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Passing patients' tests-But how? An analysis of therapists' helping skills in response to patient testing.
Journal of Counseling Psychology ( IF 5.088 ) Pub Date : 2022-08-04 , DOI: 10.1037/cou0000631
Jennifer Kadur 1 , Dorothea Huber 2 , Günther Klug 3 , Sascha Müller 4 , Leon Wendt 4 , Sylke Andreas 1
Affiliation  

According to control mastery theory, patients in psychotherapy try to master their problems by disconfirming their pathogenic beliefs. This can be done by testing the therapist. So far, there is hardly any evidence on what concrete interventions or statements of therapists are specifically helpful in passing those tests. In our study, we analyzed the verbal utterances of therapists in test situations to determine whether there is a difference in statements used for passing or failing tests. A total of 168 session transcripts of 21 patients were selected from a total of six therapists, two each in psychoanalytic therapy, psychodynamic therapy, and cognitive behavioral therapy. Test situations were identified, and therapist responses were coded using the helping skills system. There were significant differences in the therapists' reactions to test situations. In particular, closed questions, approval, interpretation, and reflection of the patients' feelings by therapists were associated with a high probability of passing tests. These findings can especially support therapists-in-training to obtain an orientation on how to deal with their patients' test situations that may be perceived as challenging and are important for therapy success while respecting the individuality of their patients. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译:

通过病人的测试——但是如何呢?分析治疗师针对患者测试的帮助技巧。

根据控制掌握理论,心理治疗中的患者试图通过否定他们的致病信念来控制他们的问题。这可以通过测试治疗师来完成。到目前为止,几乎没有任何证据表明治疗师的哪些具体干预措施或陈述对通过这些测试特别有帮助。在我们的研究中,我们分析了治疗师在测试情况下的言语言语,以确定通过或未通过测试的陈述是否存在差异。从总共六名治疗师中选出了 21 名患者的 168 份治疗记录,其中精神分析治疗、心理动力学治疗和认知行为治疗各有两名。确定测试情况,并使用帮助技能系统对治疗师的反应进行编码。治疗师对测试情境的反应存在显着差异。特别是,治疗师对患者感受的封闭式问题、认可、解释和反映与通过测试的高概率相关。这些发现尤其可以支持接受培训的治疗师了解如何处理患者的测试情况,这些情况可能被认为具有挑战性,并且对于治疗的成功很重要,同时尊重患者的个性。(PsycInfo 数据库记录 (c) 2022 APA,保留所有权利)。这些发现尤其可以支持接受培训的治疗师了解如何处理患者的测试情况,这些情况可能被认为具有挑战性,并且对于治疗的成功很重要,同时尊重患者的个性。(PsycInfo 数据库记录 (c) 2022 APA,保留所有权利)。这些发现尤其可以支持接受培训的治疗师了解如何处理患者的测试情况,这些情况可能被认为具有挑战性,并且对于治疗的成功很重要,同时尊重患者的个性。(PsycInfo 数据库记录 (c) 2022 APA,保留所有权利)。
更新日期:2022-08-04
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