Meehan Kevin B, Levy Kenneth N, Clarkin John F
Long Island University, Brooklyn Campus.
Psychoanal Psychol. 2012 Apr 16;29(2):145-165. doi: 10.1037/a0027450.
The present study evaluates the psychometric properties of a therapist measure for evaluating the affective communication created between the patient and therapist during the initial stages of treatment. The Affective Communication Questionnaire (ACQ) was administered to a sample of 81 therapists, each rating a single patient, and principal component analysis indicated the measure has coherent dimensions with strong internal consistency. The construct validity of the ACQ was then established in a sample of 16 therapists rating 73 patients diagnosed with Borderline Personality Disorder (BPD). The measure was found to have a strong relationship to the related constructs of transference, countertransference, and affect experience in predicted directions. The measure also was found to have a modest relationship to independent assessments of patient functioning; most notably more negative affect was significantly related to more odd/eccentric (cluster A) and less anxious/fearful (cluster C) personality disorder symptoms, and greater narrative coherence. Differences in affective communication as a function of treatment type were also evaluated. The clinical and research implications of the findings are discussed.
本研究评估了一种治疗师测量工具的心理测量特性，该工具用于评估治疗初始阶段患者与治疗师之间产生的情感沟通。情感沟通问卷（ACQ）被施用于81名治疗师的样本，每位治疗师对一名患者进行评分，主成分分析表明该测量工具具有连贯的维度且内部一致性很强。然后，在16名对73名被诊断为边缘型人格障碍（BPD）的患者进行评分的治疗师样本中确立了ACQ的结构效度。研究发现该测量工具与移情、反移情以及情感体验等相关结构在预测方向上存在密切关系。该测量工具还被发现与患者功能的独立评估存在适度关系；最显著的是，更多的负面情感与更多的怪异/古怪（A类群）和更少的焦虑/恐惧（C类群）人格障碍症状以及更高的叙事连贯性显著相关。还评估了情感沟通作为治疗类型函数的差异。讨论了研究结果的临床和研究意义。
