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抑郁症简短支持性表达性心理治疗早期阶段治疗师的干预措施。

Therapist interventions in early sessions of brief supportive-expressive psychotherapy for depression.

作者信息

Connolly M B, Crits-Christoph P, Shappell S, Barber J P, Luborsky L

机构信息

University of Pennsylvania Medical Center, Department of Psychiatry, Philadelphia 19104-2648, USA.

出版信息

J Psychother Pract Res. 1998 Fall;7(4):290-300.

PMID:9752640
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3330510/
Abstract

Although psychotherapy manuals provide treatment guidelines, detailed descriptions of therapist interventions in manual-guided therapies are lacking. The purpose of the present investigation was to evaluate the types of therapist interventions in Supportive-Expressive (SE) psychotherapy for depression by using a molecular method of assessment and then to compare the results with those attained with a molar method. Four percent of therapist statements per session early in treatment were interpretations, which most often focused on the patient's parents, significant others, and self in the present time frame. This molecular method for assessing therapist interventions did converge with the molar adherence/competence method.

摘要

尽管心理治疗手册提供了治疗指南,但缺乏对手册指导治疗中治疗师干预措施的详细描述。本研究的目的是通过使用一种微观评估方法来评估支持性表达(SE)心理治疗中治疗师干预的类型,然后将结果与通过宏观方法获得的结果进行比较。治疗早期每次治疗中4%的治疗师陈述是解释,这些解释最常聚焦于患者的父母、重要他人以及当前时间框架下的自我。这种评估治疗师干预的微观方法确实与宏观的依从性/胜任力方法一致。

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本文引用的文献

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Factors in Outcomes of Short-Term Dynamic Psychotherapy for Chronic vs. Nonchronic Major Depression.慢性与非慢性重度抑郁症短期动态心理治疗结果的影响因素
J Psychother Pract Res. 1996 Spring;5(2):152-9.
2
Development of a therapist adherence/competence rating scale for supportive-expressive dynamic psychotherapy: a preliminary report.支持表达性动态心理治疗的治疗师依从性/能力评定量表的编制:初步报告。
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Intraclass correlations: uses in assessing rater reliability.组内相关系数:在评估评分者可靠性中的应用。
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Effects of therapist adherence and competence on patient outcome in brief dynamic therapy.在短程动力心理治疗中,治疗师的依从性和胜任力对患者治疗结果的影响。
J Consult Clin Psychol. 1996 Jun;64(3):619-22. doi: 10.1037//0022-006x.64.3.619.
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Three concomitants: personality disorders, psychiatric severity, and outcome of dynamic psychotherapy of major depression.三个伴随因素:人格障碍、精神疾病严重程度以及重度抑郁症动态心理治疗的结果。
Am J Psychiatry. 1993 Aug;150(8):1246-8. doi: 10.1176/ajp.150.8.1246.
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Psychotherapy in community methadone programs: a validation study.社区美沙酮项目中的心理治疗:一项验证性研究。
Am J Psychiatry. 1995 Sep;152(9):1302-8. doi: 10.1176/ajp.152.9.1302.
10
Primary therapist response modes: comparison of six rating systems.主要治疗师反应模式:六种评分系统的比较
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