Table 1.

Component Structure of the ACQ

	1	2	3	4
Component 1: Disengaged
13. My mind often wanders to things other  than what this patient is talking.	.83
10. I often feel bored during sessions with  this patient.	.80
14. I don’t feel fully engaged with this  patient during sessions.	.73
3. I find it hard to give this patient my full  attention.	.72
25. I often experience the patient’s language  as repetitive and monotonous.	.68
4. I often experience the patient’s language  as stagnant.	.68
20. I often have difficulty remembering  what happened in the last session with this  patient.	.67
12. I often experience the patient’s language  as barren.	.65
Component 2: Full Range of Emotions
1. I often experience the patient’s  descriptions of events as full of emotion.		.77
5R. I often experience this patient as  showing very little emotion, even when  describing what sound like very emotional  events.		−.77
16R. I often experience this patient as  emotionally constricted.		−.75
21. I experience this patient as very  emotionally present in sessions.		.74
8. I find that this patient brings a full range  of emotions to sessions.		.72
Component 3: Negative Affect
19R. I find that this patient tends to stir up  warm, positive feelings in me as well as  frustrated, angry feelings.			−.74
9. I find that this patient tends to stir up  mostly negative feelings in me.			.68
28. I find this patient difficult to engage  during sessions.			.62
27. I find that this patient brings mostly  negative emotions to sessions.			.60
Component 4: Enlivened
24. The things this patient says tend to stick  with me well after our sessions.				.82
22. I tend to think about this patient quite a  bit in-between our sessions.				.76
23. I find this patient stimulating to work  with.				.64
Eigenvalue	10.87	2.85	2.57	1.91
Cumulative % of Variance	38.80	48.98	58.14	64.97