儿童心理动力治疗中心理化技术与治疗联盟之间的动态关系:一项循证案例研究。

IF 2.6 2区 心理学 Q2 PSYCHOLOGY, CLINICAL
Psychotherapy Pub Date : 2023-12-01 Epub Date: 2023-10-19 DOI:10.1037/pst0000505
Dilara Güvenç, Sibel Halfon
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引用次数: 0

摘要

治疗联盟和心理化是所有有效治疗所固有的共同因素。基于心理化的干预措施有可能建立一种安全的关系,这使得进一步的心理化干预成为可能。然而,到目前为止,还没有研究检验儿童心理治疗中这些变量之间的双向关系。在一项循证案例研究设计中,比较了两名土耳其儿童(年龄:9岁和10岁)出现社交退缩问题的心理动力学治疗过程。他们的所有疗程(病例1的34个疗程和病例2的31个疗程)都使用治疗过程观察编码系统联盟量表和基于心理治疗的儿童依从性量表进行编码。在基线和终止时使用与症状、依恋和精神状态相关的结果量表。时间序列Granger因果关系测试显示,在具有临床显著结果的病例中,心理化技术预测了后续治疗中的治疗联盟,从而预测了进一步心理化干预的使用。然而,在没有显著改善的情况下,这种关系没有得到支持。选定的会话通过逐字会话小插曲进行临床分析。我们的研究结果表明,儿童治疗中的心理化技术与治疗关系密切相关。(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。
Dynamic relations between mentalization techniques and therapeutic alliance in psychodynamic child therapy: An evidence-based case study.

Therapeutic alliance and mentalization are common factors inherent to all effective treatments. Mentalization-based interventions have the potential to create a safe relationship, which makes further mentalizing interventions possible. However, to date, no study has examined the bidirectional relationship between these variables in child psychotherapy. In an evidence-based case study design, psychodynamic therapy processes of two Turkish children (age: 9 and 10 years) who presented with social withdrawal problems were compared. All their sessions (34 sessions from Case No. 1 and 31 from Case No. 2) were coded using the Therapy Process Observational Coding System-Alliance Scale and Mentalization-Based Treatment for Children Adherence Scale. Outcome scales pertaining to symptoms, attachment, and mentalization were administered at baseline and at termination. Time-series Granger Causality tests revealed that in the case with clinically significant outcome, mentalization techniques predicted therapeutic alliance in the subsequent sessions, which predicted the use of further mentalization interventions. However, this relationship was not supported in the case with no significant improvement. Selected sessions were clinically analyzed with verbatim session vignettes. Our findings indicate that mentalization techniques in child therapy are closely related to the therapeutic relationship. (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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