The current study developed a mixed-methods coding scheme to explore the degree of correspondence between Latino patients’ and their psychotherapists’ descriptions of the presenting problems. We interviewed 34 patients and clinicians (17 dyads) following an initial therapy session. Using a theoretical thematic approach, we generated a list of problem areas reported in participants’ descriptions. Independent coders reliably rated the presence and salience of these problems using a quantitative index. We then statistically estimated the fit between corresponding narratives. We found poor congruence across dyads’ descriptions of all problem areas, with two exceptions. We also noted patterns of incongruences, primarily characterized by therapists providing explanations that went beyond what their patients said. This study provides an innovative objective approach to estimate the nuanced degrees of concordance within dyads’ narratives. Our findings provide initial evidence of poor match between views held by Latino patients and their clinicians.

中文翻译：

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测量拉丁裔患者及其心理治疗师问题定义的一致性：一项探索性研究

当前的研究开发了一种混合方法编码方案，以探索拉丁裔患者及其心理治疗师对存在问题的描述之间的对应程度。初始治疗后，我们采访了34位患者和临床医生（17个二分位数）。使用理论主题方法，我们生成了参与者描述中报告的问题区域列表。独立编码人员使用定量指标来可靠地评估这些问题的存在和严重性。然后，我们用统计学方法估计相应叙述之间的契合度。我们发现在对所有问题领域的二元分析描述中，一致性很差，但有两个例外。我们还注意到不一致的模式，其主要特征是治疗师提供的解释超出了患者的理解。这项研究提供了一种创新的客观方法来估计二元组叙述中的细微差别。我们的发现为拉丁裔患者及其临床医生之间的观点不一致提供了初步证据。