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“一项考察来访者接受心理治疗体验的质性元分析:一个新议程”:Levitt、Pomerville 和 Surace(2016)的勘误。

"A qualitative meta-analysis examining clients' experiences of psychotherapy: A new agenda": Correction to Levitt, Pomerville, and Surace (2016).

出版信息

Psychol Bull. 2016 Oct;142(10):1067. doi: 10.1037/bul0000079.

Abstract

Reports an error in "A qualitative meta-analysis examining clients’ experiences of psychotherapy: A new agenda" by Heidi M. Levitt, Andrew Pomerville and Francisco I. Surace (, 2016[Aug], Vol 142[8], 801-830). In the article, the 2nd sentence in the Broadening the Forms of Power When Considering Client–Therapist Differences section, “Indeed, most of the studies (55/66, 83.3%) in these categories focused either on the power differential within the therapeutic relationship (37) or culturally based power differences between therapists and clients (29).” should read: “Indeed, most of the studies (49/59, 83.1%) in these categories focused either on the power differential within the therapeutic relationship (38) or culturally based power differences between therapists and clients (31).” (The following abstract of the original article appeared in record 2016-21269-001.) This article argues that psychotherapy practitioners and researchers should be informed by the substantive body of qualitative evidence that has been gathered to represent clients’ own experiences of therapy. The current meta-analysis examined qualitative research studies analyzing clients’ experiences within adult individual psychotherapy that appeared in English-language journals. This omnibus review integrates research from across psychotherapy approaches and qualitative methods, focusing on the cross-cutting question of how clients experience therapy. It utilized an innovative method in which 67 studies were subjected to a grounded theory meta-analysis in order to develop a hierarchy of data and then 42 additional studies were added into this hierarchy using a content meta-analytic method—summing to 109 studies in total. Findings highlight the critical psychotherapy experiences for clients, based upon robust findings across these research studies. Process-focused principles for practice are generated that can enrich therapists’ understanding of their clients in key clinical decision-making moments. Based upon these findings, an agenda is suggested in which research is directed toward heightening therapists’ understanding of clients and recognizing them as agents of change within sessions, supporting the client as self-healer paradigm. This research aims to improve therapists’ sensitivity to clients’ experiences and thus can expand therapists’ attunement and intentionality in shaping interventions in accordance with whichever theoretical orientation is in use. The article advocates for the full integration of the qualitative literature in psychotherapy research in which variables are conceptualized in reference to an understanding of clients’ experiences in sessions.

摘要

报告了 Heidi M. Levitt、Andrew Pomerville 和 Francisco I. Surace 发表的“一项审查客户对心理治疗体验的定性荟萃分析:新议程”( ,2016[8 月],第 142 卷[8],第 801-830 页)中的错误。在这篇文章中,“拓宽考虑治疗师与客户差异时的权力形式”一节的第 2 句,“事实上,这些类别中的大多数研究(66 项中的 55 项,83.3%)要么关注治疗关系中的权力差异(37),要么关注治疗师和客户之间基于文化的权力差异(29)。”应该是:“事实上,这些类别中的大多数研究(59 项中的 49 项,83.1%)要么关注治疗关系中的权力差异(38),要么关注治疗师和客户之间基于文化的权力差异(31)。”(原始文章的以下摘要出现在记录 2016-21269-001 中。)本文认为,心理治疗从业者和研究人员应该参考已经收集到的定性证据,这些证据代表了客户自己对治疗的体验。目前的荟萃分析检查了以英语发表的分析成人个体心理治疗中客户体验的定性研究。这项综合审查整合了来自各种心理治疗方法和定性方法的研究,重点关注客户如何体验治疗的交叉问题。它采用了一种创新的方法,对 67 项研究进行了扎根理论荟萃分析,以便对数据进行分层,然后使用内容荟萃分析方法将 42 项额外的研究添加到该分层中,总共 109 项研究。研究结果根据这些研究的可靠发现,突出了客户的关键心理治疗体验。生成了关注实践过程的原则,这可以丰富治疗师在关键临床决策时刻对客户的理解。基于这些发现,提出了一个议程,建议研究方向是提高治疗师对客户的理解,并认识到他们是会话中变化的推动者,支持客户作为自我治疗者的范式。这项研究旨在提高治疗师对客户体验的敏感性,从而可以扩大治疗师的共鸣和意图,根据使用的任何理论取向来塑造干预措施。该文章主张将定性文献全面纳入心理治疗研究中,其中变量的概念化是参考对客户在会话中的体验的理解。

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