从来访者的角度来看心理治疗中的负面经历：定性荟萃分析

Negative experiences in psychotherapy from clients’ perspective: A qualitative meta-analysis

——原载《心理治疗研究》第34卷第3期——

 <Psychotherapy Research>, Vol 34, Issue 3

【摘要】目的：相当多的来访者报告了心理治疗的不良或不良影响。本研究旨在综合定性研究的结果，重点关注客户认为心理治疗中的负面经历。方法：我们进行了数据库搜索来查找初步研究，并使用定性荟萃分析来汇总心理治疗来访者报告的负面经历类型的研究结果。结果：从51项初步研究中提取了总共936条综述，并分为21个元类别，其中一些进一步分为子类别。这些元类别涵盖了来访者的经历，分为四大类：治疗师的不当行为、阻碍关系的方面、治疗不合适以及治疗的负面影响。结论：来访者对心理治疗的负面经历是一个广阔且异质的领域，任何一项研究都无法涵盖其广度。通过综合许多初步研究的结果，这项荟萃分析代表了迄今为止对这些经验的最全面的总结。

 【关键词】负面体验，心理治疗，来访者视角，定性荟萃分析，荟萃综合

[Abstract] Objective: A considerable number of clients report adverse or unwanted effects of psychological treatments. This study aimed to synthesize the findings of qualitative studies focused on what clients perceive as negative experiences in psychotherapy. Method: A database search was conducted to find primary studies, and a qualitative meta-analysis was used to aggregate the findings on the kinds of negative experiences psychotherapy clients reported. Results: A total of 936 statements were extracted from 51 primary studies and categorized into 21 meta-categories, some of which were further divided into subcategories. These meta-categories covered clients’ experiences, which fell into four broad clusters: therapists’ misbehaviour, hindering aspects of the relationship, poor treatment fit, and negative impacts of treatment. Conclusion: Clients’ negative experiences of psychotherapy are a vast and heterogeneous area, the breadth of which is not captured by any single study. By synthesizing the findings of many primary studies, this meta-analysis represents the most comprehensive summary of these experiences to date.

[Key words] negative experience, psychotherapy, clients’ perspective, qualitative meta-analysis, meta-synthesis

论文原文：Zbyněk Vybíral, Benjamin M. Ogles, Tomáš Řiháček, Barbora Urbancová & Veronika Gocieková (2024). Negative experiences in psychotherapy from clients’ perspective: A qualitative meta-analysis. Psychotherapy Research, Volume 34, Issue 3, Pages 279-292.

https://doi.org/10.1080/10503307.2023.2226813

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