روش‌شناسی واکاوی "شکست درمان" در پژوهش‌های روان‌درمانی: راهنمای بالینگران و پژوهشگران

نوع مقاله : مقاله پژوهشی

نویسندگان

1 گروه روانشناسی ، دانشکده علوم انسانی،دانشگاه تربیت مدرس، تهران، ایران

2 گروه روانشناسی بالینی ، دانشکده علوم انسانی ،دانشگاه شاهد

3 مرکز تحقیقات توانبخشی اعصاب اطفال، دانشگاه علوم بهزیستی و توانبخشی، تهران، ایران

4 گروه روانشناسی، دانشگاه تربیت مدرس، تهران، ایران

5 گروه روانشناسی بالینی وکاربردی، دانشگاه علوم پزشکی و خدمات بهداشتی درمانی ایران،تهران ، ایران

6 دانش آموخته گروه روانشناسی ، دانشگاه تربیت مدرس، تهران، ایران

چکیده

روان درمانی یکی از مهمترین و جذاب ترین حوزه ها در علم روان شناسی است. بیشتر پژوهش ها بر معناداری آماری و بالینی یک درمان روانشناختی ومقایسه آن با دیگر درمانهایا گروه درمان نما تمرکز دارند. نکته مهم این است که  یک درمان  همواره سبب بهبودی نمی‌شود ،گاهی  وضعیت  درمانجو را وخیم تر می‌کندو گاهی   درمانجو"بدون تاثیر " از آن برجا می ماند. این "وخامت زایی" و "بی تغییری"(شکست درمانی) در بررسی درمانهای روانشناختی مغفول مانده اند.  تمرکز بر معناداری آماری که از طریق ارزیابی  میانگین  پیش –پس آزمون کمی پرسشنامه ای انجام می‌شود  تغییرات درمانجو در موقعیت واقعی  را در محاق می کشاند.  هدف از این مقاله فراهم سازی بینش  نظری و گام های عملی در واکاوی شکست درمان  -"بی تغییری"- یا "وخامت زایی"  است.   یافتن ریشه های این شکست سبب بالندگی نظری در شناسایی یک اختلال روانشناختی و بسته درمانی مرتبط می‌شود. در این مقاله از رهاشدگی نظری و وانهادگی کاربردی دوری شده است.

کلیدواژه‌ها

عنوان مقاله [English]

Methodology of Inquiring “Therapy Failure” in Psychotherapy Research: Practical Guide for Clinical Practitioners and Researchers

نویسندگان [English]

  • Hojjatollah Farahani 1
  • Parviz Azadfallah 1
  • Rasol Roshan 2
  • Masume Pourmohamadreza-Tajrishi 3
  • Forough Esrafilian 4
  • Fahimeh Fathali Lavasani 5
  • fateme chiniforoushan 6
1 Department of Psychology, Faculty of Humanities, Tarbiat Modares University, Tehran, iran
2 Department of Psychology, Faculty of Humanities, Shahed University, Tehran, Iran
3 Department of Psychology and Exceptional Children Education, Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
4 Department of Psychology, Tarbiat Modares University,Iran
5 Department of Clinical psychology, School of Behavioral Sciences & Mental Health, Iran University of Medical Sciences, Tehran, Iran
6 PhD in Psychology, Department of Psychology, Tehran, Iran
چکیده [English]

Psychotherapy is one of the most important and attractive directions in psychology. Most of the researches are concentrating on the statistical and clinical significance of psychological treatment in comparing a given treatment group with the other groups or placebo ones. It is worth noting that therapy leads always to no positive outcome. Sometimes it makes some clients worse and some of them remain without any change (no change). The therapy failure has been ignored. The focus on statistical and clinical significance which is predominantly evaluated using quantitative pre-post outcome questionnaires remains unclear what this means for clients in their real situations. To do this, it is needed to combine treatment evaluation with quantitative and qualitative outcome measures. This paper aimed to provide a theoretical view and practical steps for inquiring therapy failure: “no changing” and “deteriorating” after receiving therapy. Finding the roots of this failure improvement the theoretical basis in explanation of a psychological disorder and the related psychotherapeutic package. This paper stayed away from theoretical and practical ignorance

کلیدواژه‌ها [English]

  • Methodology
  • therapeutic failure
  • psychotherapy
  • quantitative
  • grounded theory method

مراجع

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