Diamond G S, Liddle H A
University of Pennsylvania School of Medicine, USA.
Fam Process. 1999 Spring;38(1):5-26. doi: 10.1111/j.1545-5300.1999.00005.x.
This treatment development, process research study focuses on resolving in-session, parent-adolescent conflicts characterized by negative exchanges, emotional disengagement, and poor problem solving. These processes have been empirically linked to poor developmental outcomes, and clinically linked to poor therapeutic progress. Specifically, we examined how a shift of therapeutic focus from behavior management to interpersonal relationship failures could resolve this impasse and resuscitate therapeutic momentum. A task analysis approach was used to verify the presence of the impasse, to illuminate its core features, and to define the therapist and client behaviors associated with resolving it. In Part 1 of this two-part series, we presented the final performance map that represented that family's cognitive, emotional and behavioral interactions necessary to resolve the impasse. This article, Part II, focuses on the theoretical foundation of the intervention strategies, the phenomenology of the impasse, and the therapist's skills needed to facilitate it.
这项治疗开发过程研究聚焦于解决治疗过程中以消极交流、情感疏离和问题解决能力差为特征的亲子冲突。这些过程在实证研究中与不良发展结果相关联，在临床研究中与治疗进展不佳相关联。具体而言，我们研究了治疗重点从行为管理转向人际关系失败如何能够打破这一僵局并恢复治疗动力。采用任务分析方法来验证僵局的存在，阐明其核心特征，并定义与解决僵局相关的治疗师和来访者行为。在这个两部分系列的第1部分中，我们展示了最终的表现图，该图呈现了家庭解决僵局所需的认知、情感和行为互动。本文作为第2部分，重点关注干预策略的理论基础、僵局的现象学以及促进解决僵局所需的治疗师技能。
