Manchester University, Manchester, UK.
J Psychiatr Ment Health Nurs. 2009 Nov;16(9):848-56. doi: 10.1111/j.1365-2850.2009.01484.x.
This paper reports on a case study for a person with a diagnosis of schizophrenia using cognitive behavioural therapy. A range of scales was used to detect treatment effect and outcome. No significant clinical changes were detected using the scales, which are routinely used with such interventions. Subjective data were also collected in the form of a narrative, with the recipient of therapy identifying outcomes, which are not reflected within the rating scale data. Implications for practice include valuing the subjective experience reported by service users. The paper concludes that rating scale data and subjective accounts should be seen on an equal footing when evaluating specific therapeutic interventions.
本论文报告了一项针对精神分裂症患者的认知行为疗法的案例研究。使用了一系列量表来检测治疗效果和结果。然而，这些在这类干预中常用的量表并没有检测到显著的临床变化。主观数据也以叙述的形式收集，治疗的接受者确定了结果，这些结果在量表数据中没有反映出来。对实践的启示包括重视服务使用者报告的主观体验。本文得出结论，在评估特定治疗干预时，应平等看待量表数据和主观描述。
