治疗师减少适应不良互动模式的测试：对患者测试进行分类。
Testing of the therapist to reduce maladaptive interactional patterns: Categorizing patients' tests.
作者信息
Novak Alexandra Nicole, Kadur Jennifer, Huber Dorothea, Klug Günther, Sammet Isa, Andreas Sylke
机构信息
Department of Clinical Psychology, Psychotherapy, & Psychoanalysis, University of Klagenfurt, Klagenfurt am Woerthersee, Austria.
Department of Clinical Psychology & Psychosomatics, International Psychoanalytic University Berlin, Berlin, Germany.
出版信息
Psychother Res. 2023 Apr;33(4):401-414. doi: 10.1080/10503307.2022.2132890. Epub 2022 Oct 13.
OBJECTIVE
This empirical study undertakes a categorization of the core concept of Control Mastery Theory: mostly unconscious testing of pathogenic beliefs that patients exhibit in relating to their therapist to work on their problems. The focus lays on latent meanings of manifest tests.
METHOD
We qualitatively analyze transcripts of 172 psychotherapy sessions with 23 patients for sequences in which significant patient-therapist interactions occur, and systematize identified tests into thematic categories based on what tests intent to achieve (ICC = .68). Guided by theory, the analysis is attending to complexity, individuality, and the unconscious.
RESULTS
Tests circle around striving for independence, deserving/self-worth, acceptance, and entitlement. Individual tests have various underlying meanings, are interrelated, and may be multidimensional.
CONCLUSION
Meanings of tests must be confirmed within the psychotherapeutic process. Incorporating the treating clinician thus seems important.
目的
本实证研究对控制掌握理论的核心概念进行了分类：即对患者在与治疗师互动以解决问题时所表现出的致病信念进行大多无意识的检验。重点在于显性检验的潜在意义。
方法
我们对23名患者的172次心理治疗会话记录进行定性分析，找出患者与治疗师发生重要互动的片段，并根据检验的意图将识别出的检验归纳为主题类别（组内相关系数ICC = 0.68）。在理论指导下，分析关注复杂性、个体性和无意识因素。
结果
检验围绕着追求独立、应得感/自我价值、接纳和权利展开。个别检验具有多种潜在意义，相互关联，且可能是多维度的。
结论
检验的意义必须在心理治疗过程中得到确认。因此纳入治疗临床医生似乎很重要。
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