杯子半满半空:以解决方案为中心的客户描述与以问题为中心的客户描述在治疗师的情绪和治疗希望方面进行主题内比较
Nicole Geschwind1, Barnaby D Dunn2
1Clinical Psychological Science, Maastricht University, Maastricht, The Netherlands.
Behavioural and cognitive psychotherapy
|June 26, 2023
概括
解决方案为中心的摄入评估增强了治疗师的乐观和对客户治疗成功的积极期望. 相反,以问题为中心的描述导致了更多的负面情绪和较低的治疗期望.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 治疗联盟 治疗联盟
背景情况:
- 治疗中的摄入评估可以以问题为重点或以解决方案为重点.
- 治疗师对客户的最初印象对治疗关系有很大影响.
- 客户信息的框架影响治疗师的感知和期望.
研究的目的:
- 调查以解决方案为重点而不是以问题为重点的病例描述对治疗师情绪的影响.
- 根据病例描述框架,比较治疗师对成功客户治疗的初始期望.
- 了解初始客户信息如何影响治疗师的影响和前景.
主要方法:
- 与实习治疗师一起,采用了主体内实验设计.
- 参与者 (在两个样本中N=62) 阅读了以解决方案为重点和以问题为重点的客户 vignettes.
- 治疗师在每张图片后对他们的影响和治疗期望进行了评分.
主要成果:
- 解决方案专注的小贴士显著增加了积极的影响和成功治疗的预期.
- 专注于问题的视频与更高的负面影响有关.
- 较大的效应大小 (科恩d=0.631.22) 表明条件之间存在很大的差异.
结论:
- 在客户的优势和解决方案上对摄入评估的框架增强了治疗师的积极性和希望.
- 解决方案专注的方法可能会促进更好的治疗联盟,并可能改善客户的结果.
- 未来的研究应该探索初始框架和长期临床结果之间的联系.
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