Piper W E, McCallum M, Azim H F, Joyce A S
Department of Psychiatry, University of Alberta, Edmonton, Canada.
Am J Psychother. 1993 Fall;47(4):479-93. doi: 10.1176/appi.psychotherapy.1993.47.4.479.
Transference interpretation has traditionally been regarded as a powerful distinguishing feature of dynamically oriented psychotherapy. The failure of early studies to demonstrate its impact on outcome may, in part, have been due to limitations in methodology and conceptual models. A recently completed clinical trial of short-term individual psychotherapy has provided evidence of associations between two aspects of transference interpretation and outcome. The two aspects were concentration (frequency expressed as a proportion of interventions) and correspondence (congruence with a patient formulation). The nature of the associations varied as a function of the patient characteristic known as quality of object relations. Also important was the therapeutic alliance. When the variables were considered together in a multivariate model and their relationships examined by means of multiple regression, substantial amounts of outcome variance were accounted for. The evidence from previous and recent studies suggests that technique can have an important impact on outcome in short-term individual psychotherapy. It also indicates that the impact of technique should be viewed in relation to patient and relationship variables.
传统上，移情解释被视为动态取向心理治疗的一个强大的显著特征。早期研究未能证明其对治疗结果的影响，部分原因可能是方法学和概念模型存在局限性。最近完成的一项短期个体心理治疗临床试验提供了证据，表明移情解释的两个方面与治疗结果之间存在关联。这两个方面是专注度（以干预比例表示的频率）和一致性（与患者构想的相符程度）。这些关联的性质因被称为客体关系质量的患者特征而异。治疗联盟也很重要。当在多变量模型中综合考虑这些变量，并通过多元回归检验它们之间的关系时，大量的治疗结果变异得到了解释。先前和近期研究的证据表明，技术在短期个体心理治疗中对治疗结果可能有重要影响。这也表明，应结合患者和关系变量来审视技术的影响。
