Priebe S, McCabe R
Unit for Social and Community Psychiatry, Academic Unit, Newham Centre for Mental Health, London, UK.
Acta Psychiatr Scand Suppl. 2006(429):69-72. doi: 10.1111/j.1600-0447.2005.00721.x.
To discuss the current climate of research on the therapeutic relationship (TR) in mainstream psychiatric settings.
Consideration of theoretical frameworks, quantitative and qualitative research methods, along with potentials for interventions.
Most of the concepts and methods used to investigate the TR in conventional psychiatric settings have been imported from psychotherapy and, despite significant differences between the two, there is little specific research. A distinction is suggested between therapeutic relationships and patient-clinician interactions. Relationships predict outcome and may be assessed with operationalized methods. Specific communicative skills may be helpful in the treatment of particular illnesses. The feasibility and effectiveness of potential interventions in the TR have rarely been studied.
Specific conceptual and methodological work is required to develop a better understanding of TRs in psychiatric settings. Further research should include intervention studies and might support a stronger emphasis on TRs in training and supervision.
探讨主流精神科环境中治疗关系（TR）的当前研究状况。
对理论框架、定量和定性研究方法以及干预潜力进行考量。
用于研究传统精神科环境中TR的大多数概念和方法均从心理治疗引入，尽管两者存在显著差异，但针对性研究较少。建议区分治疗关系和医患互动。关系可预测结果，且可用可操作的方法进行评估。特定的沟通技巧可能有助于治疗特定疾病。TR中潜在干预措施的可行性和有效性鲜有研究。
需要开展特定的概念和方法学研究，以更好地理解精神科环境中的TR。进一步的研究应包括干预研究，并可能支持在培训和督导中更加强调TR。
