治疗师的特征性和状态性专业自我怀疑对破裂解决方案的影响
L Igra1, C F Jacobsen1, S Lunn1
1Department of Psychology, University of Copenhagen, Copenhagen, Denmark.
概括
治疗师专业的自我怀疑 (PSD) 影响联盟破裂的解决方案. 适度的特征类PSD是最佳的,而状态类PSD是最佳的.
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
- 咨询心理学 心理咨询心理学
背景情况:
- 治疗联盟断裂很常见,可能会阻碍治疗的进展.
- 了解治疗师影响破裂解决的因素对于有效的治疗至关重要.
研究的目的:
- 调查治疗师的专业自我怀疑 (PSD) 和治疗联盟破裂的解决方案之间的联系.
- 检查不同类型的PSD (特征类和状态类) 和治疗师对不足的感觉如何影响破裂分辨率.
主要方法:
- 分析了来自535名客户和53名初级保健治疗师的4986次治疗.
- 多层次建模以评估破裂发生和PSD层次在联盟变化中的相互作用.
- 调查治疗师作为主持人的不足感.
主要成果:
- 在破裂发生和特征类PSD之间发现了显著的相互作用; 非常高和非常低的水平都与破裂后较低的客户联盟评级有关.
- 在破裂期间增加类似状态的PSD改善了客户联盟评级,当治疗师报告较低的不足感时.
- 治疗师的不足感调节了类似国家PSD对联盟变化的影响.
结论:
- 适度水平的特征类专业自我怀疑似乎是治疗联盟破裂解决方案的最佳选择.
- 类似国家的专业自我怀疑对联盟修复的影响取决于治疗师的充足感.
- 这些发现完善了我们对治疗师特征影响心理治疗中断裂管理的理解.
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