Therapist treatment fidelity in prescriptive vs. exploratory psychotherapy.
Therapist treatment fidelity in prescriptive vs. exploratory psychotherapy.
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治疗师在规定性心理治疗与探索性心理治疗中的治疗保真度。
DOI：
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发表时间：
1993
影响因子：
3.1
通讯作者：
D. A. Shapiro
中科院分区：
文献类型：
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作者：
M. Startup;D. A. Shapiro
通过谢菲尔德心理治疗评定量表评估治疗师对处方性和探索性心理治疗手册的忠诚度。从第二个谢菲尔德心理治疗项目得出的220次会议的评级显示出足够的评分者之间的可靠性内和治疗之间。判别分析表明，治疗可以区分几乎完美的，即使相同的五个治疗师提供他们两个。促进关系的技能，测量的便利条件规模，保持不变的治疗和没有贡献的判别函数。没有证据表明依从性随客户症状的严重程度而变化，只有非常有限的证据表明依从性随治疗持续时间而变化，尽管有足够的统计能力来检测微小的影响。在坚持治疗阶段的小变化，发现，但仅为会议的处方治疗。
Therapist fidelity to the manuals for prescriptive and exploratory psychotherapies was assessed via the Sheffield Psychotherapy Rating Scale. Ratings on 220 sessions drawn from the Second Sheffield Psychotherapy Project showed adequate inter-rater reliabilities within and between treatments. Discriminant analysis showed that the treatments could be differentiated almost perfectly even though the same five therapists delivered both of them. Relationship enhancing skills, measured by a facilitative conditions scale, were held constant across treatments and contributed nothing to the discriminant function. There was no evidence that adherence varied with the severity of the clients' symptoms and only very limited evidence that it varied with the duration of treatment, despite there being adequate statistical power to detect small effects. Small variations in adherence with the stage of treatment were found but only for sessions of prescriptive therapy.