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自我观察与他人观察的反移情与治疗结果的关系。

The relationship between self-observed and other-observed countertransference and session outcome.

机构信息

Department of Developmental and Social Psychology.

Department of Dynamic and Clinical Psychology.

出版信息

Psychotherapy (Chic). 2021 Jun;58(2):301-309. doi: 10.1037/pst0000356. Epub 2021 Jan 28.

DOI:10.1037/pst0000356
PMID:33507763
Abstract

For the psychodynamic approach, being aware of and managing countertransference is a core therapeutic competency. Research has demonstrated the negative effect of unmanaged countertransference on the outcomes of all kinds of psychotherapy. In this study, we focused on the relationship between countertransference when measured by therapists and external observers and its impact on session quality. We analyzed 69 counseling sessions, held by 23 in-training psychotherapists with 23 patients. We used the Therapist Response Questionnaire and three external observers (who used the Countertransference Behavior Measure) to measure psychotherapists' countertransference. We rated the session impact perceived by patients and psychotherapists using the Session Evaluation Questionnaire and by patients through the Session Impact Scale. Psychotherapists' and observers' ratings of countertransference correlated though on different dimensions. These results indicate that comparing external and internal evaluations can help to understand various aspects of countertransference since they have different associations with the session outcome. From a methodological point of view, it is necessary to adopt various perspectives to investigate countertransference. Future research should confirm these results on a sample of experienced psychotherapists. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

摘要

对于心理动力学方法,意识到并管理反移情是核心治疗能力。研究表明,未管理的反移情对各种心理治疗的结果都有负面影响。在这项研究中,我们专注于治疗师和外部观察者测量的反移情之间的关系及其对治疗过程质量的影响。我们分析了 69 次咨询疗程,由 23 名接受培训的心理治疗师和 23 名患者进行。我们使用治疗师反应问卷和三位外部观察员(使用反移情行为量表)来测量心理治疗师的反移情。我们使用治疗过程评估问卷来评估患者和心理治疗师感知的治疗过程影响,以及患者使用治疗过程影响量表的影响。治疗师和观察者对反移情的评价虽然在不同的维度上相关,但存在差异。这些结果表明,比较外部和内部评估可以帮助理解反移情的各个方面,因为它们与治疗过程结果有不同的关联。从方法论的角度来看,有必要采用多种视角来研究反移情。未来的研究应该在经验丰富的心理治疗师样本中验证这些结果。(PsycInfo 数据库记录(c)2021 APA,保留所有权利)。

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