Contribution of defensive functioning to the quality of working alliance and psychotherapy outcome
Contribution of defensive functioning to the quality of working alliance and psychotherapy outcome
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DOI：
10.1176/appi.psychotherapy.2002.56.4.539
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发表时间：
2002-01-01
影响因子：
2.5
通讯作者：
Hoglend, P
中科院分区：
文献类型：
--
作者：
Hersoug, AG;Sexton, HC;Hoglend, P
我们分析了短暂动态心理治疗期间防御机制是否发生变化和/或预测结果（N = 43，最多 40 次治疗，挪威心理治疗过程和结果多中心研究）。使用防御机制评级量表（DMRS，临床医生评级）和防御方式问卷（DSQ 自评）对防御进行评级。 DMRS 评估的整体防御功能 (ODF) 发生了显着变化。我们发现最初的 ODF 既不能预测工作联盟的质量，也不能影响结果。症状在治疗早期改善最快，而防御在治疗后半段发生变化，与变化的阶段模型一致。
We analyzed whether defense mechanisms changed and/or predicted outcome during brief dynamic psychotherapy (N = 43, max 40 sessions, Norwegian Multisite Study on Process and Outcome of Psychotherapy). Defenses were rated with the Defense Mechanism Rating Scales (DMRS, clinician-rated) and Defense Style Questionnaire (DSQ self-rated). Overall defensive functioning (ODF) as rated by DMRS changed significantly. We found that the initial ODF's neither predicted the quality of working alliance nor influenced the outcome. Symptoms improved most rapidly early in therapy, while defenses changed during the last half of therapy, consistent with the phase model of change.