{"title":"对常规心理治疗实践中存在的跨理论改变原则的共识:对临床医生和研究人员的调查。","authors":"Conal Twomey, Gary O'Reilly, Marvin R Goldfried","doi":"10.1037/pst0000489","DOIUrl":null,"url":null,"abstract":"<p><p>Goldfried (1982) hypothesized that there are five transtheoretical principles of change that guide routine psychotherapy practice. This survey investigated if there is consensus on the perceived presence of these principles in the approaches of a professionally diverse pool of psychotherapy clinicians and researchers. One thousand nine hundred ninety-eight participants, aged 21-85 years (<i>M</i> = 50.4 years, <i>SD</i> = 15.59) and representing a wide variety of theoretical orientations, completed an online survey. For consensus to be indicated, 95% confidence intervals of mean agreement scores had to be above 4.0 (out of 5). Mean agreement levels in response to \"the extent to which you agree that the following principles are present in your own approach to psychotherapy\" indicated consensus for all five principles: (a) fostering hope, positive expectations, and motivation (<i>M</i> = 4.58; 95% CI [4.53, 4.62]); (b) facilitating the therapeutic alliance (<i>M</i> = 4.76; 95% CI [4.73, 4.80]); (c) increasing awareness and insight (<i>M</i> = 4.66; 95% CI [4.63, 4.70]); (d) encouraging corrective experiences (<i>M</i> = 4.44; 95% CI [4.39, 4.48]); (e) emphasizing ongoing reality testing (<i>M</i> = 4.15; 95% CI [4.09, 4.20]). These findings were unaffected by age, gender, working patterns, practice (clinician or researcher), and years of experience; however, consensus on the final two principles was not indicated for both psychodynamic and experiential psychotherapists. The demonstrated consensus surrounding the transtheoretical principles of change corresponds with their consistently yielded outcome associations in previous research. The combination of these evidence sources points to the importance of the principles in routine psychotherapy practice, which warrants further investigation. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>","PeriodicalId":20910,"journal":{"name":"Psychotherapy","volume":null,"pages":null},"PeriodicalIF":2.6000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Consensus on the perceived presence of transtheoretical principles of change in routine psychotherapy practice: A survey of clinicians and researchers.\",\"authors\":\"Conal Twomey, Gary O'Reilly, Marvin R Goldfried\",\"doi\":\"10.1037/pst0000489\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Goldfried (1982) hypothesized that there are five transtheoretical principles of change that guide routine psychotherapy practice. This survey investigated if there is consensus on the perceived presence of these principles in the approaches of a professionally diverse pool of psychotherapy clinicians and researchers. One thousand nine hundred ninety-eight participants, aged 21-85 years (<i>M</i> = 50.4 years, <i>SD</i> = 15.59) and representing a wide variety of theoretical orientations, completed an online survey. For consensus to be indicated, 95% confidence intervals of mean agreement scores had to be above 4.0 (out of 5). Mean agreement levels in response to \\\"the extent to which you agree that the following principles are present in your own approach to psychotherapy\\\" indicated consensus for all five principles: (a) fostering hope, positive expectations, and motivation (<i>M</i> = 4.58; 95% CI [4.53, 4.62]); (b) facilitating the therapeutic alliance (<i>M</i> = 4.76; 95% CI [4.73, 4.80]); (c) increasing awareness and insight (<i>M</i> = 4.66; 95% CI [4.63, 4.70]); (d) encouraging corrective experiences (<i>M</i> = 4.44; 95% CI [4.39, 4.48]); (e) emphasizing ongoing reality testing (<i>M</i> = 4.15; 95% CI [4.09, 4.20]). These findings were unaffected by age, gender, working patterns, practice (clinician or researcher), and years of experience; however, consensus on the final two principles was not indicated for both psychodynamic and experiential psychotherapists. The demonstrated consensus surrounding the transtheoretical principles of change corresponds with their consistently yielded outcome associations in previous research. The combination of these evidence sources points to the importance of the principles in routine psychotherapy practice, which warrants further investigation. (PsycInfo Database Record (c) 2023 APA, all rights reserved).</p>\",\"PeriodicalId\":20910,\"journal\":{\"name\":\"Psychotherapy\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2023-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psychotherapy\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1037/pst0000489\",\"RegionNum\":2,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychotherapy","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1037/pst0000489","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
引用次数: 1
摘要
Goldfried(1982)假设有五个跨理论的改变原则指导日常的心理治疗实践。这项调查调查了是否有共识的感知存在的这些原则在不同专业池的心理治疗临床医生和研究人员的方法。一千九百九十八名年龄在21-85岁之间的参与者(M = 50.4岁,SD = 15.59)完成了一项在线调查,他们代表了各种各样的理论取向。为了表明共识,平均同意分数的95%置信区间必须高于4.0(满分为5分)。“你在多大程度上同意以下原则存在于你自己的心理治疗方法中”的平均同意水平表明了对所有五个原则的共识:(a)培养希望、积极期望和动机(M = 4.58;95% ci [4.53, 4.62]);(b)促进治疗联盟(M = 4.76;95% ci [4.73, 4.80]);(c)提高认识和洞察力(M = 4.66;95% ci [4.63, 4.70]);(d)鼓励纠正经验(M = 4.44;95% ci [4.39, 4.48]);(e)强调正在进行的现实检验(M = 4.15;95% ci[4.09, 4.20])。这些结果不受年龄、性别、工作模式、实践(临床医生或研究人员)和经验年数的影响;然而,对最后两个原则的共识并没有为精神动力和经验心理治疗师指明。在以往的研究中,围绕变革的跨理论原则所证明的共识与它们一致产生的结果关联是一致的。这些证据来源的结合表明了这些原则在日常心理治疗实践中的重要性,值得进一步研究。(PsycInfo数据库记录(c) 2023 APA,版权所有)。
Consensus on the perceived presence of transtheoretical principles of change in routine psychotherapy practice: A survey of clinicians and researchers.
Goldfried (1982) hypothesized that there are five transtheoretical principles of change that guide routine psychotherapy practice. This survey investigated if there is consensus on the perceived presence of these principles in the approaches of a professionally diverse pool of psychotherapy clinicians and researchers. One thousand nine hundred ninety-eight participants, aged 21-85 years (M = 50.4 years, SD = 15.59) and representing a wide variety of theoretical orientations, completed an online survey. For consensus to be indicated, 95% confidence intervals of mean agreement scores had to be above 4.0 (out of 5). Mean agreement levels in response to "the extent to which you agree that the following principles are present in your own approach to psychotherapy" indicated consensus for all five principles: (a) fostering hope, positive expectations, and motivation (M = 4.58; 95% CI [4.53, 4.62]); (b) facilitating the therapeutic alliance (M = 4.76; 95% CI [4.73, 4.80]); (c) increasing awareness and insight (M = 4.66; 95% CI [4.63, 4.70]); (d) encouraging corrective experiences (M = 4.44; 95% CI [4.39, 4.48]); (e) emphasizing ongoing reality testing (M = 4.15; 95% CI [4.09, 4.20]). These findings were unaffected by age, gender, working patterns, practice (clinician or researcher), and years of experience; however, consensus on the final two principles was not indicated for both psychodynamic and experiential psychotherapists. The demonstrated consensus surrounding the transtheoretical principles of change corresponds with their consistently yielded outcome associations in previous research. The combination of these evidence sources points to the importance of the principles in routine psychotherapy practice, which warrants further investigation. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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.