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治疗协作与正式反馈:运用维果茨基和巴赫金的观点来阐明家庭治疗单元中的实践

Therapeutic collaboration and formalized feedback: using perspectives from Vygotsky and Bakhtin to shed light on practices in a family therapy unit.

作者信息

Sundet Rolf

机构信息

Buskerud Hospital and University College of Buskerud, Norway.

出版信息

Clin Child Psychol Psychiatry. 2010 Jan;15(1):81-95. doi: 10.1177/1359104509341449. Epub 2009 Nov 13.

DOI:10.1177/1359104509341449
PMID:19914938
Abstract

Patient-focused research points to the necessity of continuously monitoring process and outcome in psychotherapy to supply service users and their therapists with feedback as a way of avoiding no change and detrimental development. At the Department of Child and Adolescent Mental Health, therapists implement monitoring in an intensive family therapy unit inspired by postmodern and language-oriented forms of family therapy using the Session Rating Scale and the Outcome Rating Scale. Research generated descriptions of users' experiences of these scales as conversational tools are reflected upon using concepts from the work of Vygotsky and Bakhtin. Mediation, dialogicality, voice, the zone of proximal development and the metaphor of scaffolding are offered as conceptualizations that expand the inspirational sources of the unit by creating and enhancing further possibilities for collaboration between families and their therapists.

摘要

以患者为中心的研究表明,有必要持续监测心理治疗的过程和结果,以便为服务使用者及其治疗师提供反馈,从而避免没有进展和有害发展的情况。在儿童和青少年心理健康部,治疗师在一个受后现代和语言导向型家庭治疗形式启发的强化家庭治疗单元中进行监测,使用会话评定量表和结果评定量表。利用维果茨基和巴赫金作品中的概念,对将这些量表描述为对话工具的用户体验研究进行了反思。中介、对话性、声音、最近发展区和支架隐喻被作为概念化内容提出,这些概念化内容通过创造和增强家庭与其治疗师之间进一步合作的可能性,扩展了该单元的灵感来源。

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Clin Child Psychol Psychiatry. 2010 Jan;15(1):81-95. doi: 10.1177/1359104509341449. Epub 2009 Nov 13.
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