Hafkenscheid A
Sinai Centrum, Joodse Geestelijke Gezondheidszong, Amersfoort.
Tijdschr Psychiatr. 2012;54(2):129-34.
Most systems for routine monitoring provide therapists with graphical feedback. Many therapists, however, find it extremely difficult to interpret graphs.
To increase therapists' awareness that the interpretation of graphical feedback is inevitably a subjective process.
A single case was analysed in which the objective graphical scores for successive patient-therapist sessions were shown on two monitor instruments. The scores were then compared with the patient's verbal reactions to the scores and score differences.
The clinical example demonstrates that the interpretation of 'objective' graphical feedback depends on the commentary given by the patient.
Routine monitoring is a subjective process which does not simply reveal the secrets of treatment processes and outcomes; what it does is to raise the lid of 'the black box' very slightly.
大多数常规监测系统会为治疗师提供图形反馈。然而,许多治疗师发现极难解读这些图表。
提高治疗师对图形反馈解读不可避免地是一个主观过程的认识。
分析了一个案例,在两个监测仪器上展示了连续患者-治疗师会话的客观图形评分。然后将这些评分与患者对评分及评分差异的言语反应进行比较。
该临床实例表明,对“客观”图形反馈的解读取决于患者给出的评价。
常规监测是一个主观过程,它并不能简单地揭示治疗过程和结果的奥秘;它所做的只是非常轻微地揭开“黑匣子”的盖子。