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短期动态心理治疗。一、奥斯陆小组的结果评分表、该表格的信度测试及观察者特征

Short-term dynamic psychotherapy. I. The Oslo group's form to score outcome, the reliability testing of this form and observer characteristics.

作者信息

Husby R, Dahl A A, Dahl C I, Heiberg A N, Olafsen O M, Weisaeth L

出版信息

Psychother Psychosom. 1985;43(1):1-7. doi: 10.1159/000287850.

DOI:10.1159/000287850
PMID:3975330
Abstract

The aim of short-term dynamic psychotherapy is, through working with a central conflict and transference reactions, to obtain lasting changes based on cognitive and emotional understanding of the main dynamics of the central conflict, called insight. The aim of the present study was to construct a follow-up form that was easy to handle, could score different outcome of short-term dynamic psychotherapy, as for instance symptom relief, change in social functioning and better insight, and was reliable. Sufficient reliability was established with a reliability coefficient between 0.756 and 0.564 for eight result variables. Percentage agreement was estimated in addition. As a total only 10% of the scores differed more than +/- 1 from a consensus score on a scale from zero, no change, to 7, recovered. The therapist was a reliable observer of his/her own patients. The sex of the observer did not influence percentage agreement. High-formal training in psychotherapy tended to give higher percentage of agreement compared to low-formal training.

摘要

短期动力心理治疗的目标是,通过处理核心冲突和移情反应,基于对核心冲突主要动力的认知和情感理解(即领悟)来实现持久改变。本研究的目的是构建一种易于操作的随访表格,该表格能够对短期动力心理治疗的不同结果进行评分,比如症状缓解、社会功能变化以及更好的领悟,并且具有可靠性。八个结果变量的可靠性系数在0.756至0.564之间,从而确立了足够的可靠性。此外,还估算了百分比一致性。总体而言,在从0(无变化)到7(康复)的量表上,只有10%的分数与共识分数的差异超过±1。治疗师是其自身患者的可靠观察者。观察者的性别不影响百分比一致性。与低形式培训相比,接受高形式心理治疗培训的人往往具有更高的百分比一致性。

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