How collaboration in therapy becomes therapeutic: the therapeutic collaboration coding system.
How collaboration in therapy becomes therapeutic: the therapeutic collaboration coding system.
复制标题
治疗中的协作如何成为治疗：治疗协作编码系统。
DOI：
10.1111/j.2044-8341.2012.02066.x
复制
发表时间：
2013
期刊：
影响因子：
--
通讯作者：
W. Stiles
中科院分区：
文献类型：
--
作者：
Eugénia Ribeiro;António P. Ribeiro;M. Gonçalves;A. Horvath;W. Stiles
背景
作为联盟核心的治疗协作的质量和强度与积极的治疗结果可靠地相关。临床医生和研究人员面临的紧迫挑战是构建一个概念框架，将促进合作的辩证工作与客户如何在治疗中取得进展的模型相结合。
目的
我们提出了一个概念性的帐户如何合作治疗成为治疗。此外，我们报告的编码系统的建设-治疗协作编码系统（TCCS）-旨在分析和跟踪治疗师和客户之间的互动的时刻。初步证据是关于编码系统的心理测量特性。TCCS评估每个说话回合，并评估治疗师是否以及如何在客户的近端发展治疗区内工作，定义为客户的实际治疗发展水平和与治疗师合作可以达到的潜在发展水平之间的空间。
方法
我们将TCCS应用于五个病例：一个好的和一个差的叙事治疗结局病例，一个好的和一个差的认知行为治疗结局病例，和一个脱落的叙事治疗病例。
结论
TCCS提供的标记物可以帮助研究人员更好地了解治疗协作的每时每刻，并可以帮助治疗师更好地调节这种关系。
BACKGROUND
The quality and strength of the therapeutic collaboration, the core of the alliance, is reliably associated with positive therapy outcomes. The urgent challenge for clinicians and researchers is constructing a conceptual framework to integrate the dialectical work that fosters collaboration, with a model of how clients make progress in therapy.
AIM
We propose a conceptual account of how collaboration in therapy becomes therapeutic. In addition, we report on the construction of a coding system - the therapeutic collaboration coding system (TCCS) - designed to analyse and track on a moment-by-moment basis the interaction between therapist and client. Preliminary evidence is presented regarding the coding system's psychometric properties. The TCCS evaluates each speaking turn and assesses whether and how therapists are working within the client's therapeutic zone of proximal development, defined as the space between the client's actual therapeutic developmental level and their potential developmental level that can be reached in collaboration with the therapist.
METHOD
We applied the TCCS to five cases: a good and a poor outcome case of narrative therapy, a good and a poor outcome case of cognitive-behavioural therapy, and a dropout case of narrative therapy.
CONCLUSION
The TCCS offers markers that may help researchers better understand the therapeutic collaboration on a moment-to-moment basis and may help therapists better regulate the relationship.