Abstract

Objective:

To investigate (1) whether expert clinicians within psychodynamic therapy (PDT), mentalization-based treatment (MBT), cognitive-behavioral therapy (CBT), and interpersonal psychotherapy (IPT) agree on the essential adolescent psychotherapy processes using the Adolescent Psychotherapy Q-Set (APQ); (2) whether these four session prototypes can be empirically distinguished; and (3) whether mentalization is a shared component in expert clinicians’ conceptualizations of these four treatment models.

Method:

Thirty-nine raters with expertize in PDT, MBT, CBT, and IPT provided ratings of the 100 APQ items to characterize a prototypical session that adheres to the principles of their treatment model. A Q-factor analysis with varimax rotation was conducted.

Results:

Expert clinicians reached a high level of agreement on their respective session prototypes, which loaded onto five independent factors. The PDT session prototype straddled two different factors, suggesting more variability in PDT expert clinicians’ understanding of PDT process for adolescents than in the views of the expert clinicians representing the other treatment models. Mentalization process was shared among all four session prototypes; however, the correlation between the CBT and IPT session prototypes remained significant after controlling for the MBT session prototype.

Conclusions:

Researchers can now assess adherence to four adolescent treatments and identify change processes beyond these labels.

中文翻译：

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专家临床医生的青少年治疗原型：四种治疗模式的共同和独特因素

摘要

客观的：

调查 (1) 心理动力学治疗 (PDT)、心理化治疗 (MBT)、认知行为治疗 (CBT) 和人际心理治疗 (IPT) 中的专家临床医生是否同意使用青少年心理治疗 Q- 的基本青少年心理治疗过程设置（APQ）；（2）这四种会话原型能否凭经验加以区分；(3) 心理化是否是专家临床医生对这四种治疗模式的概念化的共同组成部分。

方法：

39 名具有 PDT、MBT、CBT 和 IPT 专业知识的评分者提供了 100 个 APQ 项目的评分，以表征符合其治疗模型原则的原型会话。进行了具有 varimax 旋转的 Q 因子分析。

结果：

专家临床医生就他们各自的会话原型达成了高度一致，这些原型包含五个独立的因素。PDT 会议原型跨越了两个不同的因素，表明 PDT 专家临床医生对青少年 PDT 过程的理解比代表其他治疗模型的专家临床医生的观点更具可变性。心理化过程在所有四个会话原型之间共享；然而，在控制 MBT 会话原型后，CBT 和 IPT 会话原型之间的相关性仍然显着。

结论：

研究人员现在可以评估对四种青少年治疗的依从性，并确定这些标签之外的变化过程。