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Originalia

Veränderungen interpersoneller Probleme in der Psychotherapie sozialer Ängste

Die Rolle des Therapieprozesses

Published Online:January 21, 2009https://doi.org/10.1026/1616-3443.38.1.52

Abstract

Zusammenfassung.Hintergrund: Im dualen Modell der Psychotherapie von Schulte (1996) wird angenommen, dass interaktionelle Auffälligkeiten den Therapieprozess behindern. Fragestellung: Inwieweit sind interpersonelle Probleme assoziiert mit dem Therapieprozess? Welche Merkmale des Therapieprozesses erleichtern die Reduktion interpersoneller Probleme? Methode: Im Rahmen einer Therapiestudie sozialer Ängste (N = 67) werden interpersonelle Schwierigkeiten in Beziehung zu Prozessvariablen (Allianz, Stimmung, therapieförderliches/-beeinträchtigendes Verhalten) gesetzt. Der prädiktive Wert von Prozessmerkmalen für Veränderungen interpersoneller Schwierigkeiten wird analysiert. Ergebnisse: Initiale interpersonelle Schwierigkeiten wirken sich nicht auf die Therapiebeziehung und therapieförderliches Patientenverhalten aus, gehen jedoch mit weniger positiver Stimmung und therapiebeeinträchtigendem Patientenverhalten einher. Negative Stimmung ist prädiktiv für eine geringere Reduktion interpersoneller Probleme. Schlussfolgerungen: Negativer Stimmung kommt Indikatorfunktion für ungünstige Verläufe zu – entsprechend sollte sie besonders beachtet und modifiziert werden.


Changes in interpersonal problems during psychotherapy for social phobie. The role of psychotherapy process

Abstract.Background: The dual model of psychotherapy by Schulte (1996) posits that interactional difficulties hinder the therapeutic process. Objective: To what degree are interpersonal problems related to the psychotherapeutic process? Which features of the therapeutic process facilitate the reduction of interpersonal problems? Method: In the context of an intervention study for social phobia (N = 67), interpersonal problems are set in relation to process variables (alliance, mood, positive/negative basic behaviour). The predictive potential of process variables for changes in interpersonal problems is analyzed. Results: Initial interpersonal problems do not affect to the therapeutic alliance or positive basic patient behaviour, but are accompanied by negative mood and negative basic patient behaviour. Negative mood predicts less changes in interpersonal problems. Conclusions: Negative mood functions as an indicator for negative therapy courses; it should therefore be monitored and modified.

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