叙事创新预示症状改善：抑郁症叙事疗法中的创新时刻研究
Narrative innovations predict symptom improvement: Studying innovative moments in narrative therapy of depression.
作者信息
Gonçalves Miguel M, Ribeiro AntÓnio P, Silva Joana R, Mendes InÊs, Sousa Inês
机构信息
a CIPsi - Psychology Research Center, Psychotherapy and Psychopathology, Research Unit, School of Psychology , University of Minho , Braga , Portugal.
b ISMAI , Avioso São Pedro , Portugal.
出版信息
Psychother Res. 2016 Jul;26(4):425-35. doi: 10.1080/10503307.2015.1035355. Epub 2015 May 13.
OBJECTIVE
Innovative moments (IMs) are moments in the therapeutic dialog that constitute exceptions toward the client's problems. These narrative markers of meaning transformation are associated with change in different models of therapy and diverse diagnoses. Our goal is to test if IMs precede symptoms change, or, on the contrary, are a mere consequence of symptomatic 15 change.
METHOD
For this purpose, IMs and symptomatology (Outcome Questionnaire-10.2) were assessed at every session in a sample of 10 cases of narrative therapy for depression. Hierarchical linear modeling was conducted to explore whether (i) IMs in a given session predict patients' symptoms in the following session and/or (ii) symptoms in a given session predict IMs in the next session.
RESULTS
Results suggested that IMs are better predictors of symptoms than the reverse.
CONCLUSIONS
These results are discussed considering the contribution of meanings and narrative processes' changes to symptomatic improvement.
目的
创新时刻（IMs）是治疗对话中构成对来访者问题的例外情况的时刻。这些意义转变的叙事标记与不同治疗模式和多种诊断中的改变相关。我们的目标是测试IMs是先于症状改变，还是相反，仅仅是症状改变的结果。
方法
为此，在10例抑郁症叙事治疗样本中，每次治疗 session 都评估IMs和症状学（结果问卷-10.2）。进行分层线性建模以探索：（i）给定 session 中的IMs是否预测下一个 session 中患者的症状，和/或（ii）给定 session 中的症状是否预测下一个 session 中的IMs。
结果
结果表明，IMs比相反情况更能预测症状。
结论
考虑到意义和叙事过程的变化对症状改善的贡献，对这些结果进行了讨论。
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