Strupp H H
Arch Gen Psychiatry. 1980 Jun;37(6):708-16. doi: 10.1001/archpsyc.1980.01780190106013.
This is the second article in a series comparing two patients treated in time-limited individual psychotherapy by a professional therapist in the Vanderbilt Psychotherapy Project. The patients were two young men suffering from anxiety, depression, and social withdrawal. One of the patients was a success case, the other a therapeutic failure. In addition to a variety of change measures, all tape-recorded therapy sessions were subjected to intensive study. Results showed that the outcome of psychotherapy depends markedly on the patient's ability to form a productive working relationship with the therapist early in therapy. Conversely, deep-seated characterological problems, manifesting themselves particularly in negativism, hostility, and other resistances, may give rise to insurmountable barriers resulting in negative therapeutic outcomes. The therapist's attitudes toward the patient and technical skill obviously play a part, but they appear to be overshadowed by the foregoing patient variables.
这是比较范德比尔特心理治疗项目中一位专业治疗师对两名患者进行限时个体心理治疗的系列文章中的第二篇。这两名患者均为年轻男性，患有焦虑、抑郁和社交退缩症状。其中一名患者治疗成功，另一名则治疗失败。除了各种变化测量指标外，所有录音治疗 sessions 都经过了深入研究。结果表明，心理治疗的结果明显取决于患者在治疗早期与治疗师建立有效工作关系的能力。相反，根深蒂固的性格问题，尤其表现为消极、敌意和其他抗拒行为，可能会导致无法逾越的障碍，从而产生负面治疗结果。治疗师对患者的态度和技术技能显然起到了一定作用，但与上述患者变量相比，它们似乎显得不那么重要。
