School of Psychology, Flinders University, Adelaide, South Australia, Australia.
Br J Clin Psychol. 2011 Mar;50(1):67-83. doi: 10.1348/014466510X494097.
This research examined the influence of peripheral message cues on clinicians' judgment about the psychological status of clients. The elaboration likelihood model (ELM) of social persuasion suggests that peripheral message cues are likely to exert a greater influence on clinicians' judgments when a client's presentation meets some, but not all, diagnostic criteria for a disorder (i.e., when the presentation is ambiguous). Within this theoretical framework, we examined the effects of a peripheral message cue (level of irrelevant detail in the client's presentation) and presentation ambiguity on clinicians' judgments of need for treatment, illness severity, and distress. Consistent with predictions based on the ELM, for both obsessive-compulsive disorder and post-traumatic stress disorder presentations, high levels of irrelevant detail exerted a greater influence on clinicians' judgments of clients' need for treatment when presentation ambiguity was high than when it was low.
本研究考察了外周信息线索对临床医生判断患者心理状态的影响。社会说服的精细可能性模型(ELM)表明,当患者的表现符合某些但不是全部障碍诊断标准时(即表现模糊时),外周信息线索更有可能对临床医生的判断产生更大的影响。在这一理论框架内,我们考察了外周信息线索(患者表现中的无关细节水平)和表现模糊性对临床医生对治疗需求、疾病严重程度和痛苦程度的判断的影响。与基于 ELM 的预测一致,对于强迫症和创伤后应激障碍的表现,当表现模糊度高时,高水平的无关细节对临床医生判断患者治疗需求的影响大于表现模糊度低时的影响。