在治疗过程中治疗干预的变化和患者对这种干预的反应:一个纵向案例研究
1Leibniz Institute for the German Language, Mannheim, Germany.
Communication & medicine
|April 7, 2025
概括
对话分析 (CA) 揭示了心理治疗对话中的微妙转变. 治疗师和患者都显示了相互作用模式的变化,表明在整个治疗过程中不断演变的动态.
科学领域:
- 心理学 心理学 心理学
- 语言学的语言学.
- 心理治疗研究 心理治疗研究
背景情况:
- 对话分析 (CA) 是研究治疗话语的一个有价值的方法.
- 之前的研究经常集中在一个参与者身上,限制了对互动变化的整体观点.
- 了解治疗师和患者沟通的纵向变化对于治疗疗效至关重要.
研究的目的:
- 通过检查治疗师和患者的互动来纵向分析心理治疗对话的变化.
- 在精神动态心理治疗过程中,确定治疗师干预和患者反应的具体变化.
- 展示对话分析在检测治疗对话中微妙但有意义的变化的有用性.
主要方法:
- 使用对话分析 (CA) 在整个门诊精神动力学心理治疗的视频录制中用德语.
- 进行了纵向分析,同时关注治疗师的干预和患者的反应.
- 在治疗过程中检查了词汇选择,反应类型和合作水平的变化.
主要成果:
- 在治疗师和患者中都观察到改变的证据.
- 治疗师表现出词汇选择的变化,这表明他们依赖于先前的干预措施,并假定患者的知识.
- 患者在治疗早期从主要分散的反应转移到较少的分散反应,表明部分合作.
结论:
- 对话分析可以有效地识别心理治疗相互作用的纵向变化.
- 无论是治疗师还是患者行为的微妙修改都是可以检测到的,并且表明治疗进展.
- 这项研究强调了分析心理治疗研究中的二极交互变化的重要性.
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