Hilsenroth M J, Handler L, Toman K M, Padawer J R
Department of Psychiatry, Cambridge Hospital, Massachusetts 02138, USA.
J Consult Clin Psychol. 1995 Dec;63(6):956-65. doi: 10.1037//0022-006x.63.6.956.
This study was an investigation of the differences between 97 patients who had prematurely terminated psychotherapy (M = 1 session) and 81 who had participated in individual psychotherapy for at least 6 months and 24 sessions (M = 18 months/72 sessions) on selected Minnesota Multiphasic Personality Inventory--2 (MMPI-2) and Rorschach variables. None of the between-group comparisons using the MMPI-2 proved to be significant. However, a multivariate analysis of variance of 9 Rorschach variables in 3 conceptual categories--(a) interpersonal relatedness, (b) psychological resources versus resource demand, and (c) level of psychopathology--proved to be significant at p = .008. The Rorschach scores from the interpersonal-relational category proved to be the most robust in differentiating the 2 groups. The theoretical implications of interpersonal variables are discussed in relation to the termination and continuation of patients in psychotherapy.
本研究调查了97名过早终止心理治疗(平均治疗1次)的患者与81名接受了至少6个月且24次个体心理治疗(平均治疗18个月/72次)的患者在明尼苏达多项人格测验第二版(MMPI - 2)及罗夏墨迹测验变量上的差异。使用MMPI - 2进行的组间比较均无显著差异。然而,对罗夏墨迹测验中3个概念类别(a)人际关系、(b)心理资源与资源需求、(c)精神病理学水平中的9个变量进行的多变量方差分析在p = 0.008时具有显著性。人际关系类别中的罗夏墨迹测验分数在区分两组患者方面最为显著。本文讨论了人际变量在心理治疗中患者终止治疗与继续治疗方面的理论意义。