Horowitz M J, Ewert M, Milbrath C
Department of Psychiatry, University of California at San Francisco, Box F-LPPI, San Francisco, CA 94143.
J Psychother Pract Res. 1996 Winter;5(1):20-5.
The authors' objective was to develop a simple and reliable descriptive method for categorizing patient states during psychotherapy. The categories would be based on the degree of apparent control over emotional expressions. Methods involved scoring videotapes of psychotherapy for 5 patients with neurotic-level Axis I disorders. Three judges rated each 30-second segment as predominantly one of these four states: well modulated, overmodulated, undermodulated, or shimmering. Shimmering states combine emotional display with efforts to stifle that expression. The results showed that judges could reliably rate states by the definitions used in this study. This technique can provide a simplified and general approach to observation of degrees of defensive control of emotion of patients in psychotherapy.
作者的目标是开发一种简单可靠的描述性方法，用于对心理治疗期间的患者状态进行分类。这些类别将基于对情感表达的明显控制程度。方法包括对5名患有神经症水平轴I障碍患者的心理治疗录像带进行评分。三名评判员将每个30秒的片段评定为主要属于以下四种状态之一：调节良好、调节过度、调节不足或闪烁。闪烁状态将情感表露与抑制该表达的努力结合在一起。结果表明，评判员可以根据本研究中使用的定义可靠地对状态进行评级。该技术可以为观察心理治疗中患者情绪防御控制程度提供一种简化的通用方法。
