Silberschatz G, Curtis J T
Department of Psychiatry, Mount Zion Medical Center, University of California, San Francisco.
J Consult Clin Psychol. 1993 Jun;61(3):403-11. doi: 10.1037//0022-006x.61.3.403.
This article describes methods and concepts developed by the Mount Zion Psychotherapy Research Group for empirically evaluating the pertinence of suitability of a therapist's interventions (behaviors) to a patient's particular problems, needs, and treatment goals. Intensive studies of 2 brief psychotherapy cases are presented. In these studies, patient-initiated critical incidents (tests) were identified, the case-specific accuracy of the therapist's responses to these incidents was rated, and the impact of these interventions on subsequent patient behavior was measured. The findings indicated that these patients tended to show improvement in the therapeutic process when the therapist's interventions were in accord with their particular problems and treatment goals. The application of this method to clinically relevant studies of psychotherapy is discussed.
本文介绍了锡安山心理治疗研究小组开发的方法和概念，用于实证评估治疗师的干预措施（行为）与患者特定问题、需求和治疗目标的相关性和适用性。文中呈现了对两个简短心理治疗案例的深入研究。在这些研究中，识别出患者引发的关键事件（测试），对治疗师针对这些事件的反应的个案特异性准确性进行评级，并衡量这些干预措施对患者后续行为的影响。研究结果表明，当治疗师的干预措施与患者的特定问题和治疗目标一致时，这些患者在治疗过程中往往会有所改善。本文还讨论了该方法在心理治疗临床相关研究中的应用。
