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精神动力心理治疗中患者和治疗师过程评定的相应不稳定性。

Corresponding instability of patient and therapist process ratings in psychodynamic psychotherapies.

机构信息

Klinik und Poliklinik für Psychotherapie und Psychosomatische Medizin, University of Leipzig, Leipzig, Germany.

出版信息

Psychother Res. 2012;22(1):26-39. doi: 10.1080/10503307.2011.622313. Epub 2011 Oct 31.

DOI:10.1080/10503307.2011.622313
PMID:22040449
Abstract

The transference relationship within the psychodynamic process was conceived of as a self-organizing system under the assumption that patient and therapist instability trajectories prove similar. Nine patients and therapists each rated their experience of the therapeutic interaction (Intrex, SASB) over the course of therapy (29 to 35 sessions). A measure of instability was calculated for these ratings across the resulting time series. The degree of synchronicity (correlation) and the correspondence of instability levels (measure of difference) were calculated for each patient-therapist dyad. Destabilization of ratings was highly synchronous and the level of destabilization corresponded highly in successful therapies. Destabilization in non-successful cases showed low synchronicity and/or therapist ratings proved more instable. The results suggest that systematically including a measure of instability and associations between patient and therapist ratings may prove fruitful in process research.

摘要

动力心理过程中的转移关系被设想为一个自我组织系统,前提是患者和治疗师的不稳定轨迹证明是相似的。9 名患者和治疗师在治疗过程中(29 到 35 次治疗)对治疗互动的体验(Intrex,SASB)进行了评分。在这些评分的时间序列上计算了一个不稳定的度量。对于每个患者-治疗师对,计算了同步性(相关性)和不稳定性水平的一致性(差异的度量)。评分的不稳定非常同步,并且成功治疗中不稳定的程度非常高。不成功病例的不稳定显示出低同步性和/或治疗师评分更不稳定。结果表明,系统地包括不稳定的度量以及患者和治疗师评分之间的关联可能会在过程研究中证明是富有成效的。

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