Adler Y, Rauchfleisch U, Müllejans R
Externe Psychiatrische Dienste Basel-Land.
Psychother Psychosom Med Psychol. 1996 Sep-Oct;46(9-10):321-6.
To evaluate the influence and the consequences of subjective concepts about attribution and treatment expectations of patients and therapists 56 patients of two psychiatric outpatient departments were examined with the inventory for concepts about illness and the Giessen-Test. In addition biographic data and information of the present problems as well the judgment of the therapists were registered. The results show that the subjective concepts of problem attribution and treatment expectations correlate with patient variables as personality, social economic states, social network, anamnestic data, present problems, previous therapeutic experience and vocational situation. Some concepts (e.g. psychologically oriented concepts) and the conformity of therapists and patients are important predictors of indication, prognosis and outcome of therapy. Therapists are especially motivated to work with patients who have similar concepts and a similar social background as themselves. The concepts of the patients assimilate of those of the therapists already after a short period of therapy.
为评估患者和治疗师关于归因和治疗期望的主观概念的影响及后果，对两个精神科门诊的56名患者进行了疾病概念量表和吉森测试检查。此外，还记录了患者的个人资料、当前问题信息以及治疗师的判断。结果表明，问题归因和治疗期望的主观概念与患者变量相关，如个性、社会经济状况、社会网络、既往史资料、当前问题、既往治疗经历和职业状况。一些概念（如心理导向概念）以及治疗师与患者的一致性是治疗指征、预后和结局的重要预测因素。治疗师尤其愿意与那些与自己有相似概念和相似社会背景的患者合作。经过短时间治疗后，患者的概念就会与治疗师的概念趋同。
