Ruckgaber K H
Prax Kinderpsychol Kinderpsychiatr. 1989 Jul-Aug;38(6):210-5.
In this study the effect of supervision on the team and treatment of clinical patients with a "basic-fault" was investigated. Over a period of 2 years 381 questionnaires were evaluated. According to a scheme proposed by M. Balint a questionnaire was developed to provide subjective value-estimation of supervision by the members of the therapeutic team. Each individual session of supervision was documented. In the subsequent study the predominating issues of these supervisions were divided into "problem-groups" to give better estimation of the general function of supervision. The problem-group of therapeutic team-patient-relationship was further differentiated to evaluate the main difficulties of individual team members concerning the emotional approach to the patient. As a marker of an intensified therapeutic intervention with severe "basic-fault" patients arouse such as "never before experienced emotions" or "problems of symbolizing" of psychodynamic structures. The study concludes in assuming a positive effect of supervision on the therapeutic approach and attitude as well as on the internal structure of the team. This was most noticeable in the specialized treatment of patients with a predominating "basic-fault".
在本研究中，调查了督导对团队以及对患有“基本缺陷”的临床患者治疗的影响。在2年的时间里，对381份问卷进行了评估。根据M.巴林特提出的方案，设计了一份问卷，以提供治疗团队成员对督导的主观价值评估。每次督导会议都有记录。在随后的研究中，这些督导的主要问题被分为“问题组”，以便更好地评估督导的总体功能。治疗团队与患者关系的问题组被进一步细分，以评估个别团队成员在与患者进行情感沟通方面的主要困难。作为对患有严重“基本缺陷”患者强化治疗干预的一个标志，出现了诸如“前所未有的情绪”或心理动力结构的“象征化问题”。该研究得出结论，认为督导对治疗方法和态度以及团队的内部结构有积极影响。这在对以“基本缺陷”为主的患者的专科治疗中最为明显。
