Weil Margot P, Katz Michael, Hilsenroth Mark J
Derner Institute of Advanced Psychological Studies, Adelphi University.
Psychodyn Psychiatry. 2017 Spring;45(1):23-43. doi: 10.1521/pdps.2017.45.1.23.
This study was the first to examine psychotherapy termination from both therapists' and patients' perspectives by using standardized psychotherapy process measures. Our aim was to examine whether patient participation and therapist exploration during the termination phase of treatment are related to how good and productive the session was.
The sample consisted of 30 outpatient adults who had completed the Vanderbilt Psychotherapy Process Scale-Short form (VPPS-S; Smith, Hilsenroth, Baity, & Knowles, 2003) and the Session Evaluation Questionnaire (SEQ; Stiles, 1980) during a termination-phase session. These ratings were examined from mutually agreed upon terminations with largely successful outcomes.
Higher ratings of patient participation, as rated by both the therapist and patient, were significantly related to patient ratings of how good and productive the session was. Mixed findings were shown for therapist exploration.
We provide clinical examples and suggestions for future research to illuminate process elements of psychotherapy termination.
本研究首次通过使用标准化的心理治疗过程测量方法，从治疗师和患者双方的角度审视心理治疗的结束阶段。我们的目的是检验在治疗结束阶段患者的参与度和治疗师的探索是否与该阶段治疗的效果和成效相关。
样本包括30名门诊成年患者，他们在治疗结束阶段的一次疗程中完成了《范德比尔特心理治疗过程量表简表》（VPPS-S；史密斯、希尔森罗斯、贝蒂和诺尔斯，2003年）以及《疗程评估问卷》（SEQ；斯泰尔斯，1980年）。这些评分来自双方共同认可的、结局大多成功的治疗结束情况。
治疗师和患者对患者参与度的评分较高，这与患者对该阶段治疗的效果和成效的评分显著相关。治疗师探索方面的结果则较为复杂。
我们提供了临床实例和未来研究建议，以阐明心理治疗结束阶段的过程要素。
