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心理治疗中的匹配度:患者-治疗师维度及其对治疗结果的影响。

Matchmaking in psychotherapy: patient-therapist dimensions and their impact on outcome.

作者信息

Talley P F, Strupp H H, Morey L C

机构信息

Psychology Department, College of Arts and Sciences, Vanderbilt University, Nashville, Tennessee 37240.

出版信息

J Consult Clin Psychol. 1990 Apr;58(2):182-8. doi: 10.1037//0022-006x.58.2.182.

DOI:10.1037//0022-006x.58.2.182
PMID:2335635
Abstract

Patient-therapist matching was investigated using recent theoretical and methodological developments to overcome some of the limitations that have hindered similar past efforts. Two hypotheses were tested: (a) Therapeutic outcome is affected by the interaction between patients' and therapists' self-concepts, and (b) increasing anticomplementarity between therapist self-concept and therapists' perceptions of patients' behavior is negatively associated with patient improvement. Data from the first 2 cohorts of the Vanderbilt II Psychotherapy Project were analyzed. They included the therapies of 16 experienced therapists, who saw a total of 48 patients (38 women and 10 men) in time-limited psychotherapy. Patients' ages ranged from 24 to 64 years (M age = 40). Outcome was measured from the perspective of the patient, therapist, and evaluating clinician. Each hypothesis was supported, but not across all 3 outcome perspectives.

摘要

利用最近的理论和方法进展对患者与治疗师的匹配进行了研究,以克服一些阻碍过去类似努力的局限性。检验了两个假设:(a) 治疗结果受患者和治疗师自我概念之间相互作用的影响,以及 (b) 治疗师自我概念与治疗师对患者行为的认知之间的反互补性增加与患者的改善呈负相关。对范德比尔特二期心理治疗项目前两个队列的数据进行了分析。其中包括16位经验丰富的治疗师的治疗案例,他们在限时心理治疗中总共接待了48名患者(38名女性和10名男性)。患者年龄在24岁至64岁之间(平均年龄 = 40岁)。从患者、治疗师和评估临床医生的角度对结果进行了衡量。每个假设都得到了支持,但并非在所有三个结果角度都得到支持。

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