ABSTRACT

Objectives: This study examined the combined effect of therapist Facilitative Interpersonal Skills (FIS) and Training Status on experiential processes within therapy sessions. In this randomized trial of FIS and Training Status, we predicted that in-session experiential processes would be highest for the high FIS and trained therapist group and lowest for the low FIS and untrained therapists. Methods: Forty-five clients were selected from 2,713 undergraduates using a screening and clinical interview procedure. Twenty-three therapists were selected for their level of FIS (high vs. low) and Training (trainee vs. untrained) and each were assigned two clients for seven sessions each. Two different coder teams independently rated experiencing and narrative process from the third therapy session and computer analysis identified affect words from transcripts. Results: FIS×Training Status significantly interacted on the set of experiential process measures. Relative to all others, therapists who were in the low FIS / no training group had lower experiencing and reflexive content, but higher external content. Conclusions: The findings highlight the importance of therapist characteristics within therapy sessions. Therapists without training and with low interpersonal skills have sessions that are nearly devoid of content that focuses on client experiential processes and emotion.

摘要

目的：本研究检验了治疗师促进人际交往能力 (FIS) 和培训状态对治疗过程中体验过程的综合影响。在这项 FIS 和培训状态的随机试验中，我们预测，高 FIS 和训练有素的治疗师组的会话体验过程最高，而低 FIS 和未经训练的治疗师组最低。方法：使用筛选和临床访谈程序从 2,713 名本科生中选出了 45 名客户。选择了 23 名治疗师的 FIS（高与低）和培训（受训与未受训）水平，并为每人分配了两个客户，每人 7 次。两个不同的编码团队独立评估了第三次治疗过程中的体验和叙述过程，计算机分析从成绩单中识别出影响词。结果： FIS×Training Status 对体验过程测量集有显着的交互作用。相对于所有其他人，处于低 FIS / 无训练组的治疗师的体验和反思内容较低，但外部内容较高。结论：研究结果强调了治疗过程中治疗师特征的重要性。未经培训且人际交往能力低的治疗师所进行的课程几乎没有专注于客户体验过程和情感的内容。