Creating a case formulation is an important and basic skill in psychotherapy meant to guide treatment. A patient’s interpersonal pattern is an essential part of a case formulation. Core Conflictual Relationship Theme (CCRT) is a well-known structured method to describe interpersonal patterns. The CCRT method is based on the assumption that humans display a central relationship theme, which is shown in most relationships as well as in the patient-therapist relation. The CCRT scoring is based on how the patient describes interactions with others, in therapy sessions or in a specific interview. These descriptions are transcribed. Raters then score the identified relational episodes by choosing elements from the clustered categories of Wishes, Response from Others and Response from Self. The method has shown high validity and reliability. Inter rater reliability is generally good: Cohen’s kappa ranging from 0.55 to 0.70. To decide CCRT pattern from transcribed material is time consuming and labour intensive This study investigates a labour- and timesaving version of the method. This study aimed to investigate rater agreement in a simplified method of scoring the CCRT, based directly on live semi-structured dynamic interviews without transcribing the material. Fifty-two patients referred for psychotherapy in a clinical trial, were scored for CCRT pattern. Based on information that came forth during the two-hour interview, raters scored the patients choosing elements from the clustered categories of Wishes, Response from Others and Response from Self. More than one category in each component could be chosen without ranking. Five raters compared two by two were investigated. Inter rater reliability was measured by Cohen’s kappa. Mean kappa for Wishes, Response from Others and Response from Self was .33, .41 and .45 respectively. Mean kappa for CCRT in total was .41 among 5 raters. In this simplified method to score the CCRT based on oral dynamic interviews, fair to moderate IRR was obtained. First Experimental Study of Transference-interpretations (FEST307/95). Registration number: ClinicalTrials.gov Identifier: NCT00423462.

中文翻译：

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核心冲突关系主题：简化评分程序的可靠性。

创建案例表述是旨在指导治疗的重要心理治疗基本技能。患者的人际关系模式是案件制定的重要组成部分。核心冲突关系主题（CCRT）是描述人际交往模式的众所周知的结构化方法。CCRT方法基于这样的假设，即人类展示出一个中心关系主题，该主题在大多数关系以及患者与治疗师的关系中都得到了体现。CCRT评分基于患者在治疗环节或特定访谈中如何描述与他人的互动。这些描述被转录。然后，评分者通过从“愿望”，“来自他人的回应”和“来自自我的回应”的聚类类别中选择元素，对识别出的关系事件进行评分。该方法具有较高的有效性和可靠性。互评器的可靠性通常很好：Cohen的kappa从0.55到0.70。要从转录的材料中确定CCRT模式是费时且费力的。本研究调查了该方法的省时省力的版本。这项研究旨在直接基于实时半结构化动态访谈而不抄录材料的方式，以简化的CCRT评分方法调查评分者的一致性。在一项临床试验中，对52名接受心理治疗的患者进行了CCRT模式评分。根据在两个小时的访谈中得出的信息，评估者对患者进行了评分，这些患者从“愿望”，“来自他人的回应”和“来自自我的回应”的聚类类别中选择要素。无需排名就可以选择每个组件中的多个类别。对五个评价者进行了比较，并进行了两两比较。评估者间的信度通过Cohen的kappa来衡量。愿望，他人回应和自我回应的平均kappa分别为.33，.41和.45。5位评估者中CCRT的平均kappa总数为0.41。在这种基于口头动态访谈的简化CCRT评分方法中，获得了中等至中等的IRR。迁移解释的第一个实验研究（FEST307 / 95）。注册号：ClinicalTrials.gov标识符：NCT00423462。