Marci Carl D, Ham Jacob, Moran Erin, Orr Scott P
Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA.
J Nerv Ment Dis. 2007 Feb;195(2):103-11. doi: 10.1097/01.nmd.0000253731.71025.fc.
The present study was designed to investigate the relationship among physiologic concordance, patient-perceived therapist empathy, and social-emotional process during psychotherapy. Simultaneous measures of skin conductance (SC) were obtained from 20 unique and established patient-therapist dyads during a live therapy session followed by patient ratings of therapist empathy. Paired SC data of hypothetical dyads were used to test the reliability of the proposed measure of SC concordance. Observer microanalyses of social-emotional process were used to compare short segments of high versus low physiologic concordance. Results show a significant positive correlation (r=0.47, p=0.03) between SC concordance and patient ratings of perceived therapist empathy. Microanalyses suggest that during moments of high versus low SC concordance, there were significantly more positive social-emotional interactions for both patients and therapists (p=0.01). The results support a biological model of perceived patient empathy and patient-therapist social-emotional process during psychotherapy.
本研究旨在探讨心理治疗过程中生理协调性、患者感知到的治疗师同理心以及社会情感过程之间的关系。在一次现场治疗过程中，从20对独特且固定的患者-治疗师组合中同时获取皮肤电传导（SC）测量数据，随后让患者对治疗师的同理心进行评分。使用假设组合的配对SC数据来检验所提出的SC协调性测量方法的可靠性。通过对社会情感过程的观察者微观分析，比较高生理协调性与低生理协调性的短片段。结果显示，SC协调性与患者对感知到的治疗师同理心的评分之间存在显著正相关（r = 0.47，p = 0.03）。微观分析表明，在SC高协调性与低协调性的时刻，患者和治疗师的积极社会情感互动都显著更多（p = 0.01）。这些结果支持了心理治疗过程中患者感知到的同理心以及患者-治疗师社会情感过程的生物学模型。
