CAJ | 학술논문

采用多层线性分析方法，在短程心理咨询的连续会谈中检验来访者的会谈间体验对咨询效果的影响。以36名个案、151次会谈为样本，结果发现，来访者的症状总体呈线性下降趋势；不同来访者症状变化的速率存在个体差异，会谈间体验的情绪因子能解释症状变化速率总变异的40．79％。结沦：在短程心理咨询中，来访者想起咨询会谈或／和咨询师时的情绪体验能显著预测咨询效果。
채용다층선성분석방법，재단정심리자순적련속회담중검험래방자적회담간체험대자순효과적영향。이36명개안、151차회담위양본，결과발현，래방자적증상총체정선성하강추세；불동래방자증상변화적속솔존재개체차이，회담간체험적정서인자능해석증상변화속솔총변이적40．79％。결륜：재단정심리자순중，래방자상기자순회담혹／화자순사시적정서체험능현저예측자순효과。
Psychotherapy process includes insession process and intersession process, occurring in and outside the counseling room respectively, and the latter has been neglected for a long time in psychotherapy research history. Intersession process refers to the thoughts, memories, and feelings about therapists or therapy sessions that clients experience during the intervals between sessions. In- tersession process is a joint product of actual in - session therapeutic interaction and the client＇s prior personality, in particular, the client＇s conscious and unconscious transference potentials. It connects the therapeutic process and client＇s actual life, and has repaired functions for clients in therapy. The present study aimed to identify the effects of intersession processes on treatment outcome over suc- cessive sessions in short -term therapy. 12 male and 24 female student visitors of a college counseling center, with a mean age of 22.47 （SD = 2.60） and without personal- ity disorder or other psychiatric symptoms, participated in the study. Intersession process was measured by the Chinese version of the Intersession Experience Questionnaire （ IEQ）, which consisted of eight factors of four dimensions （ intensity, context, content and emo- tion）. The treatmentoutcome was measured by the Outcome Questionnaire -45 （OQ -45） and higher scores meant more severe symp- toms. Participants were asked to complete IEQ and OQ before each session from sessions 2 to 9. Finally, 151 sessions/36 cases were collected, and the mean measures of each case was 4.19 （SD = 1.26）. A two - level hierarchical hnear modal was built to investigate the effects of time and time - depended predictor IEQ on OQ. Re- sults indicated that, generally, in the short - term psychotherapy the symptoms of clients significantly declined in linear tendency, while OQ decreased by 1.27 point after each session. The proportion of total variance between the cases of the regression equation was 79. 76% , which meant the necessity to use multilevel analysis. The initial symptoms and the change rates of OQ over time differed signifi- cantly among different cases. The different change rates could be well predicted by the positive and negative factors of emotion dimen- sions of IEQ, with contributions of 40.79% to total rate variance. When IEQ positive or negative emotion factors increased by 1 point, the OQ scores decreased by 7. 398 or increased by 6. 433, respectively. However, other three dimensions of IEQ had no significant effects on outcome. The results suggested that the intersession processes could well predict the different change rates of symptoms among individuals in short -term therapy （less than 9 sessions）, and intersession emotions may reflect the client＇s transference potentials to the therapist, which can be acknowledged and used to facilitate treatment. As mentioned above, intersession experience about therapists or/and ses- sions is a joint product of actual in - session therapeutic interaction and the client＇s prior personality, therefore, the positive and negative emotion may not be a causation, but a reflection of treatment outcome, which means that the intersession experience and outcome may be a covariant relationship. There are two limitations of this research, one is the small sample size, and the other is not considering non- linear tendency of outcome change.