Roe David
Department of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Mount Carmel, Haifa, Israel.
J Am Acad Psychoanal Dyn Psychiatry. 2007 Fall;35(3):443-53. doi: 10.1521/jaap.2007.35.3.443.
The present study investigated retrospective client accounts of the timing of psychodynamically oriented private practice psychotherapy termination and its relation to the reasons for termination on the one hand, and to client feelings about termination and satisfaction from therapy on the other. Eighty-two persons who had been in private practice psychodynamically oriented psychotherapy were assessed using open-ended questions and rating scales. Forty percent of participants reported that therapy ended on time, 37% that it ended earlier than it should have, and 23% that it ended later than it should have. In general, clients who reported that termination was on time were more satisfied, terminated for less negative reasons, and had more positive feelings. Results suggest that clients find terminating psychotherapy at the right time important and yet difficult to achieve.
本研究调查了客户对心理动力学取向的私人执业心理治疗结束时间的回顾性描述,一方面探讨其与结束治疗的原因之间的关系,另一方面研究其与客户对治疗结束的感受以及治疗满意度之间的关系。通过开放式问题和评定量表对82名接受过心理动力学取向私人执业心理治疗的人进行了评估。40%的参与者表示治疗按时结束,37%的人表示治疗结束得比应有的时间早,23%的人表示治疗结束得比应有的时间晚。总体而言,报告治疗按时结束的客户满意度更高,结束治疗的负面原因更少,且有更积极的感受。结果表明,客户认为在合适的时间结束心理治疗很重要,但却难以做到。