你永远不知道你会得到什么:对治疗师使用支持性咨询技能的大规模评估。

IF 2.6 2区 心理学 Q2 PSYCHOLOGY, CLINICAL Psychotherapy Pub Date : 2023-06-01 Epub Date: 2022-10-27 DOI:10.1037/pst0000460
Xinyao Zhang, Michael Tanana, Lauren Weitzman, Shrikanth Narayanan, David Atkins, Zac Imel
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引用次数: 0

摘要

共情和积极倾听等支持性咨询技能是所有心理疗法的关键要素,但大多数研究都依赖于客户或治疗师对治疗过程的报告。本研究利用训练有素的机器学习模型来评估心理咨询技能,以评估 3,917 次治疗录音中支持性技能的使用情况。我们使用一系列混合效应模型分析了整体技能使用情况和实践模式的变化。平均而言,治疗师在观察者评定的移情方面得分中等偏上(即 3.8 分(满分 5 分)),治疗师在会话中 3.3% 的话语是开放性问题,12.9% 的话语是反思。然而,不同治疗师之间以及治疗师案例中不同客户之间在技能使用上存在很大差异。这些发现凸显了客户在接受心理治疗时可能经历的咨询过程中的巨大差异。我们在讨论这些发现时,既要考虑到治疗师需要对客户做出及时、灵活的反应,也要考虑到因缺乏更统一的治疗体验而产生的潜在成本。(PsycInfo Database Record (c) 2023 APA,保留所有权利)。
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You never know what you are going to get: Large-scale assessment of therapists' supportive counseling skill use.

Supportive counseling skills like empathy and active listening are critical ingredients of all psychotherapies, but most research relies on client or therapist reports of the treatment process. This study utilized machine-learning models trained to evaluate counseling skills to evaluate supportive skill use in 3,917 session recordings. We analyzed overall skill use and variation in practice patterns using a series of mixed effects models. On average, therapists scored moderately high on observer-rated empathy (i.e., 3.8 out of 5), 3.3% of the therapists' utterances in a session were open questions, and 12.9% of their utterances were reflections. However, there were substantial differences in skill use across therapists as well as across clients within-therapist caseloads. These findings highlight the substantial variability in the process of counseling that clients may experience when they access psychotherapy. We discuss findings in the context of both the need for therapists to be responsive and flexible with their clients, but also potential costs related to the lack of a more uniform experience of care. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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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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