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[精神动力心理治疗中的特定反移情体验及人际问题描述]

[Specific countertransference experience and interpersonal problem description in psychodynamic psychotherapy].

作者信息

Hartkamp N, Schmitz N, Schulze-Edinghausen A, Ott J, Tress W

机构信息

Klinische Einrichtungen und Klinik für Psychosomatische Medizin und Psychotherapie, Heinrich-Heine-Universität Düsseldorf, Postfach 12 05 10, 40605 Düsseldorf.

出版信息

Nervenarzt. 2002 Mar;73(3):272-7. doi: 10.1007/s001150101155.

Abstract

In psychodynamic psychotherapy, countertransference and its professional use is seen as an important means to identify central difficulties of patients. The present study examines the correspondence of countertransference and interpersonal difficulties in 30 therapist-patient couples in day hospital psychodynamic psychotherapy. Interpersonal problems were recorded using the inventory of interpersonal problems (IIP) and countertransference was measured using the impact message inventory (IMI). Correspondence was measured as the correlation of IIP data from the patients and IMI data from the therapists. Data were collected at the start of therapy, after 4 weeks of treatment, and at the end of treatment. Over the course of the therapy, an increase in the correspondence of interpersonal problems as reported by patients and countertransference could be observed, starting with r = 0.22 at the beginning of therapy and continuing through r = 0.47 after 4 weeks to r = 0.58 at the end of therapy. The mean correlation was slightly above that of a control group of 20 nonclinical couples associated for at least 6 months.

摘要

在精神动力心理治疗中,反移情及其专业运用被视为识别患者核心困难的重要手段。本研究考察了日间医院精神动力心理治疗中30对治疗师 - 患者对偶关系中反移情与人际困难之间的对应关系。人际问题通过人际问题清单(IIP)记录,反移情则使用影响信息量表(IMI)进行测量。对应关系通过患者的IIP数据与治疗师的IMI数据之间的相关性来衡量。数据在治疗开始时、治疗4周后以及治疗结束时收集。在治疗过程中,可以观察到患者报告的人际问题与反移情之间的对应关系有所增加,治疗开始时相关系数r = 0.22,4周后升至r = 0.47,治疗结束时达到r = 0.58。平均相关性略高于由20对至少交往6个月的非临床对偶关系组成的对照组。

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