Institute of Clinical Medicine, University of Oslo, P.O. Box 1039, Blindern, 0315 Oslo, Norway.
Research Unit, Division of Mental Health and Addiction, Vestfold Hospital Trust, P.O. Box 2169, 3125 Tønsberg, Norway.
Int J Environ Res Public Health. 2022 Aug 2;19(15):9496. doi: 10.3390/ijerph19159496.
Countertransference (CT) responses during therapy sessions can be understood as the therapist's emotional reactions towards the patient. Within adolescents' psychotherapy, little is known about the effects of the therapists' feelings on treatment outcome. The Feeling-Word Checklist-28 (FWC-28) is a self-report questionnaire designed to evaluate the therapist's in-session feelings during therapy with younger patients. The aim of the study was to evaluate the psychometric properties of the clinician-rated FWC-28 and explore the associations between the CT-subscales and therapeutic alliance. Data were collected from a randomized controlled trial in which 11 therapists specialized in child and adolescent psychotherapy treated 16- to 18-year-old patients ( = 62) with major depressive disorder in outpatient clinics. The patients received psychodynamic psychotherapy treatment over 28 sessions. Therapists rated their emotional responses towards their patients on FWC-28 after sessions 3, 12, 20, and 28. Principal component analysis (PCA) with oblique rotation was performed to find clinically meaningful subscales of the FWC-28. PCA revealed four clinically meaningful components termed as follows: inadequate, confident, motherly, and disengaged. The psychometric properties of the FWC and the reliability of the CT subscales measured with Cronbach's alpha were acceptable. The therapist-reported alliance showed significant and clinically meaningful correlations with all CT-subscales. Our findings indicate that the checklist is adequate for clinical practice and countertransference research in adolescents' psychotherapy.
反移情（CT）反应是治疗过程中治疗师对患者的情绪反应。在青少年心理治疗中，治疗师的感受对治疗结果的影响知之甚少。感觉词汇检查表-28（FWC-28）是一种自我报告问卷，旨在评估治疗师在与年轻患者进行治疗时的治疗过程中的感受。本研究的目的是评估临床医生评定的 FWC-28 的心理测量特性，并探讨 CT 亚量表与治疗联盟之间的关联。该数据来自一项随机对照试验，其中 11 名专门从事儿童和青少年心理治疗的治疗师在门诊治疗患有重度抑郁症的 16 至 18 岁患者（n = 62）。患者接受了 28 次心理动力学心理治疗。治疗师在第 3、12、20 和 28 次治疗后，使用 FWC-28 对其对患者的情绪反应进行评分。进行了斜交旋转的主成分分析（PCA），以找到 FWC-28 的临床有意义的子量表。PCA 揭示了四个具有临床意义的成分，分别称为：不足、自信、母性和脱钩。FWC 的心理测量特性和使用 Cronbach 的 alpha 测量的 CT 子量表的可靠性是可以接受的。治疗师报告的联盟与所有 CT 子量表都显示出显著的、具有临床意义的相关性。我们的研究结果表明，该检查表在青少年心理治疗中的临床实践和反移情研究中是充分的。
