心理治疗中的字数统计:区分神经性厌食症认知行为疗法和焦点心理动力疗法的语言特征。

IF 2.6 2区 心理学 Q2 PSYCHOLOGY, CLINICAL
Psychotherapy Pub Date : 2023-12-01 Epub Date: 2023-10-12 DOI:10.1037/pst0000499
Simon Palmer, Timo Brockmeyer, Stephan Zipfel, Beate Wild, Gaby Resmark, Martin Teufel, Katrin Giel, Martina de Zwaan, Andreas Dinkel, Stephan Herpertz, Markus Burgmer, Bernd Löwe, Sefik Tagay, Eva Rothermund, Almut Zeeck, Wolfgang Herzog, Hans-Christoph Friederich
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引用次数: 0

摘要

一般认为,心理动力疗法和认知行为疗法在应用技术和过程方面有所不同。然而,到目前为止,人们对是否以及如何在基本语言层面上观察到这种差异,以及这两种治疗方法在哪些方面的差异最为强烈(即,心理动力治疗师和CBT治疗师在治疗过程中逐字逐句地说些什么是如何不同的)知之甚少。在理论模型和先前使用观察者评分的研究的基础上,我们制定了关于治疗饮食障碍患者的心理动力学和CBT治疗师应该在哪些词类别上有所不同的具体假设。为了调查这些假设,我们使用了一项随机对照试验的297个治疗疗程的逐字记录,其中神经性厌食症患者(n=88)接受了局灶性心理动力治疗(FPT)或CBT。然后使用计算机定量文本分析对这些转录本进行检查。根据我们的假设,我们发现CBT治疗师总体上比FPT治疗师说得更多,他们使用的单词也更多。同样符合我们的假设,FPT治疗师使用了更多与社会过程相关的词汇。与我们的预期相反,CBT治疗师并没有表现出对未来的更强关注,而是比FPT治疗师更多地谈论情绪。然而,后一种效应似乎是由对积极情绪的更强烈关注所驱动的。这些发现表明,计算机定量文本分析可以在口语水平上区分CBT和FPT的有意义的语言特征,并具有作为研究人员和治疗师工具的潜力。(PsycInfo数据库记录(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。
Words count in psychotherapy: Differentiating language characteristics of cognitive behavioral therapy and focal psychodynamic therapy for anorexia nervosa.

It is generally assumed that psychodynamic therapy and cognitive behavioral therapy (CBT) differ in terms of applied techniques and processes. To date, however, little is known about whether and how such differences can actually be observed at a basic linguistic level and in what the two treatment approaches differ most strongly (i.e., how psychodynamic and CBT therapists differ in what they actually say word-by-word in therapy sessions). Building on theoretical models and previous research that used observer ratings, we formulated specific hypotheses regarding which word categories psychodynamic and CBT therapists who treat patients with an eating disorder should differ in. To investigate these hypotheses, we used verbatim transcripts from 297 therapy sessions of a randomized controlled trial in which patients with anorexia nervosa (n = 88) received either focal psychodynamic therapy (FPT) or CBT. These transcripts were then examined using computerized quantitative text analysis. In line with our hypotheses, we found that CBT therapists overall spoke more than their FPT counterparts and that they used more words related to eating. Also in line with our hypotheses, FPT therapists used more words related to social processes. Contrary to our expectations, CBT therapists did not show a stronger focus on the future but talked more about emotions than FPT therapists. The latter effect, however, appears to be driven by a stronger focus on positive emotions. These findings suggest that computerized quantitative text analysis can differentiate meaningful language characteristics of CBT and FPT on spoken-word level and that it holds potential as a tool for researchers and therapists. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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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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