INTERPERSONAL PROBLEMS IN PSYCHODYNAMIC PSYCHOTHERAPY

以前的心理动力学心理治疗的研究集中在 症状，虽然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关系方面--（1） 人际关系问题，一种描述患者 由人际关系问题引起的苦恼，以及（2）群体衍生的 动态公式化，一种客观系统的方法， 将临床医生的独立判断转化为一个动态的公式， 病人的人际关系问题。 这项研究中的患者将是男性和女性谁是即将接受 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，他们将完成一个电池 在两个月的时间里，两次问卷调查。 每一个病人， 在一次心理动力学的面试中接受采访， 并提交给一组经验丰富的临床配方师， 判断将被组合成一个群体衍生的动态公式。 的 然后，在第十次会议之后，在最后一次会议之后， 会议，并进行为期6个月的后续采访。 设计包括重复 评估患者的人际关系和症状投诉。 此外，为了提高数据的可靠性，每次测量都将 涉及多项评估。 这两种方法将被用来（1）跟踪人际和 在整个治疗过程中发生的非人际关系变化;（2）比较 从人际困扰到症状困扰的变化;（3） 研究病人和治疗师是否在整个过程中变得更加一致， （4）研究人际关系的问题 病人报告的人际关系问题是否越来越多， 与动态公式所建议的相匹配。 也将有可能 根据病人的人际关系问题对他们进行分类， 检查不同亚组的治疗进展。

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.