Diamond G, Liddle H A
Outpatient Services, Philadelphia Child Guidance Center, Pennsylvania 19104, USA.
J Consult Clin Psychol. 1996 Jun;64(3):481-8. doi: 10.1037//0022-006x.64.3.481.
This study explored the process of resolving an in-session impasse between a parent and an adolescent in family therapy. Focusing on altering the content and affective tone of a discussion, the "shift intervention" was used to direct a family's conversation away from trying to solve behavior management problems and toward a discussion of fundamental relationship problems. Task analysis was used to specify problematic family interactions, the intervention strategy, and successful and unsuccessful outcomes. Descriptive analyses of 5 successful and 5 unsuccessful interventions yielded a detailed performance model of therapist and family behaviors involved in breaking the impasse. The Beavers Timberlawn Family Evaluation Scale was used to verify the presence of the shift intervention in the data set and to embellish the performance model. The model suggested that adolescents became more cooperative and engaged in treatment when parents shifted from trying to control them to trying to understand them. A detailed performance map for accomplishing this shift is offered.
本研究探讨了在家庭治疗中解决家长与青少年之间治疗过程中僵局的过程。聚焦于改变讨论的内容和情感基调，“转变干预”被用于引导家庭对话，使其从试图解决行为管理问题转向讨论基本的关系问题。任务分析被用于明确有问题的家庭互动、干预策略以及成功和失败的结果。对5次成功干预和5次失败干预的描述性分析得出了一个关于打破僵局过程中治疗师和家庭行为的详细表现模型。使用比弗斯·廷伯勒恩家庭评估量表来验证数据集中是否存在转变干预，并完善表现模型。该模型表明，当家长从试图控制青少年转变为试图理解他们时，青少年会变得更合作并更积极参与治疗。本文提供了实现这一转变的详细表现图谱。
