评估UE-ATR检查清单:在不成功的治疗结果中细致的归因
Sanne T L Houben1, Anna C P Backus1, Suzanne Hermans1
1Department of Clinical Psychological Science, Maastricht University, Maastricht, the Netherlands.
Clinical psychology & psychotherapy
|May 28, 2025
概括
不良事件-不良治疗反应 (UE-ATR) 检查清单并没有显著改善临床医生如何归因治疗困难. 虽然被认为是有用的,但检查清单需要进一步培训,以促进对治疗挑战的更平衡的看法.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 心理治疗研究 心理治疗研究
背景情况:
- 心理治疗中的不良事件可能会阻碍治疗的进展.
- 临床医生在归因治疗停滞时经常过度强调患者因素.
- 不良事件 - 治疗不良反应 (UE-ATR) 检查清单旨在促进均衡的归因,但其有效性尚未被证明.
研究的目的:
- 确定UE-ATR检查清单是否有助于临床医生更细致地归因治疗困难.
- 评估使用UE-ATR检查清单是否会导致治疗停滞的单一原因较少.
主要方法:
- 这是一项随机对照试验,涉及104名临床医生和心理学学生.
- 参与者回顾了一个病例图片,描绘了治疗不良事件和停滞的情况.
- 一组使用了UE-ATR检查清单,而对照组没有;使用Herfindahl-Hirschman指数 (HHI) 来衡量归因.
主要成果:
- 在UE-ATR检查清单组和对照组之间,在归因平衡 (HHI分数) 中没有发现显著差异.
- 大多数参与者发现检查清单在临床上有用,尽管归因模式没有显著变化.
- 感知到的临床效用并没有转化为对不良事件原因的更平衡的观点.
结论:
- 虽然UE-ATR检查清单对临床反思有潜在的用处,但它本身并不能导致更平衡地归因治疗困难.
- 除了检查清单之外,可能需要进行额外的培训,以提高其在促进细微的临床推理方面的有效性.
- 未来的研究应该探索方法,以优化这些工具对临床判断和归因偏见的影响.
相关概念视频
Elements Crucial for Effective Psychotherapy
117
Research has highlighted several critical factors that influence the effectiveness of psychotherapy, such as the therapeutic alliance, the therapist, and the client.
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
117
Fundamental Attribution Error
13.3K
According to some social psychologists, people tend to overemphasize internal factors as explanations—or attributions—for the behavior of other people. They tend to assume that the behavior of another person is a trait of that person, and to underestimate the power of the situation on the behavior of others. They tend to fail to recognize when the behavior of another is due to situational variables, and thus to the person’s state. This erroneous assumption is...
13.3K
Theory of Attribution II: Kelley's Covariation Theory
7
Attribution theory plays a crucial role in social psychology, helping to explain how individuals interpret the causes of behavior. One prominent model within this field is Harold Kelley's covariation theory, which provides a systematic approach to determining whether internal traits or external circumstances drive a person's actions. The model posits that individuals rely on three key types of information—consensus, consistency, and distinctiveness—to make these judgments.Consensus:...
7
Theory of Attribution I: Correspondent Inference Theory
3
Correspondent inference theory, proposed by Jones and Davis in 1965, seeks to explain how individuals infer stable personality traits from observed behaviors. It suggests that people attribute actions to underlying dispositions rather than external circumstances, particularly when the behavior appears intentional and socially significant.Voluntary Behavior and Dispositional AttributionAccording to this theory, individuals are more likely to attribute behavior to personal traits when it appears...
3
Self-Presentation: Self-Monitoring and Self-Handicapping
40.6K
People can go to great lengths to protect their self-image and present themselves in ways that they want others to see them. Sociologist Erving Goffman presented the idea that a person is like an actor on a stage. Calling his theory dramaturgy, Goffman believed that we use “impression management” to present ourselves to others as we hope to be perceived. Each situation is a new scene, and individuals perform different roles depending on who is present (Goffman, 1959). Think about...
40.6K
Self-Evaluation: Self-Enhancement and Self-Verification
5.4K
Social psychologists have documented that feeling good about ourselves and maintaining positive self-esteem is a powerful motivator of human behavior (Tavris & Aronson, 2008). In the United States, members of the predominant culture typically think very highly of themselves and view themselves as good people who are above average on many desirable traits (Ehrlinger, Gilovich, & Ross, 2005). Often, our behavior, attitudes, and beliefs are affected when we experience a threat to our...
5.4K


