Falkenström Fredrik, Gee Matthew David, Kuria Mary Wangari, Othieno Caleb Joseph, Kumar Manasi
Senior Lecturer and Researcher, Centre for Psychotherapy Research and Education, Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, and Stockholm Health Care Services, Stockholm County Council, Sweden.
Specialty Registrar in Medical Psychotherapy, Oxford Health NHS Foundation Trust, Warneford Hospital, Oxford, UK; Honorary Teaching Fellow, Department of Psychiatry, University of Oxford, UK.
BJPsych Int. 2017 Aug 1;14(3):64-66. doi: 10.1192/s2056474000001938. eCollection 2017 Aug.
This paper is the first in a planned series of papers studying the effectiveness of psychotherapy and counselling in Nairobi. It describes a method for checking the effectiveness of psychotherapy and improving service quality in a Kenyan context. Rather than prematurely imposing psychotherapy protocols developed in Western countries in another cultural context, we believe that first studying psychological interventions as they are practised may generate understanding of which psychological problems are common, what interventions therapists use, and what seems to be effective in reducing psychiatric problems. The initial step is to assess outcome of psychological treatments as they are conducted. This is followed by statistical analyses aimed at identifying patient groups who are not improving at acceptable rates. Therapists will then be trained in a 'best practice' approach, and controlled trials are used in a final step, testing new interventions specifically targeted at patient groups with sub-optimal outcomes.
本文是计划中的一系列研究内罗毕心理治疗与咨询有效性的论文中的第一篇。它描述了一种在肯尼亚背景下检验心理治疗有效性并提高服务质量的方法。我们认为，与其过早地将西方国家制定的心理治疗方案强加于另一种文化背景中，不如先研究实际实施的心理干预措施，这样或许能让我们了解哪些心理问题较为常见、治疗师采用了哪些干预措施，以及哪些措施似乎对减轻精神问题有效。第一步是评估正在实施的心理治疗的效果。接下来进行统计分析，旨在找出改善速度未达可接受水平的患者群体。然后，治疗师将接受“最佳实践”方法的培训，最后一步是进行对照试验，测试专门针对疗效欠佳患者群体的新干预措施。
