Barber J P, Krakauer I, Calvo N, Badgio P C, Faude J
Department of Psychiatry, University of Pennsylvania Medical School, Philadelphia 19104-2648, USA.
J Psychother Pract Res. 1997 Winter;6(1):12-24.
This article presents the development of a new 82-item rating scale of therapist adherence and competence for supportive-expressive (SE) dynamic psychotherapy for the treatment of cocaine dependence. Sixty-four items are rated for adherence, appropriateness, and quality of prescribed interventions. As part of the pilot/training phase of the National Institute on Drug Abuse Collaborative Cocaine Treatment Study, two independent expert judges rated 32 audiotapes of SE therapy sessions with cocaine-dependent patients, 10 tapes of cognitive therapy (CT) sessions, and 10 tapes of individual drug counseling (IDC) sessions. Reliability was acceptable for adherence but poor for quality and appropriateness. SE therapists used more expressive (interpretative) techniques than did either CT therapists or IDC counselors, and they used more supportive techniques than did IDC counselors.
本文介绍了一种新的82项治疗师依从性和能力评定量表的开发，该量表用于支持性表达（SE）动力心理治疗可卡因依赖。其中64项用于评定规定干预措施的依从性、适宜性和质量。作为美国国立药物滥用研究所可卡因治疗协作研究试点/培训阶段的一部分，两名独立的专家评委对32段对可卡因依赖患者进行SE治疗的录音、10段认知治疗（CT）录音和10段个体药物咨询（IDC）录音进行了评定。依从性的信度可以接受，但质量和适宜性的信度较差。与CT治疗师或IDC咨询师相比，SE治疗师使用了更多的表达性（解释性）技术，且与IDC咨询师相比，他们使用了更多的支持性技术。
