Crits-Christoph P, Connolly M B, Shaffer C
University of Pennsylvania, USA.
J Clin Psychol. 1999 Oct;55(10):1227-42. doi: 10.1002/(SICI)1097-4679(199910)55:10<1227::AID-JCLP5>3.0.CO;2-S.
We present an analysis of the reliability and base rates of the interpersonal contents of narratives told by patients in psychotherapy. Trained judges rated two samples, including 60 opiate-dependent patients in cognitive or psychodynamic therapy and 72 depressed patients in cognitive or interpersonal therapy. Using a comprehensive system based upon a circumplex model and involving 104 separate categories, we found that most categories of interpersonal behavior could be rated reliably. Potential problem categories were identified and strategies for increasing reliability are discussed. In particular, categories related to the concept of the introject (what the self does to the self) had low reliability. An analysis of the base rates of interpersonal themes revealed that issues related to autonomy/ assertion were most prevalent, although some differences between the two samples were evident. The implications of the results for research on narratives and models of psychotherapy are discussed.
我们对心理治疗中患者讲述的叙事的人际内容的可靠性和基础比率进行了分析。经过培训的评判员对两个样本进行了评分，其中包括60名接受认知或心理动力疗法的阿片类药物依赖患者以及72名接受认知或人际疗法的抑郁症患者。我们使用基于环形模型且包含104个独立类别的综合系统，发现大多数人际行为类别都能得到可靠评分。确定了潜在的问题类别并讨论了提高可靠性的策略。特别是，与内摄概念（自我对自我所做的事情）相关的类别可靠性较低。对人际主题基础比率的分析表明，与自主/主张相关的问题最为普遍，尽管两个样本之间存在一些明显差异。讨论了研究结果对叙事研究和心理治疗模型的意义。
