PIT
In its manualised form ('PIT'), the conversational model is presented as having seven interconnected components. These are:
- Developing an exploratory rationale
Together with the patient generate an understanding which links emotional or somatic symptoms with interpersonal difficulties
- Shared understanding
In developing a shared understanding, the therapist uses statements rather than questions, uses mutual ('I' and 'We') language, deploys conditional rather than absolute statements of understanding, allows metaphorical elaborations of the patient's experience to unfold, and makes tentative interpretations or 'hypotheses' about the meaning of the patient's experience.
- Focus on the 'here and now'
Feelings that are present in the room are encouraged; abstract talk about feelings by the therapist is discouraged.
- Focus on difficult feelings
Gently commenting on the presence of hidden feelings or the absence of expected feelings.
- Gaining insight
Interpretations are provided which link the dynamics of the current therapeutic interaction with problematic present and past interactions in the patient's life.
- Sequencing interpretations
The therapist does not jump in with explanatory interpretations before laying the groundwork of the therapeutic relationship and jointly understanding the emotions present in the room.
- Acknowledging change
Emotional changes that are made by the patient during therapy are offered positive reinforcement.
Read more about this topic: Conversational Model, Psychodynamic Interpersonal Therapy
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