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Is countertransference a valid source of clinical information? Investigating emotional responses to audiotaped psychotherapy sessions.
Bulletin of the Menninger Clinic ( IF 1.476 ) Pub Date : 2019-12-01 , DOI: 10.1521/bumc_2019_83_02
Henriette Löffler-Stastka 1 , Christian Sell 2 , Johannes Zimmermann 2 , Dorothea Huber 3 , Guenther Klug 4
Affiliation  

The study aimed to test whether countertransference reactions contain valid information about the patient. The authors examined whether a significant part of the variance in emotional, cognitive, and motivational responses to recorded therapy sessions is attributable to the patient. Six student raters listened to 605 audiotaped sessions of 81 patients with major depression treated by 19 therapists and indicated their reactions using a modified version of the Countertransference Questionnaire. The relative amount of variance in countertransference reactions due to differences between patients, ranging from 2% to 16%, was significant for most of the countertransference dimensions. Reactions were influenced by type of treatment and severity of depression but not by comorbid personality disorder or interpersonal problems. The relative amount of variance due to differences between raters was large, averaging at 23%. The authors conclude that-albeit having a relatively low "signal-to-noise ratio" in raters without psychotherapy training-countertransference reactions contain valid clinical information.

中文翻译:

反向转让是否是临床信息的有效来源?调查对录音心理治疗课程的情绪反应。

该研究旨在测试反向转移反应是否包含有关患者的有效信息。作者检查了对记录的治疗疗程的情绪,认知和动机反应差异的很大一部分是否可归因于患者。六名学生评分者听取了由19位治疗师治疗的81例重度抑郁症患者的605道录音带,并使用“反转让问卷”的修改版表明了他们的反应。由于患者之间的差异(从2%到16%),在逆转反应中的相对变化量在大多数逆转维度中都非常重要。反应受治疗类型和抑郁严重程度的影响,但不受合并性人格障碍或人际问题的影响。由于评估者之间的差异而导致的相对差异较大,平均为23%。作者得出的结论是,尽管在没有进行心理疗法培训的情况下,评估者的“信噪比”相对较低,但逆转反应仍包含有效的临床信息。
更新日期:2019-12-01
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