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运用控制图方法实现联盟破裂-修复事件的运作化。

Operationalizing alliance rupture-repair events using control chart methods.

机构信息

Brief Psychotherapy Research Program, Mount Sinai Beth Israel, New York, New York, USA.

Derner School of Psychology, Adelphi University, Garden City, New York, USA.

出版信息

Clin Psychol Psychother. 2022 Jan;29(1):339-350. doi: 10.1002/cpp.2606. Epub 2021 May 7.

DOI:10.1002/cpp.2606
PMID:33909341
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11240222/
Abstract

This study aimed to determine how control charts-a form of time-series line graphs-can be implemented in psychotherapy research to indirectly identify probable rupture-repair episodes that are associated with psychotherapy outcome. There is no current standard in psychotherapy research with regard to how to use control charts to identify rupture-repair events. Control charts were generated for each patient (N = 73) using patient-rated Working Alliance Inventory (WAI) scores obtained at the end of every session in a 30-session therapy protocol of either brief relational therapy (BRT) or cognitive behavioural therapy (CBT). Empirically derived cut-off points were used to identify rupture and repair based on each dyad's control chart. Coded rupture-repair episodes were correlated with outcome measures to assess for their relationships. The results of these analyses provide preliminary support for the utility of control charts in psychotherapy research for the indirect identification of probable rupture repair events that are associated with psychotherapy outcome.

摘要

本研究旨在确定控制图(一种时间序列折线图形式)如何在心理治疗研究中实施,以间接识别与心理治疗结果相关的可能的破裂-修复事件。目前,心理治疗研究中尚无关于如何使用控制图来识别破裂-修复事件的标准。使用每个患者(N=73)在 30 次治疗方案结束时的工作联盟量表(WAI)评分生成控制图,该方案为简短关系治疗(BRT)或认知行为治疗(CBT)。根据每个对偶控制图,使用经验得出的截断点来识别破裂和修复。将编码的破裂-修复事件与结果测量相关联,以评估它们之间的关系。这些分析的结果初步支持了控制图在心理治疗研究中的实用性,可用于间接识别与心理治疗结果相关的可能的破裂-修复事件。

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引用本文的文献

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V-episodes in the alliance: A single-case application of multiple methods to identify rupture repair.联盟中的 V-片段:应用多种方法识别破裂修复的单病例研究
Psychotherapy (Chic). 2023 Mar;60(1):119-129. doi: 10.1037/pst0000469. Epub 2023 Jan 9.
2
Renegotiating tasks or goals as rupture repair: A task analysis in a cognitive-behavioral therapy for personality disorder.作为破裂修复重新协商任务或目标:人格障碍认知行为治疗中的任务分析。
Psychother Res. 2023 Jan;33(1):16-29. doi: 10.1080/10503307.2022.2079439. Epub 2022 Jun 1.
3
Confessions of a New York rupture researcher: An insider's guide and critique.

本文引用的文献

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When to disclose and to whom? examining within- and between-client moderators of therapist self disclosure-outcome associations in psychodynamic psychotherapy.何时披露以及向谁披露?在精神分析心理治疗中,检验治疗师自我表露与治疗结果关联的个体内和个体间的调节变量。
Psychother Res. 2021 Sep;31(7):921-931. doi: 10.1080/10503307.2020.1867774. Epub 2020 Dec 30.
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Reevaluating ruptures and repairs in alliance: Between- and within-session processes in cognitive-behavioral therapy and short-term psychodynamic psychotherapy.重新评估联盟中的破裂和修复:认知行为疗法和短期心理动力学心理治疗中的会话间和会话内过程。
J Consult Clin Psychol. 2020 Sep;88(9):859-869. doi: 10.1037/ccp0000598. Epub 2020 Jul 16.
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Psychother Res. 2019 Jan;29(1):1-14. doi: 10.1080/10503307.2017.1413261. Epub 2017 Dec 18.
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评估调整了患者特征和治疗过程的联盟结局关联:直接比较的荟萃分析总结。
J Couns Psychol. 2020 Nov;67(6):706-711. doi: 10.1037/cou0000424. Epub 2020 Mar 26.
4
Rupture Resolution Rating System (3RS): Development and validation.破裂解决评分系统(3RS):制定与验证。
Psychother Res. 2019 Apr;29(3):306-319. doi: 10.1080/10503307.2018.1552034. Epub 2018 Dec 10.
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Alliance rupture repair: A meta-analysis.联盟破裂修复:一项荟萃分析。
Psychotherapy (Chic). 2018 Dec;55(4):508-519. doi: 10.1037/pst0000185.
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The alliance in adult psychotherapy: A meta-analytic synthesis.成人心理治疗中的联盟:一项荟萃分析综合研究。
Psychotherapy (Chic). 2018 Dec;55(4):316-340. doi: 10.1037/pst0000172. Epub 2018 May 24.
7
The effect of alliance-focused training on a cognitive-behavioral therapy for personality disorders.聚焦联盟的训练对认知行为疗法治疗人格障碍的效果。
J Consult Clin Psychol. 2018 Apr;86(4):384-397. doi: 10.1037/ccp0000284.
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Alliance Rupture and Resolution in Dialectical Behavior Therapy for Borderline Personality Disorder.辩证行为疗法治疗边缘型人格障碍中的联盟破裂与修复。
J Pers Disord. 2018 Jan;32(Suppl):115-128. doi: 10.1521/pedi.2018.32.supp.115.
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Dynamic models of individual change in psychotherapy process research.心理治疗过程研究中个体变化的动态模型。
J Consult Clin Psychol. 2017 Jun;85(6):537-549. doi: 10.1037/ccp0000203. Epub 2017 Apr 10.
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