Effects of training in time-limited dynamic psychotherapy: mediators of therapists' responses to training.
Effects of training in time-limited dynamic psychotherapy: mediators of therapists' responses to training.
复制标题
限时动态心理治疗中培训的效果：治疗师对培训反应的中介因素。
DOI：
10.1037//0022-006x.61.3.441
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发表时间：
1993
影响因子：
5.9
通讯作者：
Binder,JL
中科院分区：
文献类型：
--
作者：
Henry,WP;Schacht,TE;Strupp,HH;Butler,SF;Binder,JL
16名治疗师参加了为期一年的手工培训计划，这是Vanderbilt II关于限时动态心理治疗(TLDP)研究的一部分。培训计划成功地按照TLDP手册的规定改变了治疗师的干预措施，但一些意想不到的变化与培训的目的背道而驰，包括社会行为结构性分析(SASB)等过程措施所表明的负面人际交往增加。我们检查了治疗师变量、患者变量和培训变量，这些变量似乎可以调节治疗师对培训计划的反应。结果表明，患者的困难可能会在治疗师对培训的反应的某些方面起中介作用。自我报告的敌意和控制性注入者的治疗师表现出最大的技术依从性，这是耐人寻味的，因为之前的研究已经将敌意注入者与更频繁的反治疗人际过程联系在一起。特别令人感兴趣的是与个别培训教师相关的培训效果的差异。这一发现，如果可以推广，对手工化治疗研究，特别是多点试验具有重要意义。
Sixteen therapists were enrolled in a year-long manualized training program as part of the Vanderbilt II study of time-limited dynamic psychotherapy (TLDP). The training program successfully changed therapists' interventions in line with prescriptions of the TLDP manual, but some unanticipated changes ran counter to the intent of the training, including increased negative interpersonal transactions as indicated by process measures such as the Structural Analysis of Social Behavior (SASB). We examined therapist variables, patient variables, and training variables that appeared to mediate therapist responses to the training program. Results indicate that patient difficulty may mediate certain aspects of therapists' responses to training. Therapists with self-reported hostile and controlling introjects showed the greatest technical adherence, which was intriguing because prior research has linked hostile therapist introject to greater frequency of countertherapeutic interpersonal process. Of special interest were differences in effects of training associated with individual training faculty. This finding, if generalizable, has important implications for manualized therapy research, especially multisite trials.