Ambühl H, Orlinsky D, Cierpka M, Buchheim P, Meyerberg J, Willutzki U
Psychother Psychosom Med Psychol. 1995 Mar-Apr;45(3-4):109-20.
This article explores the extent to which, and ways in which, German speaking psychotherapists modify their theoretical orientations as a function of increasing clinical experience. The data for this come from the Development of Psychotherapists Common Core Questionnaire (CCQ), an instrument designed by the SPR Collaborative Research Network to collect a broad range of information about the therapist's background, training, practice etc. Two sections ask directly about the theoretical framework used by therapists to guide their therapeutic work, using a set of scales to assess the degree to which practitioners rely on various general models (analytic/psychodynamic, behavioral, humanistic, cognitive, systems theory, other). This permits the construction of profiles of formal and content based theoretical orientation patterns. By asking the question separately about the therapist's current practice, and about their practices as beginners, it also permits an evaluation of self-assessed change. In order to amplify the meaning of the theoretical background we ask therapists to indicate the relative importance of their patients realizing each of a series of therapeutic goals. The findings show very clearly that psychotherapists are very diverse both in the formal patterns and specific contents of their therapeutic orientations, and that they tend, as a role, to integrate two or more distinct theoretical approaches in guiding their clinical work with patients. The adherence to theoretical orientations has a strong impact on the goals that therapists typically work toward with their patients. Our findings show that therapists do pursue different goals depending on which conceptual framework they rely on.
本文探讨了德语区心理治疗师在多大程度上以及如何根据临床经验的增加来调整其理论取向。这方面的数据来自心理治疗师共同核心问卷(CCQ)的开发,该问卷由SPR合作研究网络设计,用于收集有关治疗师背景、培训、实践等方面的广泛信息。问卷的两个部分直接询问治疗师用于指导其治疗工作的理论框架,使用一组量表来评估从业者依赖各种一般模型(分析/心理动力、行为、人本主义、认知、系统理论、其他)的程度。这使得能够构建基于形式和内容的理论取向模式的概况。通过分别询问治疗师当前的实践以及他们作为新手时的实践,还可以对自我评估的变化进行评估。为了强化理论背景的意义,我们要求治疗师指出患者实现一系列治疗目标中每一个目标的相对重要性。研究结果非常清楚地表明,心理治疗师在其治疗取向的形式模式和具体内容方面都非常多样化,并且作为一个群体,他们倾向于在指导与患者的临床工作时整合两种或更多不同的理论方法。对理论取向的坚持对治疗师通常与患者努力实现的目标有很大影响。我们的研究结果表明,治疗师根据他们所依赖的概念框架确实会追求不同的目标。