Psychother Res. 2003 Jan 1;13(3):271-92. doi: 10.1093/ptr/kpg031.
The author addresses the use of transference interpretations in brief dynamic psychotherapy, length of treatment needed for limited characterological changes, and selection criteria for this treatment modality. Prior research has suggested that (a) frequent use of transference interpretations should be avoided in brief dynamic psychotherapy, (b) patients with personality disorders or a history of low-quality interpersonal relationships need more than 30-35 sessions to achieve stable dynamic changes, and (c) quality of interpersonal relationships is the best pretreatment predictor of long-term changes. This study examines specific effects of the moderate use of transference interpretations. Possible mediators of long-term effects (i.e., insight or identification with the therapist) are also tested. The author's experiences regarding the interface between research and clinical practice are discussed.
作者简要探讨了移情解释在短程动力心理治疗中的应用、实现有限的人格改变所需的治疗时长，以及这种治疗方式的选择标准。先前的研究表明：(a)短程动力心理治疗中应避免频繁使用移情解释；(b)人格障碍或人际关系质量差病史的患者需要 30-35 次以上的治疗才能实现稳定的动力变化；(c)人际关系质量是长期变化的最佳预处理预测指标。本研究检验了适度使用移情解释的具体效果。还测试了长期效果的可能中介因素（即洞察或认同治疗师）。作者还讨论了研究与临床实践之间的界面的相关经验。
