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首页> 外文期刊>Journal of communication disorders >The promise of self-determination theory to study the therapist-client relationship in speech-language treatment
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The promise of self-determination theory to study the therapist-client relationship in speech-language treatment

机译：自决理论的承诺研究语言治疗中的治疗师 - 客户关系

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This study aims at examining the therapist-client relationship in speech-language treatment and its relationships with clients' motivation from the perspective of Self-Determination Theory (SDT). It adds to the current literature by relying on observations as well as client perceptions of the therapists' interaction style and by studying three different age groups of adults ( 12 years). Two convenience samples: 1) 42 Speech Language Therapists (SLPs; 95.2 % female) and 72 individuals with communication disorders (ICDs) (72.2 % female; 12 years old), and 2) 21 SLPs (100 % female) and 44 ICDs (50 % girls; <12 years) were recruited for this cross-sectional study. After engaging in a treatment session, ICDs responded to a set of validated questionnaires measuring the SLPs' motivating style, their need-based experiences and motivation towards the treatment. Moreover, each treatment session was observed. Both client-reported as well as observational measures show that SLPs more strongly evince an autonomy-supportive (i.e. motivating) when compared to a controlling (i.e. demotivating) style to the benefit of their clients' motivation. The display of empathy was the most frequently observed strategy. SLPs regularly provided rationales, choices, and opportunities for clients to experiment. However, these behaviors were more frequent in younger compared to older clients. With the younger clients, SLPs frequently used effort-contingent rewards, which is considered a controlling strategy in SDT. Results showed that motivational benefits may be expected if SLPs rely on an autonomy-supportive rather than a controlling style. This study provides a valuable starting point for an SDT-driven examination of the therapist-client relationship and ICD's motivation in the context of speech-language pathology.
机译：本研究旨在从自我决定理论（SDT）的角度探讨言语语言治疗中的治疗师-客户关系及其与客户动机的关系。它通过观察和客户对治疗师互动方式的认知，以及研究三个不同年龄组（12岁）的成年人，补充了当前的文献。两个方便样本：1）42名言语语言治疗师（SLP；95.2%为女性）和72名患有沟通障碍（ICD）的个体（72.2%为女性；12岁），以及2）21名SLP（100%为女性）和44名ICD（50%为女性；<12岁）被招募参加这项横断面研究。在参加治疗课程后，ICD对一组经过验证的问卷进行了回复，这些问卷测量了SLP的激励方式、他们基于需求的经验以及对治疗的动机。此外，还观察了每个疗程。客户报告和观察测量都表明，与控制（即去激励）风格相比，SLP更强烈地表现出支持（即激励）的自主性，从而有利于客户的动机。表现同理心是最常见的策略。SLP定期为客户提供理论依据、选择和实验机会。然而，这些行为在年轻人中比老年人更频繁。对于年轻客户，SLP经常使用努力或有奖励，这在SDT中被认为是一种控制策略。结果表明，如果SLP依赖于自主支持而不是控制风格，那么动机益处是可以预期的。这项研究为SDT驱动的研究提供了一个有价值的起点，在言语语言病理学的背景下，对治疗师-客户关系和ICD的动机进行检查。

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