INTERPERSONAL PROBLEMS IN PSYCHODYNAMIC PSYCHOTHERAPY

心理动力心理治疗中的人际关系问题

• 批准号: 3378594
• 负责人: LEONARD M HOROWITZ
• 金额: $ 11.54万
• 依托单位: STANFORD UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1985
• 资助国家: 美国
• 起止时间: 1985-04-01 至 1988-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3378594
• 关键词: diagnosis quality /standard; disease /disorder classification; health care personnel performance; human subject; human therapy evaluation; interpersonal relations; mental disorder diagnosis; psychiatrist; psychometrics; psychotherapy; questionnaires; videotape /videodisc

Previous studies of psychodynamic psychotherapy have focused on changes in symptoms, though the treatment itself primarily concerns interpersonal problems and conflicts. This project will develop two new methods for studying the interpersonal aspects of psychotherapy--(1) an Inventory of Interpersonal Problems, a self-report instrument for describing a patient's distress arising from interpersonal problems, and (2) a group-derived dynamic formulation, an objective and systematic method of combining clinicians' independent judgment into a dynamic formulation that describes a patients's interpersonal problems. The patients in this study will be men and women who are about to receive brief psychodynamic psychotherapy through the Kaiser-Permanente Medical Center. While they are on the waiting list, they will complete a battery of questionnaires twice over a 2-month period. Then each patient will be interviewed in a psychodynamic intake interview which will be videotaped and presented to a group of experienced clinical formulators whose judgments will be combined into a group-derived dynamic formulation. The patients will then be measured after the tenth session, after the last session, and a 6-month follow-up interview. The design includes repeated assessments of the patient's interpersonal and symptomatic complaints. Also, to increase the reliability of the data, every measurement will involve multiple assessments. The two methods will be used (1) to trace interpersonal and noninterpersonal changes that occur throughout treatment; (2) to compare changes in interpersonal distress to changes in symptomatic distress; (3) to study whether the patient and therapist become more congruent across sessions in identifying salient interpersonal problems; and (4) to study whether a patient's report of interpersonal problems increasingly comes to match that suggested by the dynamic formulation. It will also be possible to classify patients according to their interpersonal problems and to examine the therapeutic progress of different subgroups.

先前的心理动力学心理治疗研究主要集中在 症状，尽管治疗本身主要涉及人际关系 问题和冲突。 该项目将开发两种新方法 研究心理治疗的人际方面——（1）清单 人际关系问题，一种描述患者问题的自我报告工具 人际关系问题引起的困扰，以及（2）源自群体的 动态制定，一种客观、系统的方法 临床医生对动态表述的独立判断描述了 患者的人际关系问题。 这项研究中的患者将是即将接受治疗的男性和女性 通过 Kaiser-Permanente Medical 进行简短的心理动力学心理治疗 中心。 当他们在等待名单上时，他们将完成电池 在两个月内进行两次问卷调查。 那么每个病人都会 接受心理动力学面试，该面试将被录像 并向一群经验丰富的临床配方设计师展示了他们的 判断将被组合成一个源自群体的动态表述。 这 然后，将在第十次疗程后、最后一次疗程后对患者进行测量 会议，以及为期 6 个月的后续访谈。 该设计包括重复 评估患者的人际关系和症状主诉。 此外，为了提高数据的可靠性，每次测量都会 涉及多项评估。 这两种方法将用于（1）追踪人际交往和 治疗过程中发生的非人际变化； (2)比较 人际关系困扰的变化到症状困扰的变化； (3) 研究患者和治疗师是否在各方面变得更加一致 识别突出的人际问题的会议； (4) 学习 患者对人际关系问题的报告是否越来越多地引起人们的注意 与动态公式所建议的相匹配。 也将有可能 根据患者的人际关系问题对患者进行分类 检查不同亚组的治疗进展。