The aim of this study was to qualitatively analyze and compare the written responses clients in treatment for posttraumatic stress disorder (PTSD) gave when asked about helpful and negative aspects of the previous session. Data were collected during a randomized quantitative study comparing dialogical exposure therapy (DET, a gestalt-based integrative therapy, n = 58) and cognitive processing therapy (CPT, a cognitive-behavioral therapy, n = 52). We developed a coding manual using Mayring's (2015) qualitative content analysis approach and were able to code responses reliably. Five main categories emerged, unspecified and specific therapy elements, therapeutic relationship, client process, and general positive experience, with the first three containing subcategories. Each therapy had its own codes for specific therapy elements, while the other codes were identical for both treatments. The results for specific therapy elements were in accordance with the theories behind the two treatments, with CPT clients naming cognitive factors most frequently, whereas in DET, emotions were the most frequently mentioned. Results for therapeutic relationship were surprisingly similar given that DET therapists consider the therapeutic relationship to be an active ingredient, while CPT therapists consider it as the basis for the intervention rather than a working mechanism in itself. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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在今天的会议中有什么帮助？客户在两种不同的心理治疗中对创伤后应激障碍的反应。

这项研究的目的是定性分析和比较客户在治疗创伤后应激障碍（PTSD）时在上一届会议的有益和消极方面所给出的书面答复。在一项随机定量研究期间收集了数据，将对话暴露疗法（DET，一种基于格式塔的综合疗法，n = 58）和认知加工疗法（CPT，一种认知行为疗法，n = 52）进行了比较。我们使用Mayring（2015）的定性内容分析方法开发了编码手册，并且能够可靠地对响应进行编码。出现了五个主要类别，未指定和特定的治疗要素，治疗关系，客户过程和一般的积极经历，前三个包含子类别。每种疗法都有自己的特定疗法要素代码，其他两种处理方式的代码相同。特定疗法元素的结果与两种疗法背后的理论一致，CPT客户最常提及认知因素，而在DET中，最常提及情绪。鉴于DET治疗师认为治疗关系是一种有效成分，因此治疗关系的结果令人惊讶地相似，而CPT治疗师则认为这是干预的基础，而不是其本身的工作机制。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。情感是最常被提及的。鉴于DET治疗师认为治疗关系是一种有效成分，因此治疗关系的结果令人惊讶地相似，而CPT治疗师则认为这是干预的基础，而不是其本身的工作机制。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。情感是最常被提及的。鉴于DET治疗师认为治疗关系是一种有效成分，因此治疗关系的结果令人惊讶地相似，而CPT治疗师则认为这是干预的基础，而不是其本身的工作机制。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。