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[临床领域的不同适应症。心理治疗诊所中分别针对个体分析心理治疗和团体心理治疗适应症管理的实证研究]

[Differential indications in the clinical field. Empirical study of management of indications for analytic individual and group psychotherapy respectively in a psychotherayp clinic ].

作者信息

Ermann M, Ermann G

出版信息

Z Psychosom Med Psychoanal. 1976 Oct-Dec;22(4):342-55.

PMID:1014913
Abstract

This study aims at a systematic description of factors which influence the practice of differential indication between psycho-analytic individual and group-therapy in apsychotherapeutic clinic. The self-description of inclinic patients for who individual therapy was indicated, was compared to the self-description of those who were expected to join a therapeutic group. Two personality-tests (Giessentest "GT" and Freiburger Persönlichkeitsinventar "FPI") and a symptom-questionnaire (Beschwerdenliste"BSB") were applicated. If the self-description fo patients is an important factor influencing differential indication, then a difference should be found in comparison of the self-description of both samples. The result is , that important differences are not to be found, and that, moreover the little differences are variable by the time. In conclusion, patient-centered explorations give no sufficient explanation, why group therapy was indicated in some cases and individual therapy in others. Basing on these results, differential indication in clinical psychotherapy is defined as an interactional process which is influenced by specific cognitive factors of the therapist and his clinical socialisation on the background of variable institution-bound experience.

摘要

本研究旨在系统描述在一家心理治疗诊所中影响精神分析个体治疗与团体治疗差异适应症实践的因素。将适合个体治疗的门诊患者的自我描述与预期参加治疗团体的患者的自我描述进行比较。应用了两项人格测试(吉森测试“GT”和弗莱堡人格问卷“FPI”)以及一份症状问卷(症状清单“BSB”)。如果患者的自我描述是影响差异适应症的重要因素,那么在比较两个样本的自我描述时应该会发现差异。结果是,未发现重要差异,而且微小差异也随时间变化。总之,以患者为中心的探索不足以解释为什么在某些情况下采用团体治疗而在其他情况下采用个体治疗。基于这些结果,临床心理治疗中的差异适应症被定义为一个互动过程,它受到治疗师的特定认知因素及其在可变的机构相关经验背景下的临床社会化的影响。

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