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Facilitating client collaboration and insight through interpretations and probes for insight in psychodynamic psychotherapy: A case study of one client with three successive therapists.
Psychotherapy ( IF 3.218 ) Pub Date : 2020-06-01 , DOI: 10.1037/pst0000242
Clara E. Hill , Yun Lu , Judith A. Gerstenblith , Kathryn V. Kline , Ruogu J. Wang , Xu Zhu

We investigated therapist interpretations (Ints) and probes for insight (PIs) in relation to changes in client collaboration and insight for 1 male client paired with 3 successive doctoral student therapists in psychodynamic psychotherapy for 192 sessions over 5 years. Judges coded client collaboration and insight in the antecedent and subsequent 3 min for all Ints and PIs in each of 6 middle sessions for each treatment. Qualitative analyses showed that PIs were more helpful than Ints for this defended client. More gains in collaboration were found when antecedent client collaboration was high, antecedent client insight was low, and therapists gave PIs instead of Ints, but no differences were found among therapists. More gains in insight were found when antecedent insight in a given session was higher than in other sessions with the same therapist, with Therapist 3 facilitating more insight than Therapist 1; no differences were found between Ints and PIs. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

中文翻译:

通过解释和探究心理动力学心理疗法中的洞察力来促进服务对象的协作和洞察力:以一名服务对象与三名连续的治疗师为例的案例研究。

我们调查了1位男性客户与3位相继的博士生心理治疗师在5年中进行的192次疗程的治疗师解释(Ints)和与客户协作和洞察力变化相关的洞察力(PIs)的调查。法官在每个疗程的6个中间会议中的每个会议之前和之后的3分钟内为所有Int和PI进行客户协作和见识编码。定性分析表明,对于这个被保护的客户,效绩指标比诚信部更有帮助。当之前的客户协作较高,之前的客户洞察力较低并且治疗师提供了PI而不是Ints时,发现协作方面的收益更大,但是治疗师之间没有发现差异。如果在给定课程中的先验见识比在具有相同治疗师的其他课程中更高,则可以发现更多的见识。与治疗师1相比,治疗师3的洞察力更高;Ints和PI之间没有发现差异。(PsycINFO数据库记录(c)2019 APA,保留所有权利)。
更新日期:2020-06-01
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