Department of Psychodynamic and Clinical Psychology, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy.
Psychotherapy (Chic). 2013 Sep;50(3):413-8. doi: 10.1037/a0032195.
This article is an attempt to analyze therapist's actions or strategies that contribute to an effective therapy session and are clinically useful to the therapeutic process. To link the clinical practice to the empirical research, three kinds of therapist interventions, based on the Psychotherapy Process Q-Set, are described. They include (1) an empathic attitude in dealing with the difficulties of the patient and his or her affective experience, (2) the identification and exploration of recurrent themes in the patient's experience or conduct, and (3) addressing a patient's defenses, to ward off awareness of threatening feelings. For each of these interventions, the author provides both clinical and research data that support their use, as well as verbatim clinical exchanges, which allow a better understanding of the mechanisms of therapeutic actions in real clinical practice.
本文旨在分析有助于治疗有效进行且对治疗过程具有临床意义的治疗师的行为或策略。为了将临床实践与实证研究联系起来，基于心理治疗过程 Q 分类表，描述了三种治疗师干预措施。它们包括：（1）在处理患者的困难和他或她的情感体验时表现出同理心；（2）识别和探索患者经历或行为中的反复出现的主题；（3）处理患者的防御，以避免意识到威胁性的感觉。对于每一种干预措施，作者都提供了支持其使用的临床和研究数据，以及逐字逐句的临床交流，使人们能够更好地理解实际临床实践中治疗作用的机制。
