Private Practice, Helsinki, Finland.
Department of Public Health, University of Helsinki, Helsinki, Finland.
J Clin Psychol. 2019 Aug;75(8):1415-1428. doi: 10.1002/jclp.22787. Epub 2019 Apr 12.
A sense of agency is a transtheoretical concept that increases our understanding of important processes in psychotherapy. Agency can be described in terms of how strongly the person believes that she can have an impact on her problematic experiences and behaviors. In this case study, a patient's sense of agency in relation to symptoms of bulimia nervosa was assessed during 3 years of psychotherapy. Five distinct phases of agency in relation to eating disorder symptoms were identified: A false sense of agency or no agency at all, a weak sense of agency, a nascent sense of agency, a wavering sense of agency, and a strong sense of agency. A better understanding of patient agency can facilitate adapting approaches and methods best suited for the patient's capacity for change throughout treatment.
能动性意识是一种超越理论的概念，可以帮助我们更好地理解心理治疗中的重要过程。能动性可以用一个人对自己影响问题经历和行为的能力的信念强度来描述。在这个案例研究中，我们评估了一名患者在 3 年心理治疗过程中与神经性贪食症症状相关的能动性意识。我们确定了与饮食障碍症状相关的能动性意识的五个不同阶段：虚假的能动性意识或完全没有能动性意识、弱能动性意识、初现的能动性意识、摇摆不定的能动性意识和强能动性意识。更好地理解患者的能动性意识可以促进治疗过程中根据患者的改变能力来调整方法。
