Table 1.
References | Terms used | Theoretical framework | Physiological measures | Setting | Clinical/psychological construct | Interpersonal physiology measure | Results |
---|---|---|---|---|---|---|---|
Di Mascio et al., 1955 | “Sociophysiology” “Concordance” “Discordance” | Unspecified | HR | 3 dyads, unspecified sessions: individual psychoanalytic psychotherapy | n/a | Correlation | Two examples, of HR “concordance” and “discordance,” were reported. |
Coleman et al., 1956 | “Physiological relationship” | Counter-transference, empathy (Reich, 1951) | HR | 1 dyad, 44 sessions: individual psychoanalytic psychotherapy | Observer-rated patient's emotions (Custom categories: “Anxiety,” “Depression,” “Intra-punitive hostility,” “extra-punitive hostility”) | Graphical comparison of patient's and therapist's HR averaged within each emotion | Patient's and therapist's HR was similar for all emotions except “extra-punitive hostility” characterized by relatively higher therapist's HR. |
Subset of 17 sessions with both “Depression,” and “extra-punitive hostility” emotions | Therapist rated distractions or disturbing thoughts | Similarity of patient's and therapist's HR within the two emotions | Therapist distractions or disturbing thoughts were more frequent in low HR similarity sessions. | ||||
Dimascio et al., 1957 | “Interpersonal physiology” | Unspecified | HRV | 1 dyad, 12 sessions: individual psychoanalytic psychotherapy | Observer-rated salient segments of therapy: Bales Interaction Coding System (BICS; (Bales, 1951); Categories: “Tension,” “Tension release,” “Neutral,” “Disagreement,” “Antagonism”) | Graphical comparison of physiological activations (between-sessions within-subject correlations) | Patient's and therapist's HRV was similar in “Tension,” “Tension release,” and “Neutral” segments, but opposite in “Antagonism” segments. |
McCarron and Appel, 1971 | n/a | Information theory (Lennard and Bernstein, 1960) | SC | 12 dyads, 1 session each: initial interviews; 1 dyad, 12 weekly sessions | Therapists' transcripts analysis with four classes of verbalizations: Reflection, Interpretation, Interrogation, and Confrontation (Pallone and Grande, 1965) | Graphical comparison of regressions results | A correspondence was found between the stimulus specificity of the therapists' verbalizations and the amplitude of patients' and therapists' SC. |
Stanek et al., 1973 | “Corresponding curve oscillations” “Co-ordination of the curves from doctor and patient” | Unspecified | HR | 32 dyads, 1 session each: initial interviews of psychoanalytic treatment with cardiophobic patients | n/a | Graphical comparison of physiological activity in time | Sections of concordant and discordant patterns of HR reactions were reported as related to the content of the conversations. |
Robinson et al., 1982 | “Matching of phasic responding” “Phasic measure of affect” “Physiological response correlation” | Empathy | ST, SC | 21 dyads, 2 sessions each: 30' psychological counseling (only the second session was analyzed) | Patients' perceived empathy: Barrett-Lennard Relationship Inventory's Empathic Understanding Subscale (EUS; Barrett-Lennard, 1986) | Correlations (ST); manual peak matching (SC) | The number of patients' SC peaks matched within 7 seconds with a counselors' peak showed strong correlation with perceived empathy. |
Marci and Riess, 2005 | “Physiologic concordance” | Empathy | SC | 1 dyad, 1 session: individual psychotherapy | n/a | Unspecified time series analysis | A high degree of SC concordance between patient and therapist was reported |
Marci and Orr, 2006 | “Psychophysiologic concordance” | Empathy | SC | 20 dyads, 1 session each: brief semi-structured interview with the same clinician. Half of the interviews were conducted in an emotionally neutral way, while the other half with emotional distance | Interviewer gaze direction; patients' perceived empathy: EUS | Moving window correlations (ratio of positive/negative ones) | SC concordance and perceived empathy were significantly lower in the “emotional distance” dyads. |
Marci et al., 2007 | “Physiologic concordance” | Empathy | SC | 20 dyads, 1 session each: already established psychodynamic psychotherapy | Patients' perceived empathy: EUS; Social-Emotional Ratings: BICS | Moving window correlations (ratio of positive/negative ones) | SC concordance correlated with perceived empathy; during moments of high vs. low SC concordance, there were significantly more positive social- emotional interactions for both patients and therapists. |
Stratford et al., 2009, 2012* | “Neurophysiological correlates of therapeutic alliance” “Physiological concordance” “Skin conductance resonance” “Therapeutic index” | Alliance | EEG, SC | 30 dyads, 6 sessions each: relational client-centered psychotherapy | n/a | Moving window correlations (ratio of positive/negative ones) | Trends of distinct brain areas' activity were observed during high SC concordance, and were observed to vary across sessions. |
Kleinbub et al., 2012a,b; Messina et al., 2013* | “Physiological concordance” | Empathy | SC | 39 dyads, 1 session each. Each of 13 volunteers had a 20-min clinical interview with 3 different interviewers with different levels of training (psychotherapists, psychologists, no training) | Patients' perceived empathy (EUS); Observer rated empathy: Empathic Understanding in Interpersonal Processes Scale (EUIP; Carkhuff, 1969) | Moving window correlations (ratio of positive/negative ones); Lag analysis | SC concordance correlated with perceived empathy but not with observer-rated empathy. The three levels of training predicted higher concordance at different lags. |
Seikkula et al., 2015 | “Embodied Attunement” “ANS synchrony” | Embodiment, intersubjectivity | SC, HRV | 1 tetrad (1 couple and 2 therapists), 1 session: dialogical psychotherapy | n/a | Graphical comparison of physiological activity in time | The clinical micro-process corresponding to dyadic or triadic synchronization of SC and HRV were reported. |
Karvonen et al., 2016 | “Embodied synchrony” “EDA concordance” | Unspecified | SC | 10 tetrads (1 couple and 2 therapists), 1 session each: dialogical psychotherapy | Alliance: Session Rating Scale (SRS; Duncan et al., 2003) | Pairwise moving window correlations (ratio of positive/negative ones); Lag analysis | Higher than random SC synchrony was found in at least one dyad of each tetrad, mostly with a lag up to 1 s. On average therapist-therapist dyads had the most synchrony, while patient-patient ones the least. A correlation between SC synchrony and SRS was reported. |
Päivinen et al., 2016 | “Sympathetic synchrony” “Physiologic synchrony” | Unspecified | SC | 2 tetrads (1 couple and 2 therapists), 1 session each: dialogical psychotherapy | Blaming: qualitative text analysis | Graphical comparison of physiological activity in time | SC activation of each tetrad's participants during blaming episodes were qualitatively reported. In some occasion therapist showed opposite arousal in respect to patients. |
Orsucci et al., 2016 | “Synchronization” | Dynamic complex system | SC | 1 dyad, 1 session: short term cognitive-based psychotherapy | Linguistic prosody | Principal Component Analysis; Markov Transition Matrix; Cross-Recurrence Quantification Analysis | Cluster analysis of SC and prosodic synchrony reveals stable states that may match specific clinical processes. Further nonlinear properties of the session data are reported. |
Kykyri et al., 2017 | “Embodied attunement” | Embodiment | SC | 1 tetrad (1 couple and 2 therapists), 1 session: dialogical psychotherapy | Linguistic prosody | Correlations | Various patterns of SC synchrony were qualitatively reported. |
Palmieri et al., in press | “Physiological synchronization” | Attachment; Dyad system model | SC | 18 dyads, 1 session each: 20′ clinical interviews. Half of the interviewers received a secure attachment priming | Attachment priming (Mikulincer et al., 2001) | Moving window correlations (ratio of positive/negative ones); Lag analysis | The priming procedure increased SC synchrony at negative lags (i.e., therapist leading) but not overall. |
For each study, only the details, methods, and results directly assessing IP were included in this table, not the full design. SC, skin conductance; ST, skin temperature; HR, heart rate; HRV, heart rate variability; EEG, electroencephalography.
Articles sharing both the same dataset and similar design were collapsed in a single row.