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:

Identification of interpersonal themes and modification of maladaptive patterns.

  • Subtypes of Dyadic Restructuring:
    • Expected-transactive restructuring: focus on expected relationship with therapist
    • Self-other restructuring: focus on real relationship with therapist
    • Relational restructuring: focus on relationship with other

Techniques:

  • 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