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首页> 外文学位 >Traveling the road to healing: An examination of the relationship between psychotherapeutic technique and cognitive, emotional and physiological outcomes in women exposed to violence.
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Traveling the road to healing: An examination of the relationship between psychotherapeutic technique and cognitive, emotional and physiological outcomes in women exposed to violence.

机译：走上康复之路：对遭受暴力的妇女的心理治疗技术与认知，情感和生理结果之间关系的检验。

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摘要

Contemporary research on therapy for trauma survivors has favored the approach of manipulating therapy interventions with highly structured protocols, rather than measuring therapy as it naturally occurs. Thus, we know much about treatments for trauma-related symptoms that are rarely practiced. We know much less about the real world effectiveness of the treatments that are most commonly practiced. Moreover, both randomized trials and naturalistic studies have-been criticized for over-reliance on self-report Laboratory-based, objective assessments have demonstrated that interpersonal violence survivors have alterations in cognition and physiological arousal that correlate with their psychopathology. This study examined the relationship between psychotherapy processes and changes in both self-reported symptoms and laboratory measures in 27 female interpersonal violence survivors who received 3 months of therapy in the community. Therapists treated patients using their normal practices and no effort was made to get therapists to adhere to a structured protocol. Participants were assessed in the lab and completed self-report measures before and after three months of therapy. Attentional biases for trauma-related material were assessed using the Stroop task. Implicit memory for trauma-related material was assessed using a Word-Stem Completion Task. Physiological arousal was assessed while participants viewed trauma-related slides. Therapists used a modified version of the Psychotherapy Process Q-Set (PQS) to quantify their choice of psychotherapy techniques. The PQS ratings were reduced to well-established scales reflecting general psychodynamic and cognitive-behavioral therapeutic techniques and newly derived scales assessing trauma-focused work on shame, guilt and meaning; stress inoculation (SIT); and prolonged exposure (PE). Improvements in self-reported symptoms, attentional biases, and physiological arousal were related to greater presence of techniques associated with psychodynamic therapy; trauma-related work on shame, guilt and meaning; and SIT, but not with techniques associated with PE therapy. Contrary to prior research, working alliance was not related to symptom improvements. These findings suggest that psychodynamic techniques; work on guilt, shame and meaning; and SIT techniques can play a role in both symptom alleviation and improvements in cognition and physiology in significantly traumatized women. These results are limited by the correlational nature of the data and the unknown validity of some of the newly derived therapy process measures.
机译：针对创伤幸存者的治疗的当代研究倾向于采用高度结构化的方案来操纵治疗干预的方法，而不是在自然发生时对其进行测量。因此，我们对很少实践的创伤相关症状的治疗方法了解很多。我们对最常用的治疗方法在现实世界中的效果了解得很少。此外，随机试验和自然主义研究均因过度依赖实验室自我报告而受到批评，客观评估表明，人际暴力幸存者的认知和生理唤醒发生变化，与他们的心理病理学相关。这项研究检查了27名女性人际暴力幸存者的心理治疗过程与自我报告症状和实验室措施的变化之间的关系，这些幸存者在社区接受了3个月的治疗。治疗师使用其常规做法治疗患者，没有做出任何努力让治疗师遵守结构化方案。在治疗三个月之前和之后，对参与者进行实验室评估并完成自我报告措施。使用Stroop任务评估了创伤相关材料的注意偏见。使用Word-Stem完成任务评估了与创伤有关的材料的内隐记忆。参与者观看与创伤有关的幻灯片时评估了生理唤醒。治疗师使用了心理治疗过程Q-Set（PQS）的修改版来量化他们对心理治疗技术的选择。 PQS评分降低到了既定的量表，反映了一般的心理动力学和认知行为治疗技术，而新近得出的量表则评估了以创伤，内sha和意义为重点的创伤工作；压力接种（SIT）；和长时间暴露（PE）。自我报告的症状，注意偏见和生理唤醒的改善与心理动力疗法相关技术的出现有关。有关耻辱，内sha和意义的与创伤有关的工作；和SIT，但不包括与PE治疗相关的技术。与先前的研究相反，工作联盟与症状改善无关。这些发现表明，心理动力技术是有效的。内，羞耻和意义上的工作； SIT技术可以在严重受创伤的女性缓解症状，改善认知和生理机能方面发挥作用。这些结果受到数据的相关性和某些新近推导的治疗过程措施的未知有效性的限制。

著录项

  • 作者

    Taylor, Wendy Michelle.;

  • 作者单位

    University of Michigan.;

  • 授予单位 University of Michigan.;
  • 学科 Health Sciences Mental Health.;Psychology Clinical.
  • 学位 Ph.D.
  • 年度 2010
  • 页码 154 p.
  • 总页数 154
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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