Sexton H
Department of Psychiatry, Innherred Hospital, Levanger, Norway.
J Consult Clin Psychol. 1993 Feb;61(1):128-36. doi: 10.1037//0022-006x.61.1.128.
Process was related to intermediate and posttreatment outcomes for 34 patients undergoing multimodal group therapy. Exploratory time series analysis suggested that process variable effects differed with the phase of the therapy. It appeared that an emotionally warm bond occurred between patient and therapist in the sessions prior to therapist-rated improvement. A patient rating of insight followed in subsequent sessions. A negative feedback loop between patient symptom levels and therapist negative patient-directed feelings was demonstrated. Patient dysphoria in later therapy sessions seemed to reflect an earlier therapeutic failure. Ego strength directly exerted its positive influence on outcome in later sessions. The relation between in-therapy process trends and overall outcome supported these findings.
该过程与34名接受多模式团体治疗的患者的治疗中期及后期结果相关。探索性时间序列分析表明，过程变量效应因治疗阶段而异。在治疗师评定的病情改善之前的疗程中，患者与治疗师之间似乎形成了情感上温暖的联结。随后的疗程中出现了患者对领悟的评定。证实了患者症状水平与治疗师对患者的负面感受之间存在负反馈循环。后期治疗疗程中患者的烦躁不安似乎反映了早期治疗的失败。自我力量在后期疗程中直接对结果产生了积极影响。治疗过程趋势与总体结果之间的关系支持了这些发现。
