The aim of this study was to investigate whether therapeutic factors as identified by Yalom and potential additional therapeutic factors could be found in the qualitative individual reports of high-risk adolescents with personality disorders at the end of an intensive group psychotherapeutic MBT programme and whether the therapeutic factors were related to therapy outcomes. At the end of treatment, 70 adolescents were asked to write a farewell letter. Content analysis of the letters was performed by two independent raters, using the 12 therapeutic factors of Yalom and potential additional therapeutic factors as coding categories. The factors were related to outcome, operationalized as a decrease in psychological symptoms as measured with the Symptom Check List 90 (SCL-90). All therapeutic factors of Yalom and four new factors were identified in the letters, ranging from 1 to 97%. The factors of ‘cohesion’ (97%), ‘interpersonal learning output’ (94%), ‘guidance’ (98%) and ‘identification’ (94%) were found in most letters. By contrast, ‘universality’ (1%), ‘family re-enactment’ (3%) and ‘instillation of hope’ (1%) were found in very few letters. The factors ‘interpersonal learning input’, ‘self-esteem’ and ‘turning point’ were significantly associated with therapeutic recovery. Large presence differences were encountered in therapeutic factors associated with resilience processes and the resolution of psychological distress. Although a relationship was found between certain factors and change in symptoms, it was unclear whether the factors had led to such change. Further research seems important for treatment in general and for the personalization of treatment.

中文翻译：

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促进高危青少年群体心理治疗 MBT 项目康复的治疗因素

本研究的目的是调查在强化团体心理治疗 MBT 项目结束时，是否可以在患有人格障碍的高危青少年的定性个人报告中找到 Yalom 确定的治疗因素和潜在的其他治疗因素，以及治疗因素与治疗结果有关。在治疗结束时，70 名青少年被要求写一封告别信。字母的内容分析由两名独立评估者进行，使用 Yalom 的 12 个治疗因素和潜在的附加治疗因素作为编码类别。这些因素与结果有关，通过症状检查表 90 (SCL-90) 测量的心理症状减少来操作。Yalom 的所有治疗因素和四个新因素在信中被确定，范围从 1% 到 97%。“凝聚力”（97%）、“人际学习产出”（94%）、“指导”（98%）和“认同”（94%）等因素出现在大多数信件中。相比之下，“普遍性”（1%）、“家庭重演”（3%）和“灌输希望”（1%）在很少的字母中被发现。“人际学习投入”、“自尊”和“转折点”因素与治疗恢复显着相关。在与复原力过程和心理困扰的解决相关的治疗因素中遇到了巨大的存在差异。尽管发现某些因素与症状变化之间存在关系，但尚不清楚这些因素是否导致了这种变化。