背景问题:利用治疗师的会话评估来优化技术调整并提高客户的结果
Mira An1, Sangida Akter1, Dennis M Kivlighan1
1Department of Counseling, Higher Education, and Special Education, University of Maryland, College Park.
Psychotherapy (Chicago, Ill.)
|May 12, 2025
概括
治疗师的技术灵活性,或会议对会议的技术调整,根据之前的会议质量不同地影响客户的结果. 低质量会议后的适度调整使结果恶化,而高质量会议后的更多调整改善了结果.
科学领域:
- 心理治疗的研究研究.
- 临床心理学 临床心理学
- 治疗结果研究研究治疗结果研究.
背景情况:
- 心理治疗中的技术灵活性包括治疗师在会议之间调整他们的技术.
- 了解这些调整如何根据环境影响客户的结果对于有效治疗至关重要.
研究的目的:
- 调查心理动态心理治疗中治疗师技术灵活性对客户结果的上下文影响.
- 检查会话对会话技术的调整如何影响客户端的功能相对于前一个会话的感知质量.
主要方法:
- 利用了3,970次会议的数据,其中包括17名治疗师和132名大学诊所环境中的客户.
- 使用欧几里德距离得分来测量会议对会议的技术调整,用于探索,洞察和行动技能.
- 采用动态结构方程建模来分析技术调整,会话质量和客户端功能之间的时间关系.
主要成果:
- 当治疗师评价以前的疗程质量低时,中度的技术调整与没有或显著的调整相比,与较差的客户功能有关.
- 相反,当之前的会话被评为高质量时,更大的技术调整与随后一周的客户功能改善有关.
结论:
- 治疗师技术灵活性的影响取决于治疗师对前一次会议质量的评估.
- 根据会话质量来定制技术调整的程度,可以优化心理治疗的结果.
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