Skills and methods that work in psychotherapy: Observations and conclusions from the special issue.

IF 2.6 2区 心理学 Q2 PSYCHOLOGY, CLINICAL Psychotherapy Pub Date : 2023-09-01 Epub Date: 2023-04-10 DOI:10.1037/pst0000487
Clara E Hill, John C Norcross
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Abstract

We draw recommendations and conclusions from the articles presented in this special issue and the companion special section in Psychotherapy Research on evidence-based therapist skills and methods. For distal (end-of-treatment) outcome, 10 skills/methods were judged to be demonstrably effective (affirmation/validation, paradoxical interventions, homework, routine outcome monitoring, strength-based methods, emotional regulation, imagery rehearsal therapy and exposure relaxation and rescripting therapy for nightmares, meditation/mindfulness/acceptance, behavioral activation, cognitive restructuring) and four were probably effective (rupture repair, role induction, collaborative assessment methods, chairwork). For intermediate (postsession or midtreatment) outcome, one method was judged to be demonstrably effective (cognitive-experiential dreamwork) and two methods probably effective (paradoxical interventions, homework). For immediate (in-session) outcomes, five skills/methods were judged to be probably effective (in-dialog silences, extended silences, role induction, strength-based methods, and emotion regulation). For the rest of the immediate, intermediate, or distal outcomes for skills/methods, there was either no or insufficient research available upon which to base judgments. Possible harmful effects, diversity considerations, and research limitations are summarized. The article ends with training implications, therapeutic practices, and the formal conclusions of the interorganizational Task Force on Psychotherapy Skills and Methods that Work. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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在心理治疗中行之有效的技能和方法:特刊的观察和结论。
我们从本期特刊和《心理治疗研究》(Psychotherapy Research)中关于循证治疗师技能和方法的配套特刊中的文章中得出建议和结论。对于远期(治疗结束)结果,有 10 种技能/方法被评为明显有效(肯定/验证、矛盾干预、家庭作业、常规结果监测、基于力量的方法、情绪调节、意象排练疗法和暴露放松及噩梦重写疗法、冥想/正念/接纳、行为激活、认知重组),有 4 种可能有效(破裂修复、角色诱导、合作评估方法、椅子工作)。对于中期(疗程后或疗程中)结果,有一种方法被评为明显有效(认知-体验式梦工),两种方法可能有效(矛盾干预、家庭作业)。对于即时(疗程内)结果,有五种技能/方法被判定为可能有效(对话中沉默、扩展沉默、角色诱导、基于力量的方法和情绪调节)。至于其他技能/方法的近期、中期或远期结果,则没有研究或研究不足,无法据此做出判断。文章总结了可能的有害影响、多样性考虑因素和研究局限性。文章最后介绍了培训意义、治疗实践以及有效心理治疗技能和方法组织间特别工作组的正式结论。(PsycInfo Database Record (c) 2023 APA,保留所有权利)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Psychotherapy
Psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
4.60
自引率
12.00%
发文量
93
期刊介绍: Psychotherapy Theory, Research, Practice, Training publishes a wide variety of articles relevant to the field of psychotherapy. The journal strives to foster interactions among individuals involved with training, practice theory, and research since all areas are essential to psychotherapy. This journal is an invaluable resource for practicing clinical and counseling psychologists, social workers, and mental health professionals.
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