Amlo S, Engelstad V, Fossum A, Sørlie T, Høglend P, Heyerdahl O, Sørbye O
Department of Psychiatry, University of Oslo, P.O. Box 85, Vinderen, 0319 Oslo, Norway.
J Psychother Pract Res. 1993 Fall;2(4):296-306.
The authors examined whether persistent analysis of the patient-therapist relationship in brief dynamic psychotherapy favorably affects long-term dynamic change in patients initially deemed suitable for such treatment. As in common practice, 22 highly suitable patients were given a high number of transference interpretations per session. A comparison group of 21 patients with lower suitability received the same treatment, but transference interpretations were withheld. Statistical adjustment for the deliberate nonequivalence in pretreatment suitability indicated a significant negative effect of high numbers of transference interpretations on long-term dynamic changes. Demographic variables, DSM-III diagnoses, additional treatment, life events in the follow-up years, or therapist effects did not explain or obscure the findings.
作者们研究了在短程动力心理治疗中对患者-治疗师关系进行持续分析是否会对最初被认为适合这种治疗的患者的长期动力变化产生有利影响。与通常做法一样，22名高度适合的患者在每次治疗中都接受了大量的移情解释。一个由21名适合度较低的患者组成的对照组接受了相同的治疗，但没有给予移情解释。对治疗前适合度方面有意设置的不对等情况进行统计调整后表明，大量的移情解释对长期动力变化有显著的负面影响。人口统计学变量、《精神疾病诊断与统计手册》第三版（DSM-III）诊断、额外治疗、随访年份中的生活事件或治疗师效应均无法解释或掩盖这些研究结果。
