The ecology of psychotherapy research.

The ecology of psychotherapy research.
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心理治疗研究的生态学。

DOI:
10.1037//0022-006x.64.4.776
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发表时间:
1996
影响因子:
5.9
通讯作者:
H. Strupp
H. Strupp
中科院分区:
心理学1区
文献类型:
--
作者:
T. Anderson;H. Strupp

文献摘要

被引文献

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心理治疗研究的生态与患者的需求特点和研究仪器的认识报告进行了检查。患者是范德比尔特II项目的一部分,该项目探索了手动培训的有效性。在终止评估后,共对该项目培训前和培训后阶段的59名患者进行了访谈。那些高度意识到自己在实验中作为“受试者”的角色的患者,其结果与研究的主要假设一致,尽管训练并没有显着改善结果。在训练前队列中,高度意识到自己的“主体”角色的患者结局较差,参与探索过程较少。在训练后队列中,高度意识到的患者有良好的结果,并参与更多的探索性过程。有趣的是,这些患者的治疗师提供了一个积极的关系,但未能坚持在培训期间教授的原则。研究的要求,尤其是患者如何定义自己的角色,可能会对结果产生重大影响。
The ecology of psychotherapy research was examined with patient reports of demand characteristics and awareness of research instrumentation. Patients were part of the Vanderbilt II project that explored the effectiveness of manualized training. A total of 59 patients from the pretraining and posttraining phases of the project were interviewed after termination assessments were made. Patients who were highly aware of their role as a "subject" in an experiment had outcomes that were consistent with the primary hypotheses of the study, although training did not significantly improve outcomes. In the pretraining cohort, patients who were highly aware of their "subject" role had poorer outcomes and engaged less in exploratory process. In the posttraining cohort, patients who were highly aware had good outcomes and engaged in more exploratory processes. Interestingly, therapists of these patients offered a positive relationship but failed to adhere to the principles taught during training. Demands of the research, especially how the patient defines his or her role, may affect results in significant ways.