Hahlweg K, Hemmati-Weber M, Heusser A, Lober H, Winkler H, Müller U, Feinstein E, Dose M
Technische Universität Braunschweig, FRG.
Behav Modif. 1990 Oct;14(4):441-56. doi: 10.1177/01454455900144004.
Process research in behavioral family therapy (BFT) is a hitherto neglected area with the notable exception of the work of Alexander and Patterson with their colleagues. However, the development of instruments to assess therapist's behavior during the treatment session seems timely for the following reasons: (a) to investigate the relationship between therapist behavior and outcome, (b) to improve therapist training/supervision, (c) to establish treatment integrity in comparative outcome studies, and (d) to monitor treatment progress. For these purposes two sets of instruments were developed: (a) a category system to describe the content of a session, which is rated every 30 seconds and (b) several rating scales to evaluate therapist behavior, including relationship competency, ability to structure a session, didactic competence, ability to initiate behavioral probes, use of appropriate intervention strategies, use of reinforcement, and dealing with uncooperativeness. Scales are described, and data on their reliability and utility are presented.
行为家庭治疗（BFT）中的过程研究是一个迄今为止被忽视的领域，亚历山大和帕特森及其同事的工作是一个显著的例外。然而，出于以下原因，开发用于评估治疗师在治疗过程中行为的工具似乎是适时的：（a）调查治疗师行为与治疗结果之间的关系；（b）改进治疗师培训/督导；（c）在比较疗效研究中确立治疗的完整性；（d）监测治疗进展。为了这些目的，开发了两套工具：（a）一个用于描述一次治疗内容的类别系统，每30秒进行一次评分；（b）几个用于评估治疗师行为的评定量表，包括关系能力、组织一次治疗的能力、教学能力、发起行为探查的能力、使用适当干预策略的能力、使用强化手段的能力以及应对不合作行为的能力。文中描述了这些量表，并呈现了关于其信度和效用的数据。
