Download - The Safran Lab
Download - The Safran Lab
Download - The Safran Lab
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Appendix C<br />
BRIEF PSYCHOTHERAPY RESEARCH PROJECT<br />
BETH ISRAEL MEDICAL CENTER, ROOM 5F-04<br />
NEW YORK, NY 10003<br />
THERAPIST POST-SESSION QUESTIONNAIRE<br />
Complete immediately after session. Please answer all questions.<br />
Your patient's initials Session number<br />
Your initials Date of session<br />
PART A<br />
1. Please rate how helpful or hindering to your patient this session was overall<br />
by circling the appropriate number below.<br />
1 2 3 4 5 6 7 8 _9<br />
Extremely Neutral Extremely<br />
hindering helpful<br />
2. Please rate to what extent your patient's problems are resolved.<br />
PARTB<br />
1 2 3 4 5 6 7 8 9<br />
Not at all Moderately Completely<br />
1. Did you experience any problem or tension in your relationship with your patient<br />
during the session?<br />
Yes No<br />
2. If so, about where in the session did this problem begin?<br />
Beginning Middle End<br />
3. Please rate the highest degree of tension you felt during the session as a result of<br />
this problem.<br />
J 2 3 4 5<br />
Low Medium High<br />
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