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[住院心理动力团体治疗后的依恋特征与心理治疗结果]

[Attachment characteristics and psychotherapy outcome following inpatient psychodynamic group treatment].

作者信息

Sachse Juliane, Strauss Bernhard

机构信息

Institut für Medizinische Psychologie, Klinikum der Friedrich-Schiller-Universität Jena.

出版信息

Psychother Psychosom Med Psychol. 2002 Mar-Apr;52(3-4):134-40. doi: 10.1055/s-2002-24959.

Abstract

Within a reanalysis of the "Kiel Group Psychotherapy Study", the videorecorded intake interviews of 34 patients were analyzed using the adult attachment prototype rating. Three subgroups, differentiated according to their attachment patterns (avoidant, ambivalent, mixed insecure) differed marginally with respect to their treatment success, with ambivalent patients showing the most positive outcome (escpecially with regard to symptom- and self-system-related outcome criteria). In addition, there were indications for a differential assessment of group related therapeutic factors by the subgroups. Patients with an avoidant attachment pattern evaluated group-related factors such as cohesion and altruism as least helpful. The study is discussed in relation to existing findings on the significance of attachment related variables for the indication and prognosis of psychotherapy.

摘要

在对“基尔团体心理治疗研究”的重新分析中,使用成人依恋原型评定法对34名患者的摄入访谈视频记录进行了分析。根据依恋模式(回避型、矛盾型、混合不安全型)区分的三个亚组在治疗效果方面略有差异,矛盾型患者显示出最积极的结果(特别是在症状和自我系统相关的结果标准方面)。此外,有迹象表明各亚组对团体相关治疗因素的评估存在差异。具有回避型依恋模式的患者认为凝聚力和利他主义等团体相关因素最没有帮助。该研究结合现有关于依恋相关变量对心理治疗的适应症和预后意义的研究结果进行了讨论。

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