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. 2017 Nov 24;8:2053. doi: 10.3389/fpsyg.2017.02053

Table 1.

Review results sorted by year of publication.

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.