建立一个系统和可靠分析精神动态过程笔记的方法
Timothy Rice1, Yonis Hassan1, Arthi Vickneswaramoorthy1
1Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Psychodynamic psychiatry
|September 10, 2024
概括
这项研究为职业生涯早期的临床医生开发了一种可靠的方法,以确定心理动态治疗过程中的支持性与表达性干预措施. 结果表明这种编码是可行的,尽管建议改进规模.
科学领域:
- 心理学 心理学 心理学
- 心理治疗研究 心理治疗研究
背景情况:
- 精神动力学过程笔记为治疗提供了独特的见解,包括治疗师的干预.
- 识别治疗师使用支持性与表达性干预的方法对于理解治疗动态至关重要.
研究的目的:
- 开发和评估一种可靠的方法,以系统地识别心理动态过程中的支持性和表达性干预.
- 评估一个新开发的过程笔记评级级别的可靠性和内部一致性.
主要方法:
- 三名职业生涯早期的临床医生接受了培训,使用定制的过程笔记干预评级尺度.
- 进行了定量统计分析,包括评价者之间的可靠性 (弗莱斯的卡帕,ICC) 和内部一致性 (克朗巴赫的阿尔法,麦当劳的欧米茄).
主要成果:
- 评价者之间的可靠性显示了统计学上显著但低的一致性 (弗莱斯卡帕 = 0.24,ICC = 0.264).
- 内部的一致性是可疑的 (克朗巴赫的α=0.67,麦当劳的omega=0.53).
结论:
- 早期职业生涯的临床医生可以在精神动态过程笔记中可靠地编码支持性和表达性干预.
- 未来的研究应该旨在提高尺度的可靠性和内部一致性,并探索与其他治疗元素和结果的相关性.
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