Stiles W B, Shapiro D A
Department of Psychology, Miami University, Oxford, Ohio 45056.
J Consult Clin Psychol. 1994 Oct;62(5):942-8. doi: 10.1037/0022-006x.62.5.942.
The drug metaphor suggests that if a process component (e.g., interpretation) is an active ingredient of a successful psychotherapy, then administering a relatively high level of it should yield a relatively positive outcome, and levels of the process component and the outcome should be correlated across clients. Measures of 5 theoretically relevant, reliably measured verbal process components were compared with the rate of change in 3 standard symptom intensity measures across the brief treatments of 39 (mainly depressed) psychotherapy clients. The expected significant process-outcome correlations were not found. These results are discussed as they illuminate some misleading assumptions that underlie many conventional studies of psychotherapy process and outcome.
药物隐喻表明，如果一个过程成分（例如解释）是成功心理治疗的有效成分，那么给予相对高水平的该成分应该会产生相对积极的结果，并且该过程成分的水平与结果在不同客户之间应该是相关的。将5个理论上相关且测量可靠的言语过程成分的测量结果，与39名（主要是抑郁症患者）心理治疗客户在短期治疗中3种标准症状强度测量的变化率进行了比较。未发现预期的显著的过程-结果相关性。对这些结果进行了讨论，因为它们揭示了许多传统心理治疗过程和结果研究背后的一些误导性假设。
