The aim of the present study is to further the understanding of who cries at the beginning of psychotherapy and patients' experience of crying in that process. Intake sessions for 53 patients beginning psychotherapy at a university-based clinic were coded for discrete crying segments. Data about patient characteristics were also collected at intake. Results indicate that crying during intake sessions was related to lower global functioning and higher severity of childhood sexual abuse. Furthermore, patients who cried at intake were over four times more likely to also cry at feedback, and those who cried at feedback were almost 12 times more likely to have cried at intake. Finally, crying in the intake session did not appear to be related to patient- or therapist-rated working alliance. Overall, the present study provides valuable information about characteristics of patients who cry at the outset of the therapy process and patients' experience of crying over time in therapy. Findings suggest the need for further research on patient characteristics and aspects of the therapy process that may predict patient crying over the course of treatment, as well as how these early crying experiences may be related to eventual patient outcomes.

中文翻译：

---

心理治疗期间患者哭泣：与患者特征和早期治疗过程的关系

本研究的目的是进一步了解谁在心理治疗开始时哭泣以及患者在此过程中的哭泣经历。53 名在大学诊所开始心理治疗的患者的入院时间被编码为离散的哭泣片段。患者特征的数据也在入院时收集。结果表明，在入学期间哭泣与较低的整体功能和较高的儿童性虐待严重程度有关。此外，在摄入时哭泣的患者在接受反馈时哭泣的可能性是其四倍以上，而在接受反馈时哭泣的患者在摄入时哭泣的可能性几乎是其 12 倍。最后，入院时的哭泣似乎与患者或治疗师评价的工作联盟无关。全面的，本研究提供了有关在治疗过程开始时哭泣的患者的特征以及患者在治疗过程中随着时间的推移哭泣的经历的宝贵信息。研究结果表明，需要进一步研究可能预测患者在治疗过程中哭泣的患者特征和治疗过程的各个方面，以及这些早期哭泣经历如何与患者最终结果相关。