Self-Image as a Moderator of Change in PsychotherapyMargrethe S. Halvorsen and Jon T. Monsen, Department of Psychology, University of Oslo, Oslo, Norway.

This study used the Structural Analysis of Social Behavior (SASB) introject model to investigate the relationship between patients’ self-image at pretreatment and change during psychotherapy. Data were obtained from the Norwegian Multisite Study of Process and Outcome in Psychotherapy, including 233 completed therapies. The patients were classified into four self-image profile groups (i.e., self-attack, self-control, intermediate attack–control, and self-love) based on their initial SASB pattern coefficients. Overall, the results indicated that response to treatment was contingent on self-image at pretreatment. Patients with a self-attacking self-image showed larger reductions in symptoms and sum criteria on Axis II during psychotherapy than those with less pathological self-images. As expected, the primary change in self-image was along the affiliation dimension, although patients with elevated pretreatment levels of self-control revealed substantial changes along the interdependence dimension as well.