Patient and therapist introject, interpersonal process, and differential psychotherapy outcome.

Patient and therapist introject, interpersonal process, and differential psychotherapy outcome.
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患者和治疗师的内射、人际过程和不同的心理治疗结果。

DOI:
10.1037//0022-006x.58.6.768
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发表时间:
1990
影响因子:
5.9
通讯作者:
Strupp,HH
Strupp,HH
中科院分区:
心理学1区
文献类型:
--
作者:
Henry,WP;Schacht,TE;Strupp,HH

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本研究采用社会行为结构分析(SASB; Benjamin,1974,1982,1984)系统研究了14个治疗对中的第三次治疗中患者与治疗师之间的人际关系过程。根据INTREX Introject问卷(Benjamin,1983)测量的患者introject变化量,将二对组合分为良好和不良结局病例(n= 7)。研究结果支持以下基于人际关系理论的假设,将治疗师的内融状态、治疗中的人际关系过程和结果联系起来:(a)结果差的病例(B)治疗师的陈述中有敌意和控制倾向的数量与患者的自责陈述的数量高度相关;(c)分离型内向型治疗师倾向于参与更高水平的问题人际过程,这些过程与不良结果有关。未来的研究和治疗师培训的影响进行了讨论。
The Structural Analysis of Social Behavior (SASB; Benjamin, 1974, 1982, 1984) system was used to study the interpersonal process between patient and therapist in the 3rd session of 14 therapeutic dyads. Dyads were grouped into good and poor outcomes cases (n= 7) on the basis of the amount of change in the patients’ introject as measured by the INTREX Introject Questionnaire (Benjamin, 1983). Strong support was found for the following hypotheses based on interpersonal theory, linking therapists’ introject state, interpersonal process in therapy, and outcome:(a) Poor outcome cases (no introject change) were typified by interpersonal behaviors by the therapist that confirmed a negative patient introject;(b) the number of therapists’ statements that were subtly hostile and controlling was highly correlated with the number of self-blaming statements by the patients;(c) therapists with disaffiliative introjects tended to engage in a much higher level of problematic interpersonal processes that have been associated with poor outcome. Implications for future research and therapist training are discussed.
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