Muran J C, Samstag L W, Jilton R, Batchelder S, Winston A
Beth Israel Medical Center, Albert Einstein College of Medicine, NY, USA.
J Clin Psychol. 1997 Aug;53(5):405-20. doi: 10.1002/(sici)1097-4679(199708)53:5<405::aid-jclp1>3.0.co;2-m.
Based on increasing recognition that the therapeutic relationship is critical in psychotherapy, the goal of this study was to establish the psychometric properties of a suboutcome strategy that could identify important in-session events involving patient-therapist interactions. Ten third-party observers were calibrated on a circumplex measure of suboutcome, a shortened version of the Wiggins' Interpersonal Adjective Scale-Revised. These observers rated four sessions from each of 28 cases of short-term psychotherapy. Each session was rated by thirds and selected to represent each quartile of a 40-session treatment protocol. The major findings indicated adequate interrater reliability and evidence for criterion validity that suggested a predictive relationship of patient and therapist affiliation to ultimate outcome, especially as observed early in treatment.
基于人们越来越认识到治疗关系在心理治疗中至关重要，本研究的目的是建立一种子结果策略的心理测量特性，该策略可以识别涉及患者 - 治疗师互动的重要治疗期间事件。十名第三方观察者使用一种子结果的环形测量法进行校准，该方法是威金斯人际形容词量表修订版的缩短版。这些观察者对28例短期心理治疗案例中的每例的四个疗程进行评分。每个疗程由三人评分，并被选来代表40个疗程治疗方案的每个四分位数。主要研究结果表明评分者间信度充足，且有标准效度的证据，这表明患者和治疗师的亲和性与最终结果之间存在预测关系，尤其是在治疗早期观察到的情况。
