Horowitz M J, Milbrath C, Ewert M, Sonneborn D, Stinson C
Program on Conscious and Unconscious Mental Processes, John D. and Catherine T. MacArthur Foundation, University of California, San Francisco.
Am J Psychiatry. 1994 Dec;151(12):1767-70. doi: 10.1176/ajp.151.12.1767.
A quantitative study of shifts in states of mind was conducted to demonstrate a clinically useful mode of observation. This mode categorizes observations of a patient's mental state into well-modulated, overmodulated, undermodulated, and shimmering patterns.
The authors used reliable systems for scoring a patient's state of mind on videotapes of all sessions of her brief psychotherapy and, using separate procedures, scored the topics of discourse. These data were then examined by means of a lagged log-linear sequential analysis for patterns of shifts from one state to another and for concurrent shifts in topics.
The findings indicated nonrandom shifts in state. Patterns of shifting from a well-modulated state to alternative states and back again were overrepresented. Such shifts were related to conflictual topics of discourse.
Observing such shifts in mental state may help psychotherapists to formulate the contents of conflict and also to make technical interventions to stabilize optimal states for doing the work of psychotherapy.
开展一项关于心理状态变化的定量研究，以证明一种具有临床实用性的观察模式。该模式将对患者心理状态的观察分为调节良好、调节过度、调节不足和闪烁模式。
作者使用可靠的系统，对患者短程心理治疗所有疗程的录像带中的心理状态进行评分，并采用单独的程序对谈话主题进行评分。然后通过滞后对数线性序列分析，检查这些数据，以了解从一种状态到另一种状态的转变模式以及主题的同步转变。
研究结果表明状态转变并非随机。从调节良好状态转变为其他状态然后再转变回来的模式出现频率过高。这种转变与冲突性的谈话主题有关。
观察这种心理状态的转变可能有助于心理治疗师明确冲突的内容，也有助于进行技术干预，以稳定开展心理治疗工作的最佳状态。
