干预格式和与治疗联盟和结果相关的治疗师-儿童协议
John E Lochman1, Robert D Laird2, Heather L McDaniel3
1Department of Psychology, University of Alabama.
Journal of consulting and clinical psychology
|September 28, 2023
概括
治疗师与有侵略性行为儿童之间的强有力的治疗联盟 (TA) 是减少外部化问题的关键. 治疗师必须评估TA,特别是在小组环境中,以避免误解影响治疗结果.
科学领域:
- 儿童心理学 儿童心理学
- 临床心理学 临床心理学
- 干预科学 干预科学
背景情况:
- 儿童的侵略行为带来了重大挑战.
- 治疗联盟 (TA) 对于有效的儿童治疗至关重要.
- 了解TA在不同干预格式中的作用至关重要.
研究的目的:
- 检查TA (关系纽带,任务协作) 对外部化行为的影响.
- 调查TA在个人与小组治疗会话中的差异.
- 评估治疗师和孩子在治疗师对孩子的看法分歧对治疗结果的影响.
主要方法:
- 360名具有攻击性行为的孩子 (年龄为9-11) 被随机分配到个人或团体应对能力干预.
- 治疗联盟儿童量表 (TASC) 的评级是从儿童和治疗师那里收集的.
- 在基线和1年随访时,使用儿童行为评估系统 (BASC) 评估行为结果.
主要成果:
- 个人疗法比小组疗法产生了儿童报告的更高的任务协作.
- 更高的治疗师评级TA (纽带和协作) 预测减少了外部化和内部化问题.
- 儿童和治疗师之间的TA感知差异预测了小组环境中较差的内化行为结果.
结论:
- 治疗师需要接受培训,以开发和评估TA在积极儿童的治疗早期.
- 在小组治疗中的儿童需要特别注意TA,以防止误解.
- 准确的TA评估对于优化干预效果至关重要.
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