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[以客户为中心和心理动力短期心理治疗中个体观察的时间序列分析结果与问题]

[Results and problems of time series analysis of individual observations in client-centered and psychodynamic brief psychotherapy].

作者信息

Sammet-Hofmann I, Stuhr U, Meyer A E

机构信息

Abt. f. Psychosomatik und Psychotherapie, Medizinischen Klinik, Universitäts-Krankenhauses Eppendorf.

出版信息

Z Klin Psychol Psychopathol Psychother. 1994;42(1):27-41.

PMID:7941633
Abstract

The longitudinal data of five psychotherapies, collected during the Hamburg Short Psychotherapy Comparison Experiment, were statistically reviewed by the method of time series analysis. The intention of the single case studies was to describe the therapist-patient-interactions in details for acquiring greater knowledge of the therapeutical process. The items to study were obtained by ratings. Although there were thirteen nonverbal characteristics of the therapist and the patient as well as one common feature of the relationship between them both. The results did not correspond with the theoretical expectations. There were only few changes in the behaviors of the therapists and the patients and there was little proof of mutual effects in their behaviors during the therapeutical process. Only one of the therapies showed a significant patient's reaction, but it was unexpectedly negativistic. This supports the idea, that the therapist's influence on the patient may not be very strong und may not necessarily be positive. However, there were some severe methodological data problems mainly concerning the applicability of the time series analysis. Nonequidistant measurements as well as the relative shortness of the time series made the validity of the results a topic to be discussed. In dealing with these problems, the necessity of conceptualizing the time structures of psychological processes became evident.

摘要

在汉堡短期心理治疗比较实验期间收集的五种心理治疗方法的纵向数据,采用时间序列分析方法进行了统计审查。单病例研究的目的是详细描述治疗师与患者之间的互动,以更深入了解治疗过程。研究项目通过评分获得。尽管治疗师和患者有13种非语言特征以及他们之间关系的一个共同特征。结果与理论预期不符。治疗师和患者的行为只有很少的变化,并且在治疗过程中几乎没有证据表明他们的行为存在相互影响。只有一种疗法显示出患者有显著反应,但出乎意料的是呈消极态度。这支持了这样一种观点,即治疗师对患者的影响可能不是很强,也不一定是积极的。然而,存在一些严重的方法学数据问题,主要涉及时间序列分析的适用性。不等距测量以及时间序列相对较短使得结果的有效性成为一个有待讨论的话题。在处理这些问题时,概念化心理过程的时间结构的必要性变得明显。

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