Dyadic Restructuring (DR)

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Dyadic Restructuring (DR) is the Interpersonal—Dyadic Substrate


Definition:

Dyadic Restructuring (DR) refers primarily to a group of techniques and methods of restructuring or re-patterning that occur at the dyadic level, or two-person configuration. The focus of the change of DR techniques is primarily at the Level II Domain (interpersonal-dyadic matrix). Techniques of DR address the operating system and processes, which include communication modes (both verbal and non-verbal), patterns, and processes that occur in interpersonal relationships. Thus, at this level of domain the perspective has increased from the micro-level of analysis to an incrementally increasingly macro-level.


Function:

  • The function of dyadic restructuring (DR) is to increase self/other differentiation, provide an enhanced attachment experience, improve interpersonal communication, increase awareness of interpersonal patterns as expressed in relational and attachment schemata, identification of interpersonal defenses, enhancing capacity for intimacy/closeness, and providing an in vivo opportunity to practice newly acquired interpersonal skills.

Goals of Restructuring:

“Structural alterations for symptom relief and a focus on bringing to the surface the emotional process that occurs within triangles. It gives therapeutic access to the underlying individual and dyadic processes that have been driving the presenting symptom” (Guerin, et al., 1996, p. 18).[1]

  • Subtypes of Triadic Restructuring:
    • Relational Triadic Restructuring: focus on three-person relationships in vivo
    • Symbolic-relational restructuring: focus on individual or dynamics in triad not physically present

Techniques:

  • Expected-transactive restructuring
  • Interpretation and linking Transference-Past relationships (T-P)
  • Transference-Current relationships
  • Transference-Current relationships-Past relationships (T-C-P) (Sifneos, Malan, Davanloo)
  • Empathic validation (Kohut, 1971)
  • Encouragement to elaborate

References

  1. Guerin, P. J., Fogarty, T. F., Fay, L. F., & Kautto, J. G. (1996). Working with relational triangles: The one-two-three of psychotherapy. New York: Guilford Press.