Riedel W P
Psychosomatischen Fachklinik Alpenblick, Isngy-Neutrauchburg.
Z Psychosom Med Psychoanal. 1991;37(1):14-30.
In a study conducted by the Clinic for Psychosomatic Medicine in Isny-Neutrauchburg, two samples (N = 760 and 109) were used to examine the question of the extent to which the patient characteristics of locus of control, degree of impairment, age, sex, and educational level can affect the results of therapy. The data reveal a remarkably clear relationship between educational level, locus of control, and therapy motivation on the one hand, and the symptoms gradient on the other. Patients with a low level of education are seen by therapists (highly significant) as having little motivation to engage in therapy. At the time of both measurements (at the end of treatment/after 5 years) they show a significantly smaller reduction of symptoms. At the same time, this group of patients exhibits a higher degree of externality in the perception of the locus of control. The conclusion is reached that a stronger sense of being controlled from the outside among patients with a low level of education leads to discrepancies in the therapeutic relationship as far as goals are concerned and that this affects therapy negatively.
在伊斯尼-诺伊特劳赫堡的心身医学诊所进行的一项研究中，使用了两个样本（N = 760和109）来研究控制点、损伤程度、年龄、性别和教育水平等患者特征在多大程度上会影响治疗结果。数据显示，一方面教育水平、控制点和治疗动机之间，另一方面与症状梯度之间存在非常明显的关系。治疗师（具有高度显著性）认为教育水平低的患者参与治疗的动机很小。在两次测量时（治疗结束时/5年后），他们的症状减轻程度明显较小。同时，这组患者在控制点认知方面表现出更高程度的外部性。得出的结论是，教育水平低的患者中较强的外部控制感会导致治疗关系在目标方面出现差异，进而对治疗产生负面影响。
