按键盘上方向键 ← 或 → 可快速上下翻页，按键盘上的 Enter 键可回到本书目录页，按键盘上方向键 ↑ 可回到本页顶部！
————未阅读完？加入书签已便下次继续阅读！
1。 Begin by discussing the goals of psychotherapy in general and some of the specific objectives of the
major psychological approaches to therapy。
2。 Discuss the goals that a person with psychological problems might have in seeking therapy； ask
students what they would expect from therapy。
3。 Mention issues of the high cost of therapy； the time required； problems of therapist—client “fit；”
definitions of the client’s “problem；” and determination of when therapy has succeeded or failed。
4。 Review basic aspects of therapy based on behavioristic； psychodynamic； and humanistic
principles。
5。 Conduct the demonstration on role…playing a clinical interaction。
GENERAL INTRODUCTION
The decision a clinical psychologist or psychiatrist must make in prescribing the kind of therapy a patient
should receive； or even whether he or she should be given any at all； is a plex one。 We tend to think of it
as following in a rather straightforward way from analysis of the “facts”； or the patient’s problems。 This is
rarely； if ever； true。
The decision regarding the tactics of therapeutic intervention depends on：
1。 The therapist’s interpretation of the facts。
2。 The therapist’s type of training and orientation。 This； in turn； influences his or her definition of
what constitutes behavior pathology and also determines what behavior and casual relations he or
she will focus on （or even notice）。 Moreover； the therapist is usually trained to administer only a
limited brand of therapy。 The therapist’s values about who should be helped （the young or the old；
men or women； influential people or ordinary ones； those with mild problems or those with severe
ones； rich people or poor ones； attractive people or unattractive ones； interesting people or
uninteresting ones； etc。）。
3。 The therapist’s attitudes about what behavior is desirable。 Should homosexuals be turned into
heterosexuals？ Should pacifists be made more aggressive so people won’t “step on them”？ Should
patients be calm and manageable or allowed to be active and self…directing？ These questions
involve judgments that are not scientific。
438
4。 The available resources and the petition for them。 For example； with a large patient population
and a small staff； intensive psychoanalysis may not be possible。
5。 The patient’s apparent level of motivation； past history or therapy； and other attributes。 In addition；
the environment in which the patient lives or to which he or she will return may also play a role in
the type of treatment instituted。
6。 Whether the therapy takes place on an “outpatient” basis； an “inpatient’ basis； within a clinical or
mental hospital institution； or a “halfway…patient” basis in a halfway house setting。
PROCEDURE
Materials
Therapeutic Intervention Coding Form
Students selected to act as therapists read the chapter of Psychology and Life relevant to their “specialty。”
Subjects
10—20 students are ideal； 1 or 2 students to enact each of the two or three different therapist roles； 2
students to enact the client roles； and the rest of the class to act as observers and recorders of the interaction。
Time Required for Research
At least 45 minutes （5 minutes for each of six interviews and 10 minutes for summarizing data analysis）。
Time Required for Discussion
10—30 minutes。
Method
1。 Select three students a week in advance of the class meeting and assign the following therapist
roles： behavioral； psychoanalytic； and humanist。 （You may assign more than one student to each
approach if you would like them to work in teams。） Have them study the relevant material in the
text and give them some supplementary material on the three types of therapy。 Have them prepare
their strategy for interviewing the “clients” they will see in class meetings。
2。 To facilitate the interviews； you may wish to have the therapists prepare questions they will ask
their clients。
3。 Select two or more students prior to the beginning of the class meeting and ask them to play the role
of client。 We suggest that you use DSM…IV case summaries； but other descriptions of patients could
also be used。 Have these students study their case histories and prepare themselves to play the role
of a client who is seeking professional help。 Obviously； they may be asked for information that is
not actually given in the summary。 Explain to the students that they should feel free to fabricate
details that are consistent with the role they will be playing。 Alternatively； you may play the client
role。
4。 Each therapist or therapist team may interview one or both clients。
5。 Clients are instructed to role…play being phobic or depressed。
6。 To ensure that the therapists will be maximally different in style and content； it is helpful to ask
them to wait outside of the classroom until they have conducted an interview。 After conducting an
interview； the therapist could then remain in the class and observe his or her colleagues。
7。 Each therapist should also prepare a brief assessment of the patient and remendations for
treatment。 These could be read to the class after everyone has been interviewed。
8。 Be sure all parties are aware of the time constraints of this brief “initial” interview。
9。 Have the other class members actively participate as observers by coding the therapist’s questions
（to be described in Data Analysis）。 Instruct them in the coding when therapists are out of the room。
439
10。 Summarize the conclusions to be drawn from this mock clinical interaction。
PITFALLS TO AVOID
1。 Remind students of the seriousness of the clinical encounter and the need to appreciate the
difficulties involved for both therapist and client to create a professional atmosphere for the role…
playing。 Try to get students who seem to be good actors to play the client role and those who are
most responsible to play the therapist role。 Assigning the roles the previous week gives them more
preparation time but requires “back…up” precautions if any students fail to e to this section。 You
might also want to assign “understudies。”
2。 Remember to keep an eye on the elapsed time or even set an alarm because the role…playing can get
involved and 5—10 minutes goes by quickly。
DATA ANALYSIS AND INTERPRETATION
1。 Record on the coding forms every time the therapist asks a clear question； according to whether it
requests information about the client’s past； present； or future； or about the client’s positive or
negative characteristics。 For example； “Do you feel sad？” would be coded present…negative； “Did
you have problems getting toilet trained？” would be coded past…negative； “Do you expect that we’ll
hire you if you continue to be considerate？” would be coded future positive。
2。 pute the frequency and percentage of each question type for each therapist category and
patient type。
3。 pute the average for each row and column total； collapsing across time focus for positive…
negative focus； and across the latter to get summaries of the time focus。
4。 pute the mean percentage of each question type by collapsing across a