Was ist eine erfolgreiche Psychotherapie? Was ist erfolgreich in der Psychotherapie?

Q Medicine
Fäh
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引用次数: 2

Abstract

What Is Successful Treatment? What Is Success in Therapy? - Observations on Psychotherapy ResearchThe author raises the following questions: What are the criteria for the evaluation of successful psychotherapeutic treatment? Which are the suitable research methods for the assessment of psychotherapeutic success? He proposes a research paradigm based on multiple criteria and multiple methods. Psychotherapeutic treatment success must be assessed on different levels: aetiology of disease, disease as nosologic category (e. g. depression), symptomatology, consequences (psychic, physical, social, economical) of disease. He further develops a research logic that is multimethodical: Results from different research methods must be aggregated on the basis of convergent findings. The three 'key research methods' in psychotherapy research are: single-case studies, controlled trials, naturalistic catamnestic research. Statements about any psychotherapeutic method or intervention strategy are only valid when results from these different study types converge. It may be a very severe bias when findings from only one study type (e. g. controlled trials) are generalised as a final verdict on certain psychotherapeutic methods.

什么是成功的心理治疗?心理治疗有效吗?
什么是成功的治疗?什么是治疗的成功?——心理治疗研究观察作者提出了以下问题:评价心理治疗成功的标准是什么?评估心理治疗成功的合适研究方法有哪些?他提出了一种基于多标准、多方法的研究范式。心理治疗治疗的成功与否必须从不同的层面进行评估:疾病的病因、作为病理性分类的疾病(如抑郁症)、症状、疾病的后果(心理、生理、社会、经济)。他进一步发展了一种多方法的研究逻辑:不同研究方法的结果必须在趋同的发现的基础上进行汇总。心理治疗研究的三种“关键研究方法”是:个案研究、对照试验、自然灾变研究。关于任何心理治疗方法或干预策略的陈述只有在这些不同研究类型的结果趋于一致时才有效。当仅从一种研究类型(如对照试验)得出的结果被概括为对某些心理治疗方法的最终结论时,这可能是一种非常严重的偏差。
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