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基于治疗师的解释性干预对短期心理治疗结果的预测。

Prediction of outcome of brief psychotherapy from therapist interpretive interventions.

作者信息

Marziali E A

出版信息

Arch Gen Psychiatry. 1984 Mar;41(3):301-4. doi: 10.1001/archpsyc.1984.01790140091011.

DOI:10.1001/archpsyc.1984.01790140091011
PMID:6703847
Abstract

This study replicated Malan's 1976 analysis of psychodynamic interpretations and corrected the major methodological fault in his work: the use of therapist notes for rating the interpretive elements. In this study, the sessions of 25 patients treated in brief dynamic psychotherapy were audiotaped and the ratings of the interpretive interventions were made directly from the audiotapes. Malan's findings were supported. There was a positive association between more favorable outcome, measured on five psychodynamic scales, and the frequency with which therapist interpretations referred to emotions experienced in the transference relationship that were similar to those experienced in relationships with parents and other important persons. The results of this replication indicate that these therapist-offered explanations about the meanings of significant current and past interpersonal relationships contribute to the outcome of brief psychotherapy.

摘要

本研究重复了马兰1976年对精神动力学解释的分析,并纠正了其研究中的主要方法缺陷:使用治疗师记录来评定解释性要素。在本研究中,对25名接受短程动力心理治疗患者的治疗过程进行了录音,并直接根据录音对解释性干预措施进行评定。马兰的研究结果得到了支持。在五个精神动力学量表上所测得的更有利的治疗结果,与治疗师的解释提及在移情关系中体验到的、与在与父母及其他重要人物关系中体验到的情感相似的情感的频率之间,存在正相关。这项重复研究的结果表明,这些由治疗师提供的关于当前和过去重要人际关系意义的解释,有助于短程心理治疗的疗效。

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引用本文的文献

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Res Psychother. 2024 May 2;27(1):744. doi: 10.4081/ripppo.2024.744.
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Tracking Psychodynamic Foci: Trajectories Through the Therapeutic Process.追踪心理动力焦点:贯穿治疗过程的轨迹
Front Psychol. 2022 Jun 6;13:786240. doi: 10.3389/fpsyg.2022.786240. eCollection 2022.
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Therapist adherence/competence and treatment outcome: A meta-analytic review.治疗师的依从性/能力和治疗结果:一项荟萃分析综述。
J Consult Clin Psychol. 2010 Apr;78(2):200-11. doi: 10.1037/a0018912.
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Early transference interventions with male patients in psychotherapy.心理治疗中对男性患者的早期移情干预。
J Psychother Pract Res. 2001 Spring;10(2):79-92.
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Sequential consequences of therapists' interventions.治疗师干预措施的连续后果。
J Psychother Pract Res. 1999 Winter;8(1):40-54.