ABSTRACT

Re-thinking a service delivery paradigm within a single session therapy (SST) framework inevitably changes the ways we consider the therapeutic process – making each session count! In clinical practice, this means (1) the rapid development of therapeutic alliance and (2) the life of the therapy process, from assessment to intervention to evaluation condensed into a single session. To illustrate, this article analyzes the fully transcribed one of the master tapes in Emotion-Focused Therapy where chair work is demonstrated in a single session, and finds six processes in SST: (1) history taking; (2) formulation; (3) contracting; (4) working-through change; (5) evaluation; and (6) preparing for exit. A micro-analysis of the single session details how the therapist manages multiple tasks in SST. This analysis helps social workers to re-think service delivery and attrition rates in community mental health settings to enhance health equity and the provision of socially just mental health services.

摘要

在单次治疗 (SST) 框架内重新思考服务交付范式不可避免地会改变我们考虑治疗过程的方式——让每一次治疗都很重要！在临床实践中，这意味着（1）治疗联盟的快速发展和（2）治疗过程的生命周期，从评估到干预再到评估浓缩为一个会话。为了说明这一点，本文分析了情绪聚焦疗法中完全转录的母带之一，其中在一个会话中演示了椅子的工作，并发现了 SST 中的六个过程：（1）历史记录；(2) 配方；（三）承包；(4) 贯通变更；(5) 评估；（六）准备退出。对单个会话的微观分析详细说明了治疗师如何在 SST 中管理多项任务。