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一名恐惧症患者治疗过程中的皮肤电导率变化及心理治疗内容

Skin conductance changes and psychotherapeutic content in the treatment of a phobic patient.

作者信息

Glucksman M L, Quinlan D M, Leigh H

出版信息

Br J Med Psychol. 1985 Jun;58(2):155-63. doi: 10.1111/j.2044-8341.1985.tb02628.x.

Abstract

This study examined the relationship between skin conductance response (SCR) and psychotherapeutic content in a single case study. Four SCR conditions of one minute's duration each, reflecting maximal increase (amplitude) and least amount of change as well as one-minute periods preceding these criterion conditions, were measured for each psychotherapy session across 12 consecutive sessions. Psychotherapeutic content corresponding to these SCR conditions was evaluated according to 14 categories by five judges. There were significant relationships between SCR conditions and four psychotherapeutic content categories. Increases in SCR corresponded to a decreasing sense of mastery, increased symptom experience, increased symptom occurrence, and increased negative affects. This study suggests that there was a relationship between a responsive physiological measure and relevant psychotherapeutic content categories in an individual patient.

摘要

本单病例研究考察了皮肤电传导反应(SCR)与心理治疗内容之间的关系。在连续12次心理治疗疗程中,每次疗程均测量了四种持续时间为一分钟的SCR状况,分别反映最大增幅(幅度)、最小变化量以及这些标准状况之前的一分钟时间段。由五名评判员根据14个类别对与这些SCR状况相对应的心理治疗内容进行了评估。SCR状况与四个心理治疗内容类别之间存在显著关系。SCR的增加对应着掌控感的降低、症状体验的增加、症状出现频率的增加以及负面影响的增加。本研究表明,在个体患者中,一种反应性生理测量与相关心理治疗内容类别之间存在关联。

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