治疗师在破裂和解决过程中的反应能力：患者和治疗师的观点一致吗？

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2025-01-01 Epub Date: 2024-01-22 DOI:10.1080/10503307.2024.2303318

Maayan Levy Chajmovic, Orya Tishby

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引用次数: 0

摘要

研究目的本研究探讨了破裂修复过程与患者和治疗师对治疗师反应能力的看法之间的关联：我们使用破裂解决评级系统对 35 个短期心理动力学心理治疗案例的早期疗程（3-5 次）进行评级。每次治疗结束后，患者和治疗师都会使用 "患者对调适和响应的体验量表"（PEAR）对治疗师的响应度进行评分：治疗师对破裂的影响与患者和治疗师的 PEAR 评分均呈负相关。对抗性破裂与患者的 PEAR 评分呈负相关，而与退缩性破裂则无明显关联。解决与患者和治疗师的 PEAR 评分均呈正相关。此外，解决方法调节了冲突破裂与患者 PEAR 评分之间的负相关：研究结果强调了治疗师的反应能力与破裂修复过程之间的联系。结论：研究结果强调了治疗师的反应能力与破裂修复过程之间的联系，同时也强调了为治疗师提供必要培训的重要性，使其能够认识到这些动态变化，并在适当的时候与患者进行讨论。

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Therapists' responsiveness in the process of ruptures and resolution: Are patients and therapists on the same page?

Objective: This study examined the association between the rupture-repair process and patients' and therapists' perceptions of the therapist's responsiveness.

Method: We used the Rupture Resolution Rating System to rate early sessions (3-5) in 35 short-term psychodynamic psychotherapy cases. The patients and therapists rated their perceptions of the therapist's responsiveness after each session using the Patient's Experience of Attunement and Responsiveness (PEAR) Scale.

Results: Therapists' contribution to ruptures was negatively associated with both patients' and therapists' PEAR ratings. Confrontation ruptures were negatively associated with patients' PEAR ratings, whereas there was no significant association with withdrawal ruptures. Resolution was positively associated with both patients' and therapists' PEAR ratings. In addition, resolution moderated the negative association between ruptures and patients' PEAR ratings.

Conclusion: The findings emphasize the link between therapists' responsiveness and the rupture-repair process. They also highlight the significance of providing therapists with the necessary training to recognize these dynamics and engage in discussions about them with their patients when appropriate.

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.