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[在一项关于长期住院患者团体心理治疗过程与结果的研究中运用核心关系冲突主题方法]

[Using the method of central relationship conflict topic in a study of the process and outcome of long-term inpatient group psychotherapy].

作者信息

Strauss B, Dauert E, Gladewitz J, Kaak A, Kieselbach S, Lammert K, Struck D

机构信息

Klinik für Psychosomatik und Psychotherapie, Christian-Albrechts-Universität Kiel.

出版信息

Psychother Psychosom Med Psychol. 1995 Sep-Oct;45(9-10):342-50.

PMID:7480591
Abstract

Within a research project dealing with the process and outcome of inpatient group psychotherapy, the core conflictual relationship theme method (CCRT) was used to determine if the central basic interpersonal problems of patients differ in comparison of individual pre- and postreatment sessions, if the CCRT determined at the beginning of treatment is related to outcome, and if there is a similarity between the CCRT from individual and group sessions. Comparisons of the CRRT(-components) from the beginning and the end of treatment (related to 19 patients) indicated marked changes on the levels of wishes and responses from others as well as "formal" changes of the narratives (temporal relations as well as the objects mentioned). The second part of the study (n = 26) revealed differences between subgroups determined on the basis of differential outcome measures with respect to the structure of their conflicts. The similarity of the CCRT from group and individual sessions which was studied for nine patients appeared to be moderate. The study revealed that the CCRT might need some minor revisions but appears to be an important method to thoroughly describe the effects of psychotherapies.

摘要

在一个关于住院团体心理治疗过程与结果的研究项目中,核心冲突关系主题法(CCRT)被用于确定患者的核心基本人际问题在个体治疗前和治疗后阶段的比较中是否存在差异,治疗开始时确定的CCRT是否与治疗结果相关,以及个体治疗和团体治疗的CCRT之间是否存在相似性。对19名患者治疗开始和结束时的CRRT(各组成部分)进行比较,结果表明在愿望和他人反应水平以及叙述的“形式”(时间关系以及提及的对象)方面有显著变化。研究的第二部分(n = 26)揭示了根据不同结果指标确定的亚组在冲突结构方面存在差异。对9名患者进行研究发现,团体治疗和个体治疗的CCRT相似性似乎处于中等水平。该研究表明,CCRT可能需要一些小的修订,但似乎是一种全面描述心理治疗效果的重要方法。

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