We investigated the antecedents, occurrences, and consequences of 183 silence events in the first 5 and last 5 sessions of a 73-session case of successful psychodynamic psychotherapy. Silences generally occurred within client speaking turns, such that the client often paused to reflect while speaking. In the last 5 sessions, as compared with the first 5 sessions, the client was more collaborative before and after silences, silences were shorter, the therapist was more connectional during silences (e.g., shared emotion and meaning with client), and the client was more emotional after silences. Antecedent client collaboration, duration of the silence, therapist behavior during silence events, client behavior during silence events, and who broke the silence all related to change in collaboration from before to after the silence events. We concluded that silence was helpful in this case because of client factors (the client naturally paused a lot during discussion, the client was quite reflective and insightful), therapist factors (the therapist was comfortable with and believed in silence), and relationship factors (there was a strong therapeutic relationship). (PsycINFO Database Record (c) 2018 APA, all rights reserved).

中文翻译：

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沉默是黄金：在一种心理动力心理治疗中，沉默的混合方法研究。

我们调查了成功的73疗程心理动力心理治疗案例的前5疗程和最后5疗程中183次沉默事件的发生，发生和后果。沉默通常发生在客户说话的回合内，因此客户经常在说话时停下来思考。在过去的5次会议中，与前5次会议相比，在沉默之前和之后，服务对象更加协作，沉默更短，在沉默期间治疗师之间的联系更加紧密（例如，与服务对象共享情感和含义），并且服务对象沉默后更加情绪化。以前的客户协作，沉默的持续时间，沉默事件期间的治疗师行为，沉默事件期间的客户行为以及打破沉默的因素都与沉默事件发生之前到之后的协作变化有关。我们的结论是，在这种情况下，沉默是有帮助的，这是由于客户因素（客户在讨论中自然会停顿很多，客户颇具反思性和洞察力），治疗师因素（治疗师对沉默感到满意和相信）以及关系因素（有很强的治疗关系）。（PsycINFO数据库记录（c）2018 APA，保留所有权利）。