Cierpka M, Frevert G
Abteilung Psychotherapie der Universität Ulm.
Prax Kinderpsychol Kinderpsychiatr. 1995 Sep;44(7):250-60.
Research about indications for family therapy is almost lacking. There are only few studies dealing with the issue which problem or which intrapsychic or interpersonal conflicts should be addressed by family therapy. Clinical decisions concerning family therapy should be based on empirical studies to get more knowledge about the criteria, in which case a specific modality of family therapy and/or a specific setting are indicated. The differential and adaptive indication process complements one another by means of the interaction of the therapist-family system. Our study includes 67 decision making processes which took place at an university outpatient clinic. Our results show that the decisionmaking process is based on a selection of indications. The modality of treatment--individual or family therapy--run either in combination or in a sequence, is related to criteria with respect to the patient and his family. The style of application for psychotherapy--whether one family member is registering the family as a whole or the patient seeks help only for himself--makes the difference. The style of application seems to clear the way for the treatment suggested by the therapist.
关于家庭治疗适应症的研究几乎空白。仅有少数研究涉及家庭治疗应处理何种问题、何种内心或人际冲突这一议题。有关家庭治疗的临床决策应基于实证研究，以便获取更多关于标准的知识，即在何种情况下需要特定的家庭治疗方式和/或特定的治疗环境。差异化和适应性的适应症确定过程通过治疗师 - 家庭系统的互动相互补充。我们的研究涵盖了在大学门诊发生的67个决策过程。我们的结果表明，决策过程基于适应症的选择。治疗方式——个体治疗或家庭治疗——以组合或相继的方式进行，与患者及其家庭的标准相关。心理治疗的申请方式——是一名家庭成员代表整个家庭登记还是患者只为自己寻求帮助——造成了差异。申请方式似乎为治疗师建议的治疗铺平了道路。
