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一项关于在社会工作团队中进行简短的焦点解决疗法培训效果的定性研究。

A qualitative investigation into the effects of brief training in solution-focused therapy in a social work team.

机构信息

Lancaster University, UK.

出版信息

Psychol Psychother. 2011 Sep;84(3):335-48. doi: 10.1111/j.2044-8341.2010.02000.x. Epub 2011 Jan 25.

DOI:10.1111/j.2044-8341.2010.02000.x
PMID:22903873
Abstract

OBJECTIVES

Previous research into the effectiveness of brief training in psychological therapies for non-therapist health and social services workers has found mixed results regarding transferring learning into practice. Very few published studies have assessed the impact of such training in Solution-Focused Brief Therapy (SFBT), despite such training being popular. This study explored the impact of brief SFBT training for a group of community-based social workers.

DESIGN

A qualitative interview-based design was used, with the researcher adopting an ethnographic stance to obtain a rich, detailed and focused account of events.

METHODS

Six social workers working with adults with intellectual disabilities took part in the study. All had attended a 2-day workshop in SFBT 9 months previously. The interviews were transcribed and subjected to thematic analysis.

RESULTS AND CONCLUSIONS

Factors affecting skill transfer included being able to practise, peer and organizational support, and perceived conflicts between SFBT and work role. Whilst specific trained techniques were not consistently adopted, most workers changed the style of their interaction with clients in simple ways which they reported resulted in benefits including improved communication, collaboration, and increased feelings of control and self-efficacy for clients and workers. The findings suggest that in addition to peer and organizational support, trainees' perceptions of the fit of the training with their work role may be a key factor in determining transfer. Recommendations are made for developing training for non-therapists that focuses on helping change the style of their interactions rather than on learning to implement specific psychological therapy techniques.

摘要

目的

先前关于非治疗师的卫生和社会服务工作者接受简短心理治疗培训效果的研究发现,学习成果转化为实践的效果喜忧参半。尽管这种培训在聚焦解决短期治疗(SFBT)中很受欢迎,但很少有已发表的研究评估这种培训的影响。本研究探讨了为一群社区社会工作者提供简短 SFBT 培训的效果。

设计

采用基于定性访谈的设计,研究人员采取民族志立场,以获得对事件的丰富、详细和重点描述。

方法

六名从事智障成年人工作的社会工作者参加了这项研究。他们都在 9 个月前参加了为期两天的 SFBT 研讨会。访谈记录被转录并进行主题分析。

结果和结论

影响技能转移的因素包括能够实践、同行和组织支持,以及 SFBT 与工作角色之间的潜在冲突。虽然并非始终采用特定的培训技术,但大多数工作人员以简单的方式改变了与客户互动的风格,他们报告说这带来了好处,包括改善沟通、协作,以及增加客户和工作人员的控制感和自我效能感。研究结果表明,除了同行和组织支持外,培训人员对培训与工作角色契合度的看法可能是决定转移的关键因素。建议为非治疗师制定培训计划,重点帮助改变他们的互动方式,而不是学习实施特定的心理治疗技术。

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