Eugster S L, Wampold B E
Department of Counseling Psychology, University of Wisconsin-Madison, USA.
J Consult Clin Psychol. 1996 Oct;64(5):1020-8. doi: 10.1037//0022-006x.64.5.1020.
This study identified systematic differences between therapists (n = 114) and patients (n = 119) in the process components that predict evaluation of psychotherapy sessions. The Comprehensive Scale of Psychotherapy Session Constructs was developed to measure 9 process variables and their relationships to session evaluation from the perspectives of therapist and patient. Regression equations predicting session evaluation from the process components for the 2 groups were significantly different. Therapist session evaluation was best predicted by therapist expertness, and patient session evaluation was best predicted by the therapist real relationship. The therapist real relationship negatively predicted therapist session evaluation when all process variables were considered simultaneously. Patient progress and patient involvement significantly and positively predicted both therapist and patient evaluation.
本研究确定了治疗师(n = 114)和患者(n = 119)在预测心理治疗疗程评估的过程成分方面存在系统性差异。开发了心理治疗疗程结构综合量表,以从治疗师和患者的角度测量9个过程变量及其与疗程评估的关系。两组从过程成分预测疗程评估的回归方程存在显著差异。治疗师对疗程的评估最佳预测因素是治疗师的专业能力,而患者对疗程的评估最佳预测因素是治疗师的真实关系。当同时考虑所有过程变量时,治疗师的真实关系对治疗师的疗程评估有负向预测作用。患者的进展和参与对治疗师和患者的评估均有显著的正向预测作用。