Effects of training in time-limited dynamic psychotherapy: changes in therapist behavior.
Effects of training in time-limited dynamic psychotherapy: changes in therapist behavior.
复制标题
限时动态心理治疗培训的效果：治疗师行为的变化。
DOI：
10.1037//0022-006x.61.3.434
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发表时间：
1993
影响因子：
5.9
通讯作者：
Binder,JL
中科院分区：
文献类型：
--
作者：
Henry,WP;Strupp,HH;Butler,SF;Schacht,TE;Binder,JL
十六名治疗师参加了为期一年的手动培训计划，作为范德比尔特 II 限时动态心理治疗研究的一部分。治疗师行为的变化通过范德比尔特治疗策略量表（依从性测量）、范德比尔特心理治疗过程量表（VPPS）以及使用社会行为结构分析（SASB）的人际过程编码来测量。培训计划成功地改变了治疗师的技术干预措施，使其符合手动方案。培训结束后，人们更加重视治疗中情感的表达、治疗关系的探索、参与者-观察者立场的改善以及开放式问题的更多使用。通过 VPPS 和 SASB 评级衡量，还表明治疗的某些人际和互动方面出现意外恶化。这些结果质疑了这样的假设：通过手册和依从性量表可以直接实现对治疗变量的更好控制。改变或规定特定的治疗师行为以实现技术坚持可能会以意想不到的甚至适得其反的方式改变其他治疗变量。
Sixteen therapists participated in a year-long manualized training program as part of the Vanderbilt II study of time-limited dynamic psychotherapy. Changes in therapist behavior were measured with the Vanderbilt Therapeutic Strategies Scale (an adherence measure), the Vanderbilt Psychotherapy Process Scale (VPPS), and interpersonal process codings using the Structural Analysis of Social Behavior (SASB). The training program successfully changed therapists' technical interventions in line with the manualized protocol. After training, there was increased emphasis on the expression of in-session affect, exploration of the therapeutic relationship, an improved participant–observer stance, and greater use of open-ended questions. There was also an indication of unexpected deterioration in certain interpersonal and interactional aspects of therapy as measured by the VPPS and SASB ratings. These results question the assumption that greater control of the therapy variable is straightforwardly achieved with manuals and adherence scales. Changing or dictating specific therapist behaviors to achieve technical adherence may alter other therapeutic variables in unexpected and even counterproductive ways.