The therapist version of the referential activity post session scale (T-RAPS): a preliminary validity analysis

The referential cycle described by Wilma Bucci predicts that during the session – and more generally during the therapeutic path – three phases alternate: a) arousal of the emotion schemas within the patient-therapist relationship, b) symbolization by the patient trying to translate into words his/her experiences with the therapist collaboration, and c) reorganization/reflection in which patient and therapist try to recognize and understand the emotional significance of patient’s experiences. So far, to monitor the development of these three phases during the sessions therapists and researchers could use their own clinical sensitivity or the referential activity computerized measures, which however need the session verbatim transcription. In order to develop a parallel and less time-consuming method we built up a self-report questionnaire that measures the main dimensions of the referential activity and cycle. For three months seven therapists have completed it online to evaluate 255 sessions, right at their conclusion. The factorial analysis revealed a factorial structure consistent with the measured constructs and a high internal consistency of the subscales. The utility of the scale will be highlighted both for therapists and researchers: the T-RAPS is a useful monitoring and supervision tool applicable by therapists of any orientation and can be correlated with the other main clinical constructs as well as with the referential activity computerized measures. Furthermore, the previewed construction of the patient version of the scale will allow for a more complete and multifaceted overview of the referential cycle.