心理咨询中好坏效果案例的同化水平对比:基于同化模型的视角

发布时间：2018-10-24 20:17

【摘要】：目的:通过对比心理咨询中4例好效果案例和4例坏效果案例同化水平的差异,对同化模型有关成功治疗改变过程的理论构想进行检验,并寻找区分好坏案例的关键点。方法:选用7位经过培训的评定者组成三个研究小组,采用同化分析这一用来追踪当事人问题经验发展进程的研究方法,对8个当事人完整的咨询逐字稿资料进行分析,并对涉及当事人问题经验的段落进行摘录。依据同化问题经验量表和同化标识手册对摘录的段落进行同化评定。结果:8个案例的核心问题得到一致确定,三组评定者评分的组内相关系数ICC(1,1)在.64~.86之间,ICC(1,K)在.84~.96之间。好效果案例结束时的同化水平均分(M=5.50)和同化进展均分(M=4.25)高于坏效果案例(2.13和-.13)。好坏效果案例的同化进程均出现前进中倒退的情形,但好效果案例能够在倒退中保持上升,而坏效果案例未能完成上升。好效果案例最终的同化水平均达到了4(理解/领悟)及以上,坏效果案例最终的同化水平均未达到4。结论:研究结果基本支持同化模型的理论设想,即症状强度的减少同更高的同化水平相联系;并初步确定区分好坏效果的关键点是同化水平4;但从同化进程来看,可考虑对模型的发展序列进行修改完善。
[Abstract]:Objective: to compare the difference of assimilation level between 4 cases of good effect and 4 cases of bad effect in psychological counseling, to test the theoretical conception of successful treatment and change process of assimilation model, and to find out the key points to distinguish good or bad cases. Methods: seven trained assessors were selected to form three research groups. Assimilation analysis was used to track the development of the experience of the parties. And carries on the excerpt to the paragraph which involves the party question experience. According to the assimilation problem experience scale and assimilation label manual, the excerpt paragraphs were evaluated for assimilation. Results: the core problems of the 8 cases were unanimously determined. The correlation coefficient (ICC) of the three groups was between .640.86 and .640.86, and the, ICC (1K was between .840.96. The mean scores of assimilation level (M5. 50) and assimilation progress (M4. 25) at the end of good effect cases were higher than those in bad effect cases (2. 13 and -. 13). The assimilation process of good and bad effect cases all appear the situation of retrogression in advance, but good effect cases can keep rising in retrogression, but bad effect cases can not finish rising. The final assimilation level of good effect cases was 4 (understanding / comprehension) and above, but the final assimilation level of bad effect cases was not 4. Conclusion: the results of the study basically support the theoretical assumption of assimilation model, that is, the decrease of symptom intensity is related to higher assimilation level, and the key point of distinguishing good or bad effects is assimilation level 4, but from the point of view of assimilation process, We can consider modifying and perfecting the development sequence of the model.
【作者单位】：青少年网络心理与行为教育部重点实验室华中师范大学心理学院湖北省人的发展与心理健康重点实验室;
【基金】：国家社科基金项目(13BSH063)的资助
【分类号】：B849

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