Department of Neurosciences, Institute for Family and Sexuality Studies, UPC, KU Leuven, Leuven, Belgium.
Fam Process. 2021 Sep;60(3):1033-1047. doi: 10.1111/famp.12616. Epub 2020 Nov 25.
Psychotherapy research shows that-in individual therapy as in family therapy-some therapists are more effective than others. This highlights the crucial role the therapist plays in a client's improvement. Furthermore, it seems that training may make a difference, as deliberate practice can improve the therapist's effectiveness. In the context of the current renewed awareness of the importance of the person of the therapist in the psychotherapy field, this paper's focus is specifically on the therapist in family therapy practice. There is a long tradition of reflecting on the person of the therapist in the family therapy field, often inspired by the metaphor of the wounded healer. In contrast, focusing on the person op the therapist in the present moment of the therapy session is fairly new. In this paper, we use of the dual process models from cognitive psychology as a frame to reflect on the person of the therapist. We review these dual process models and propose that the intuitive responsivity of the therapist relies on the fast, implicit cognitive system (system 1) and the therapist's self-reflection on the slow, deliberate system (system 2). The therapist's actions in therapy practice then emerge moment-by-moment as an echo of the way these two cognitive systems balance each other. It is optimal if the therapist, attuned to the family's rhythm, can flexibly oscillate between the two systems. In the concluding comments of this paper, reflective questions are posed about what this perspective may mean for family therapy practice, training, and supervision.
心理治疗研究表明,无论是个体治疗还是家庭治疗,一些治疗师比其他治疗师更有效。这突出了治疗师在客户改善中的关键作用。此外,培训似乎可以产生影响,因为刻意练习可以提高治疗师的有效性。在当前重新意识到治疗师在心理治疗领域的重要性的背景下,本文的重点特别放在家庭治疗实践中的治疗师身上。家庭治疗领域一直有反思治疗师个人的传统,这通常受到受伤治疗师隐喻的启发。相比之下,在治疗过程中关注治疗师的个人则是相当新的。在本文中,我们使用认知心理学的双重过程模型作为框架来反思治疗师的个人。我们回顾了这些双重过程模型,并提出治疗师的直觉反应依赖于快速、隐含的认知系统(系统 1)和治疗师对缓慢、深思熟虑的系统(系统 2)的自我反思。治疗师在治疗实践中的行动然后随着这两个认知系统相互平衡的方式瞬间产生。如果治疗师能与家庭的节奏保持协调,灵活地在两个系统之间波动,那么这是最佳的。在本文的结论部分,提出了一些关于这种观点对家庭治疗实践、培训和监督可能意味着什么的反思性问题。