A Prospective Study of Therapist Facilitative Interpersonal Skills as a Predictor of Treatment Outcome
A Prospective Study of Therapist Facilitative Interpersonal Skills as a Predictor of Treatment Outcome
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DOI：
10.1037/ccp0000060
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发表时间：
2016-01-01
影响因子：
5.9
通讯作者：
Patterson, Candace L.
中科院分区：
文献类型：
--
作者：
Anderson, Timothy;McClintock, Andrew S.;Patterson, Candace L.
目的：本研究旨在探讨治疗师的促进性人际交往技能（FIS）是否能前瞻性地预测一年后发生的治疗结果。方法：治疗师是44名临床心理学学员，他们在培训的最初几周完成了FIS表现任务和自我报告的社交技能测量。在FIS任务中，向潜在的治疗师展示了一组标准的视频，描述了治疗中的客户。记录对这些治疗模拟的口头反应，然后由受过训练的编码员进行评级。一年多后，治疗师开始在心理诊所为客户提供心理治疗。客户在每次治疗前完成症状测量。结果：使用多层次模型，发现治疗师FIS显着预测客户症状的变化。也就是说，高FIS治疗师比低FIS治疗师更有效。然而，随后的分析表明，这种FIS效应在所有治疗持续时间中并不一致;具体而言，在较短的持续时间内，较高的FIS治疗师比较低的FIS治疗师更有效（例如， 16届会议）。结论：治疗师的人际关系特征可能会影响来访者的治疗进展。
Objective: This study examined whether therapists' facilitative interpersonal skills (FIS) would prospectively predict the outcomes of therapies that occurred more than one year later. Method: Therapists were 44 clinical psychology trainees who completed the FIS performance task and a self-reported measure of social skills in the initial weeks of their training. In the FIS task, prospective therapists were presented with a standard set of videos portraying clients in therapy. Verbal responses to these therapeutic simulations were recorded and then rated by trained coders. More than one year later, the therapists began providing psychotherapy to clients in a psychology clinic. Clients completed a symptom measure before each therapy session. Results: Using multilevel modeling, it was found that therapist FIS significantly predicted client symptom change. That is, higher FIS therapists were more effective than lower FIS therapists. However, subsequent analyses showed that this FIS effect was not uniform across all therapy durations; specifically, higher FIS therapists were more effective than lower FIS therapists over shorter durations (e.g., 16 sessions). Conclusions: Therapists' interpersonal characteristics may influence client progress in therapy.