more than six Significant Others. (The patient usually states the names verbally and the therapist writes the list on the flip chart or white board.) Step 2. The “Significant Others” are reviewed in the order they are listed. Therapist takes the first name on the list and ASKS THE PATIENT (therapist will make brief notes of the patient’s responses for each Significant Other and write these notes on the flip chart/white board in full view of the individual): 1: What was it like growing up around….(few memories elicited)? 2: How did this person influence you to be the kind of person you are now? That is, what is the emotional stamp he or she left on you? 2. When a Causal Theory Conclusion has been derived for the first Significant Other, questions 1 and 2 are repeated for each succeeding Significant Other. |
Soh and the Autobiographical History Research Tradition
Soh and An Illustrative Case History
Case
Constructing the Transference Hypothesis: Targeting the Salient Transference Domain that Best Fits the Sources of the Interpersonal Fear
The Four Interpersonal Domains
The Transference Hypothesis Must be Stated in a Functional Manner
Common Problems and Issues in TH Construction
Problem 1
If I talk about something I’ve done or accomplished (paint a room;fix the car; mow the lawn, etc.), then I will never be able to do enough to satisfy JPM (the therapist).
Problem 2
Problem 3
Problem 4
The Transference Construct: CBASP & Psychoanalytic Theory
Using the SOH to Prepare the Way for Teaching One-Person Functioning Patients to Generate Empathy
The Interpersonal Discrimination Exercise
The IDE 4-step procedure is based on the Therapist’s Transference Hypothesis: Phase A: The IDE can be administered whenever a patient and therapist transverse or enter a “hot spot” (i.e., patient behaves in a way, talks about content material, or participates in some in-session event that implicates the domain represented by the Transference Hypothesis). Phase B: Therapist administers the 4-step IDE by asking several questions of the patient:** Step 1. How did your mother, father, sibling, etc., react to you when you said (or did) the content implicated in the Transference Hypothesis (get close, disclose, make a mistake, or express negative affect?). Step 2. How have Ijust reacted to you in this similar Transference area? Step 3. What are the differences between their reactions and mine? What is different about what you experienced then, and what you have just experienced here, with me now? Step 4. What are the interpersonal implications for you if I respond differently to you in this situation? |
Acquisition Learning of Authentic Interpersonal Functioning
Assessment of Learning Performance
![](/cms/10.1176/appi.psychotherapy.2011.65.3.225/asset/images/00003_psisdgajp653_v65i3a3_page_20_1.jpg)
Conclusions
The Limitations of the Soh Proposal
Footnote
REFERENCES
Information & Authors
Information
Published In
History
Keywords:
Authors
Metrics & Citations
Metrics
Citations
Export Citations
If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.
For more information or tips please see 'Downloading to a citation manager' in the Help menu.
There are no citations for this item
View Options
View options
PDF/ePub
View PDF/ePubGet Access
Login options
Already a subscriber? Access your subscription through your login credentials or your institution for full access to this article.
Personal login Institutional Login Open Athens loginNot a subscriber?
PsychiatryOnline subscription options offer access to the DSM-5-TR® library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.
Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).