Locher Cosima, Meier Sibylle, Gaab Jens
Division of Clinical Psychology and Psychotherapy, Department of Psychology, University of Basel, Basel, Switzerland.
Front Psychol. 2019 Mar 22;10:460. doi: 10.3389/fpsyg.2019.00460. eCollection 2019.
Despite a wealth of findings that psychotherapy is an effective psychological intervention, the principal mechanisms of psychotherapy change are still in debate. It has been suggested that all forms of psychotherapy provide a context which enables clients to transform the meaning of their experiences and symptoms in such a way as to help clients feel better, and function more adaptively. However, psychotherapy is not the only health care intervention that has been associated with "meaning": the reason why placebo has effects has also been proposed to be a "meaning response." Thus, it has been argued that the meaning of treatments has a central impact on beneficial (and by extension, negative) health-related responses. In light of the strong empirical support of a contextual understanding of psychotherapy and its effects, the aim of this conceptual analysis is to examine the role of meaning and its transformation in psychotherapy-in general-and within three different, commonly used psychotherapy modalities.
尽管有大量研究结果表明心理治疗是一种有效的心理干预手段，但心理治疗改变的主要机制仍存在争议。有人认为，所有形式的心理治疗都提供了一个背景，使来访者能够以帮助他们感觉更好并更适应地发挥功能的方式，转变其经历和症状的意义。然而，心理治疗并不是唯一与“意义”相关的医疗保健干预措施：安慰剂产生效果的原因也被认为是一种“意义反应”。因此，有人认为治疗的意义对有益的（以及由此延伸的负面的）与健康相关的反应具有核心影响。鉴于对心理治疗及其效果的情境理解有强有力的实证支持，本概念分析的目的是探讨意义及其转变在一般心理治疗以及三种不同的常用心理治疗模式中的作用。
