Document Detail

Perceptions of schizophrenic patients and their therapists: application of the semantic differential technique to evaluate the treatment relationship.
MedLine Citation:
PMID:  10834629     Owner:  NLM     Status:  MEDLINE    
This study is an attempt to evaluate the treatment relationship with schizophrenic patients by examining the patients' and their therapists' perceptions of themselves and each other, which are hypothesized to reflect features of the relationship. One hundred fifty-eight schizophrenic patients and 11 psychiatrists who maintained a supportive relationship with the patients as a therapist estimated their perceptions using the semantic differential (SD) technique with 17 adjective pairs. Eight composite scales with sufficient internal consistency were constructed from the estimations. The interrelationship among the perceptual elements, which was represented by correlation analysis of the composite scale scores, seemed consistent with our clinical experience. A factor-analytic study of the scales yielded 3 orthogonal factors that could be assumed to characterize the treatment relationship. The patient-therapist cooperation factor indicated the degree of trust between the two participants, supposedly the affective or relational aspect of the therapeutic alliance. The therapist passivity factor reflects the therapist's passive role-taking and the clinical stability of the patient. The patient strength factor was related to the condition-related and characterological strength of the patient. It is demonstrated that the estimations performed by patients and therapists are valid and useful for evaluation of the treatment relationship in the current status.
N Hayashi; M Yamashina; N Ishige; H Taguchi; Y Igarashi; M Hiraga; Y Inoue
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Comprehensive psychiatry     Volume:  41     ISSN:  0010-440X     ISO Abbreviation:  Compr Psychiatry     Publication Date:    2000 May-Jun
Date Detail:
Created Date:  2000-09-26     Completed Date:  2000-09-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372612     Medline TA:  Compr Psychiatry     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  197-205     Citation Subset:  IM    
Department of Psychopathology, Tokyo Psychiatric Institute, Japan.
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MeSH Terms
Middle Aged
Physician-Patient Relations*
Schizophrenia / therapy*
Schizophrenic Psychology*
Semantic Differential / statistics & numerical data*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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