Waehler Charles A, Grandy Natalie M
Department of Psychology, The University of Akron.
Psychotherapy (Chic). 2016 Sep;53(3):278-83. doi: 10.1037/pst0000082. Epub 2016 Aug 8.
Those rare moments when clients ask direct questions of their therapists likely represent a point when they are particularly open to new considerations, thereby representing an opportunity for substantial therapeutic gains. However, clinical errors abound in this area because clients' questions often engender apprehension in therapists, causing therapists to respond with too little or too much information or shutting down the discussion prematurely. These response types can damage the therapeutic relationship, the psychotherapy process, or both. We explore the nature of these clinical errors in response to client questions by providing examples from our own clinical work, suggesting potential reasons why clinicians may not make optimal use of client questions, and discussing how the mixed psychological literature further complicates the issue. We also present four guidelines designed to help therapists, trainers, and supervisors respond constructively to clinical questions in order to create constructive interactions. (PsycINFO Database Record
当来访者直接向他们的治疗师提问时,那些罕见的时刻可能代表着他们特别愿意接受新的思考的时刻,从而代表着获得实质性治疗进展的机会。然而,这一领域存在大量临床失误,因为来访者的问题常常会引起治疗师的担忧,导致治疗师提供的信息过少或过多,或者过早终止讨论。这些回应方式可能会损害治疗关系、心理治疗过程,或两者皆有。我们通过提供我们自己临床工作中的例子来探讨对来访者问题的这些临床失误的本质,提出临床医生可能没有充分利用来访者问题的潜在原因,并讨论心理学文献的复杂性如何使这个问题进一步复杂化。我们还提出了四条指导方针,旨在帮助治疗师、培训师和督导以建设性的方式回应临床问题,从而建立建设性的互动。(PsycINFO数据库记录)