对服务用户关于治疗师实践的负面经验报告的定性研究
Amanda C M Li1, Winnie W S Mak1, Harold Chui2
1Department of Psychology, Chinese University of Hong Kong.
Journal of counseling psychology
|April 10, 2025
概括
负面的治疗经验很常见,但研究不足. 这项研究确定了治疗师技术和关系技能差,有害做法和用户反应的关键主题,突出了需要更好的临床意识和预防的需要.
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
- 质量健康研究 质量健康研究
背景情况:
- 负面的治疗经验很普遍,但在现有文献中尚未得到充分研究.
- 了解服务用户对负面治疗经验的看法对于预防伤害至关重要,特别是在亚洲人等代表性不足的人群中.
- 现有的研究不足以解决治疗师在识别和管理消极客户体验方面的无效性.
研究的目的:
- 从香港服务用户的主观观点来识别和分析与治疗师的负面经验的主题.
- 探索这些负面经历的影响以及为什么不向治疗师透露这些经历的原因.
主要方法:
- 使用反射的主题分析进行定性研究.
- 对20名曾在香港接受过心理治疗的参与者进行了个别半结构面试.
- 采访的重点是关于负面经历的细节,它们的影响以及不披露的原因.
主要成果:
- 四个主要主题出现了: (1) 治疗师的技术技能缺陷 (例如,缺乏反应能力,被动性), (2) 关系技能缺陷 (例如,缺乏同情心,真实性), (3) 伤害/有害的做法 (例如,判断,再创伤),和 (4) 用户对负面经验的反应.
- 这项研究揭示了负面经历的重大影响和不披露的常见原因.
- 参与者叙述提供了对负面治疗遭遇的主观性质的深入洞察.
结论:
- 这项研究为了解服务用户在心理治疗中的负面经历提供了有价值的框架.
- 临床医生应该准备好积极解决潜在的负面经历,以减轻伤害.
- 进一步的研究可以建立在这些发现的基础上,以改善治疗实践和客户安全.
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