Strupp H H
Arch Gen Psychiatry. 1980 May;37(5):595-603. doi: 10.1001/archpsyc.1980.01780180109014.
Why do some patients succeed in psychotherapy whereas others fail? Moreover, what can be learned from a comparison of two comparable patients treated by the same therapist under very similar conditions? Two cases drawn from the Vanderbilt Psychotherapy Project, a controlled study of process and outcome, were studied with a view toward deepening scientific and clinical understanding of time-limited psychoanalytic psychotherapy. Analyses of this kind are also important because the typical psychotherapy outcome study largely ignores individual cases entering into data of "average improvement." Based on systematic outcome and process measures, combined with a detailed study of complete process recordings, the case histories presented herein were those of two young men suffering from anxiety, depression, and social withdrawal who were treated by the same psychotherapist. The results of this analysis, the first of a series, suggest that therapy outcomes are importantly determined by the patient's ability to take advantage of the particular relationship the therapist has to offer; conversely, therapy fails if there is a poor match on these dimensions. Pertinent variables are further specified.
为什么有些患者在心理治疗中取得成功，而另一些患者却失败了？此外，在非常相似的条件下，对由同一位治疗师治疗的两名可比患者进行比较能学到什么？从范德比尔特心理治疗项目（一项关于过程和结果的对照研究）中选取了两个案例进行研究，旨在加深对限时精神分析心理治疗的科学和临床理解。这类分析也很重要，因为典型的心理治疗结果研究很大程度上忽略了纳入“平均改善”数据的个别案例。基于系统的结果和过程测量，结合对完整过程记录的详细研究，本文呈现的案例是两名患有焦虑、抑郁和社交退缩的年轻男子，他们由同一位心理治疗师治疗。这一系列分析中的首次分析结果表明，治疗结果在很大程度上取决于患者利用治疗师所能提供的特定关系的能力；相反，如果在这些方面匹配不佳，治疗就会失败。相关变量将进一步明确。
