Elliott R
Psychiatry. 1983 May;46(2):113-29.
This article illustrates a new approach to the study of change processes in psychotherapy. The approach involves selecting significant change events and analyzing them according to the Comprehensive Process Model. In this model, client and therapist behaviors are analyzed for content, interpersonal action, style and response quality by using information derived from Interpersonal Process Recall, client and therapist objective process ratings and qualitative analyses. The event selected for analysis in this paper was rated by client and therapist as significantly helpful. The focal therapist response was a reflective-interpretive intervention in which the therapist collaboratively and evocatively expanded the client's implicit meanings. The event involved working through an earlier insight and realization of progress by the client. The event suggests an association between subjective "felt shifts" and public "process shifts" in client in-therapy behaviors. A model, consistent with Gendlin's experiential psychotherapy (1970), is offered to describe the change process which occurred in this event.
本文阐述了一种研究心理治疗中改变过程的新方法。该方法包括选择重大改变事件，并根据综合过程模型对其进行分析。在这个模型中，通过使用人际过程回忆、来访者和治疗师的客观过程评分以及定性分析所获得的信息，对来访者和治疗师的行为进行内容、人际互动、风格和反应质量方面的分析。本文所选择用于分析的事件，来访者和治疗师都认为其非常有帮助。焦点治疗师的反应是一种反思性解释干预，治疗师通过合作并引发共鸣的方式扩展了来访者隐含的意义。该事件涉及来访者对早期领悟和进步实现的深入探讨。该事件表明来访者治疗中的主观“感觉转变”与公开的“过程转变”之间存在关联。本文提供了一个与根丁林的体验式心理治疗（1970年）相一致的模型，以描述该事件中发生的改变过程。
