Swift Joshua K, Tompkins Kelley A, Parkin Susannah R
Idaho State University.
University of Alaska Anchorage.
J Clin Psychol. 2017 Nov;73(11):1543-1555. doi: 10.1002/jclp.22531.
The purpose of this study was to bridge the methodologies of significant events and micro-process research to gain a better understanding of clients' perceptions of helpful and hindering events in psychotherapy. A total of 16 clients were asked to review a recent psychotherapy session and, while watching, complete a moment-by-moment rating of helpful/hindrance using a dial rating system. They were also asked to describe the most helpful and hindering segments that were rated as such. The moment-by-moment ratings suggest that clients perceive a significant amount of variability within a single session. The qualitative results suggest that clients perceive both specific treatment and common factors techniques as being helpful. Further, some of the same therapist actions were rated as both helpful and hindering, but they differed in the timing and the client's experience of feeling heard and understood versus judged or given advice that was not perceived as relevant to them. These results have important implications for clinical practice.
本研究的目的是将重大事件和微观过程研究的方法结合起来，以便更好地理解客户对心理治疗中有益和阻碍事件的看法。共有16名客户被要求回顾最近一次心理治疗 session，并在观看时使用刻度评级系统对有益/阻碍进行逐时刻评级。他们还被要求描述被评为最有益和最阻碍的部分。逐时刻评级表明，客户在单个 session 中察觉到大量的变异性。定性结果表明，客户认为特定治疗和共同因素技术都有帮助。此外，一些相同的治疗师行为被评为既有帮助又有阻碍，但它们在时间以及客户感觉被倾听和理解与被评判或得到被认为与他们无关的建议的体验方面有所不同。这些结果对临床实践具有重要意义。
