Silences in psychotherapy: An integrative meta-analytic research review.

IF 2.6 2区 心理学 Q2 PSYCHOLOGY, CLINICAL
Psychotherapy Pub Date : 2023-09-01 Epub Date: 2023-04-06 DOI:10.1037/pst0000480
Heidi M Levitt, Zenobia Morrill
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引用次数: 0

Abstract

There is research evidence, from both qualitative and quantitative studies, that silences in psychotherapy have established associations with good and poor outcomes that include and extend beyond symptom measures to processes such as insight, symbolization, and disengagement. Research also has demonstrated that therapists attend to clients' silences, seeking to comprehend the processes therein and intentionally support productive silent processes. This chapter synthesizes this research and examines features of silence processes to provide psychotherapists with the skills to differentiate the functions of both productive and obstructive forms of pausing. It includes a review of 33 quantitative and qualitative studies on silences in individual psychotherapy (from 309 clients and 209 therapists). Our qualitative and integrative meta-analytic evidence indicated that it enhanced their ability to intervene responsively and enhance therapy outcomes when psychotherapists' responded strategically to the specific functions of silences. We consider research limitations, training implications, and therapeutic practices based on the research evidence. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

心理治疗中的沉默:综合元分析研究综述。
来自定性和定量研究的研究证据表明,心理治疗中的沉默与治疗效果的好坏有着既定的联系,这种联系包括并超越了症状测量,延伸到洞察力、象征化和脱离等过程。研究还表明,治疗师会关注客户的沉默,试图理解其中的过程,并有意支持富有成效的沉默过程。本章综合了这些研究,探讨了沉默过程的特征,为心理治疗师提供了区分生产性和阻碍性停顿形式功能的技巧。本章回顾了 33 项关于个体心理治疗中沉默的定量和定性研究(来自 309 名客户和 209 名治疗师)。我们的定性和综合荟萃分析证据表明,当心理治疗师对沉默的特定功能做出策略性反应时,他们的反应性干预能力就会增强,治疗效果也会提高。我们在研究证据的基础上考虑了研究局限性、培训意义和治疗实践。(PsycInfo Database Record (c) 2023 APA,保留所有权利)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Psychotherapy
Psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
4.60
自引率
12.00%
发文量
93
期刊介绍: Psychotherapy Theory, Research, Practice, Training publishes a wide variety of articles relevant to the field of psychotherapy. The journal strives to foster interactions among individuals involved with training, practice theory, and research since all areas are essential to psychotherapy. This journal is an invaluable resource for practicing clinical and counseling psychologists, social workers, and mental health professionals.
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