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团体心理治疗。一项长期随访研究。

Group psychotherapy. A long-term follow-up study.

作者信息

Malan D H, Balfour F H, Hood V G, Shooter A M

出版信息

Arch Gen Psychiatry. 1976 Nov;33(11):1303-15. doi: 10.1001/archpsyc.1976.01770110031002.

Abstract

Forty-two randomly selected patients were interviewed 2 to 14 years after termination of psychoanalytic group therapy. Comparison of psychodynamic changes in patients who stayed less than six months with those in patients who stayed more than two years gave a null result. The majority of patients were highly dissatisfied with their group experiences. However, there was a very strong positive correlation between favorable outcome and previous individual psychotherapy. Thirteen patients were then studied who were selected by their group therapists as having done well. These patients gave strong evidence of beneficial therapeutic effects, but such patients appear to be rare. These results (1) suggest how this form of treatment might be improved, and (2) raise questions about the appropriateness of transferring to group treatment the strictly psychoanalytic approach as used with individuals.

摘要

在精神分析团体治疗结束后的2至14年,对42名随机挑选的患者进行了访谈。将治疗时间少于6个月的患者与治疗时间超过2年的患者的心理动力学变化进行比较,结果为零。大多数患者对他们的团体治疗经历非常不满意。然而,良好的治疗结果与之前接受的个体心理治疗之间存在非常强的正相关。随后对13名被团体治疗师认为治疗效果良好的患者进行了研究。这些患者提供了有力证据证明治疗具有有益效果,但这类患者似乎很罕见。这些结果(1)提示了这种治疗形式如何改进,(2)引发了关于将严格用于个体的精神分析方法应用于团体治疗是否合适的问题。

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