Department of Psychoanalysis and Psychotherapy, Medical University Vienna, Vienna, Austria.
Psychother Res. 2010 May;20(3):295-308. doi: 10.1080/10503300903436710.
The aim of this study was to identify personality factors predicting psychotherapy utilization on the basis of personality pathology, affect regulation and interpersonal functioning. The authors assessed affectivity (using the Affect Experience and Affect Regulation Q-Sort), interpersonal context (using the Quality of Object Relations Scale), and character pathology (using the Shedler-Westen Assessment Procedure-200). Combination of instruments showed one stable factor predictive for nonengagement in psychotherapy, revealing an externalizing personality dimension, dominated by externalizing defenses, acting out, deficient superego functions, and impairment in reflective functioning and in relating to others. Stability of the predictive power of this personality factor for therapy engagement could be shown, and replication in two other samples confirmed the findings. The results highlight the importance of measuring affect-regulatory mechanisms, and clinical implications for intervention techniques are discussed.
本研究旨在基于人格病理学、情绪调节和人际功能，确定预测心理治疗利用的人格因素。作者评估了情感（使用情感体验和情感调节 Q 分类法）、人际环境（使用客体关系质量量表）和人格病理学（使用谢德勒-韦斯顿评估程序-200）。这些工具的组合显示了一个稳定的因素，可预测不参与心理治疗，揭示了一种外化的人格维度，以外化防御、行为不当、超我功能缺陷以及在反思功能和与他人的关系方面受损为特征。这种人格因素对治疗参与的预测能力的稳定性可以得到证明，在另外两个样本中的复制也证实了这些发现。研究结果强调了测量情绪调节机制的重要性，并讨论了干预技术的临床意义。
