半满或半空的杯子:以解决方案为中心与以问题为中心的客户对治疗师情绪和治疗希望的描述的主题内比较。

IF 2 4区 心理学 Q3 PSYCHOLOGY, CLINICAL
Nicole Geschwind, Barnaby D Dunn
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引用次数: 0

摘要

背景:与问题相比,摄入评估对优势和解决方案的关注有所不同。他们为治疗师提供对客户的第一印象。研究表明,第一印象可能会产生强烈而持久的影响。目的:比较以解决方案为中心与以问题为中心的案例描述如何影响治疗师的情绪和对成功与客户合作的初步期望。方法:对描述客户的小片段进行操作,使其集中在解决方案和优势上,或者集中在问题上。在受试者内实验设计中,33名(样本1)和29名(样本2)实习治疗师每人阅读四个案例描述(两个以解决方案为中心和两个以问题为中心的小片段;秩序完全平衡)。在每个小插曲之后,参与者评估他们对成功与客户合作的影响和期望。结果:在两个样本中,与以问题为中心的小插曲相比,以解决方案为中心的小插曲与显著较高水平的积极影响和对治疗的积极期望相关,与显著较低水平的消极影响相关。不同条件之间的效应大小差异通常很大(Cohen’s d在0.63和1.22之间)。结论:关注来访者的目标,他们的优势,积极地强调更好的时刻和没有问题的领域,可能会增加治疗师的积极情绪和他们对来访者成功治疗的希望。下一步是检查这些积极的短期效果在多大程度上预示着治疗中更好的临床结果。未来的研究还可以进一步研究,支持治疗师以解决方案为中心的方式来构建客户的初步评估,是否可能是促进员工幸福感的一种方式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The glass half-full or half-empty: a within-subject comparison of solution-focused versus problem-focused client descriptions on therapist emotions and hope for treatment.

Background: Intake assessments vary in their focus on strengths and solutions compared with problems. They provide therapists with first impressions of their clients. Research shows that first impressions may have strong and lasting effects.

Aims: To compare how solution- versus problem-focused case descriptions influence therapists' emotions and initial expectations for successfully working with a client.

Methods: Vignettes describing clients were manipulated to focus either on solutions and strengths, or on problems. In a within-subject experimental design, 33 (Sample 1) and 29 (Sample 2) trainee therapists each read four case descriptions (two solution-focused and two problem-focused vignettes; order fully counterbalanced). After each vignette, participants rated their affect and expectations for successfully working with the client.

Results: In both samples, solution-focused vignettes were associated with significantly higher levels of positive affect and positive expectations for treatment, and with significantly lower levels of negative affect, compared with problem-focused vignettes. Effect size differences between conditions were generally large (Cohen's d between .63 and 1.22).

Conclusions: Focusing on clients' goals, their strengths, and actively highlighting better moments and areas of problem-free functioning may increase therapists' positive emotions and their hope for clients' successful treatment. A next step is to examine the degree to which these positive short-term effects are, in turn, predictive of better clinical outcomes in therapy. Future research could additionally examine whether supporting therapists to frame clients' initial assessments in solution-focused ways may be one way to contribute to workforce well-being.

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来源期刊
CiteScore
3.50
自引率
5.60%
发文量
82
期刊介绍: An international multidisciplinary journal aimed primarily at members of the helping and teaching professions. Behavioural and Cognitive Psychotherapy features original research papers, covering both experimental and clinical work, that contribute to the theory, practice and evolution of cognitive and behaviour therapy. The journal aims to reflect and influence the continuing changes in the concepts, methodology, and techniques of behavioural and cognitive psychotherapy. A particular feature of the journal is its broad ranging scope - both in terms of topics and types of study covered. Behavioural and Cognitive Psychotherapy encompasses most areas of human behaviour and experience, and represents many different research methods, from randomized controlled trials to detailed case studies.
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