Universidad Autónoma de Madrid, Spain.
Behav Modif. 2013 Jul;37(4):516-42. doi: 10.1177/0145445513477127. Epub 2013 Feb 19.
The goal of this study is to analyze the verbal interaction that takes place between client and therapist over the course of a clinical intervention so as to analyze the potential learning processes that may be responsible for changes in the client's behavior. A total of 92 sessions were analyzed, corresponding to 19 clinical cases treated by 9 therapists specializing in behavioral therapy. The variables considered were therapist and client verbal behaviors, and these were categorized according to their possible functions and/or morphologies. The Observer XT software was used as a tool for the observational analysis. The results led to the conclusion that the therapist responds differentially to client verbalizations, modifying the verbal contingencies as his or her client content approaches or becomes more distant from therapeutic objectives. These results suggest the possible existence of verbal "shaping" processes through which the therapist guides the client's verbal behavior toward more adaptive forms. In addition, this study proposes an alternative to the traditional controversy regarding the relevance of the therapeutic relationship versus the treatment techniques used to explain clinical change. This article suggests that such differentiation is unnecessary because the therapeutic relationship and the treatment techniques should act in the same manner, this is, in providing the context for the occurrence of what is truly therapeutic, namely, the learning processes.
本研究的目的是分析临床干预过程中客户和治疗师之间的言语互动，以分析可能导致客户行为变化的潜在学习过程。共分析了 92 个会话，涉及 19 个由 9 名专门从事行为治疗的治疗师治疗的临床案例。所考虑的变量是治疗师和客户的言语行为，这些行为根据其可能的功能和/或形态进行了分类。Observer XT 软件被用作观察分析的工具。结果得出的结论是，治疗师对客户的言语反应不同，随着客户的内容接近或远离治疗目标，治疗师会改变言语的偶然性。这些结果表明，通过言语“塑造”过程，治疗师可能会引导客户的言语行为朝着更适应的形式发展。此外，本研究提出了一种替代传统的关于治疗关系与用于解释临床变化的治疗技术相关性的争议的方法。本文认为，这种区分是不必要的，因为治疗关系和治疗技术应该以相同的方式起作用，即提供真正治疗性的发生的背景，即学习过程。
