治疗师的口头技巧与患者评估的治疗联盟,洞察力和解决问题的联系
Antje Gumz1, Anne Daubmann2, Rainer Erices3
1Department of Psychosomatics and Psychotherapy, Psychologische Hochschule Berlin, Berlin, Germany.
概括
使用支持技术的治疗师在人格障碍患者中增强了治疗联盟. 解释技巧 解释技巧
科学领域:
- 心理治疗研究 心理治疗研究
- 临床心理学 临床心理学
- 心理动力学疗法是一种心理动力学疗法.
背景情况:
- 了解治疗技术和共同因素之间的关系对于优化心理治疗结果至关重要.
- 以前的研究表明,特定治疗师的行为和患者报告的经历之间存在潜在的联系.
研究的目的:
- 检查共同因素 (治疗联盟,洞察力,解决问题) 和心理动态治疗中治疗师的口头技巧之间的关联.
- 测试关于支持技术和联盟的假设,以及解释技术和洞察力,包括症状严重程度的缓解作用.
主要方法:
- 分析了来自15名患有人格障碍的女性患者的60次治疗.
- 用了心理动力干预列表来评估观察者的口头技巧和会议问卷来评估患者的共同因素.
- 采用多层模型来分析数据.
主要成果:
- 在支持性技术和更高的治疗结盟之间发现了显著的积极关联 (b=.28,p=.042).
- 解释技术与洞察力之间的假设关联,以及症状严重程度的缓解效应,没有得到证实.
- 探索性分析表明,问题解决技术与各种口头干预之间的联系.
结论:
- 治疗师的支持技术似乎对患有人格障碍的患者的治疗联盟产生了积极的影响.
- 解释技术的影响可能会受到患者特定因素的影响.
- 有证据表明,各种治疗师口头技巧与心理治疗中的共同因素之间存在差异性和特定的关系.
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