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治疗评估的虚拟交付:一项实证案例研究。

Virtual Delivery of Therapeutic Assessment: An Empirical Case Study.

作者信息

David Raja M, Carroll Allison J, Smith Justin D

机构信息

Minnesota Center for Collaborative/Therapeutic Assessment, St. Paul, Minnesota.

Departments of Psychiatry and Behavioral Sciences and Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

出版信息

J Pers Assess. 2022 May-Jun;104(3):417-427. doi: 10.1080/00223891.2021.1929262. Epub 2021 Jun 14.

Abstract

The Therapeutic Assessment (TA) model of psychological assessment has grown in use due to the demonstrated benefits to clients. However, to date, there have been no published articles on how conducting TA virtually may impact the process and experience. The COVID-19 global pandemic led to a rapid increase in virtual delivery of psychological services, including assessments. Assessors adapted procedures to ensure that clients were served ethically, the assessor-client relationship was considered, and the results were deemed valid. This empirical case study was conducted to evaluate test validity, therapeutic alliance, and the clinician's and client's experience of a TA conducted virtually. The validity of test administration was evaluated by experts, who reviewed video of the administration and test results; no concerns regarding integrity and interpretability of the results were identified. Therapeutic alliance, session process, and virtual presence were measured after each session. Both clinician and client reported positive experiences. The overall impact of the TA was evaluated through quantitative assessment of the client's experience and qualitative analysis of interviews. Collectively, this research demonstrates the feasibility of conducting a TA virtually, in an efficacious manner, that leads to positive client outcomes.

摘要

心理评估的治疗性评估(TA)模型因对来访者显示出的益处而使用得越来越多。然而,迄今为止,尚未有关于虚拟进行TA会如何影响该过程和体验的发表文章。2019冠状病毒病全球大流行导致包括评估在内的心理服务虚拟提供迅速增加。评估者调整程序以确保来访者得到符合伦理的服务,考虑评估者与来访者的关系,并确保结果有效。本实证案例研究旨在评估虚拟进行TA时的测试效度、治疗联盟以及临床医生和来访者的体验。测试管理的效度由专家评估,专家审查了管理过程的视频和测试结果;未发现对结果的完整性和可解释性有任何担忧。每次会话后测量治疗联盟、会话过程和虚拟在场情况。临床医生和来访者均报告了积极的体验。通过对来访者体验的定量评估和访谈的定性分析来评估TA的总体影响。总体而言,本研究证明了以有效方式虚拟进行TA的可行性,这会给来访者带来积极的结果。

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