治疗师和客户对工作联盟的看法:共同发展,线性增长,可变性和客户的功能
Shihong Lin1, Dennis M Kivlighan1, Clara E Hill2
1Department of Counseling, Higher Education, and Special Education, University of Maryland.
Journal of counseling psychology
|November 13, 2023
概括
客户-治疗师工作联盟的变化较低,而不是其增长,预测了更好的客户结果. 治疗师联盟的稳定性和响应能力也对客户的改善产生了积极的影响.
科学领域:
- 心理学 心理学 心理学
- 心理治疗研究 心理治疗研究
- 临床心理学 临床心理学
背景情况:
- 之前的研究探讨了工作联盟的单个维度 (例如,平均价值,增长,稳定性) 以及它们与客户结果的关联.
- 没有研究同时调查多个工作联盟维度,可能导致过高估计的影响.
研究的目的:
- 同时检查客户和治疗师工作联盟维度对客户心理痛苦的影响.
- 用动态结构方程建模来建模纵向联盟评级.
主要方法:
- 分析了来自45名治疗师和236名客户 (10,720次) 的纵向数据.
- 每次会议结束后,客户和治疗师联盟的评级都会被收集到.
- 采用了动态结构方程建模,包括参与者-合作伙伴交互和位置规模模型.
主要成果:
- 在客户和治疗师联盟评级中观察到显著的线性增长和变化.
- 联盟评级的变化率较低 (波动较少) 与更好的客户结果有关.
- 更高的治疗师-演员和治疗师-合作伙伴效应预测了客户的改善,而客户-演员和客户-合作伙伴效应则没有.
结论:
- 联盟的变化,而不是增长,是治疗成功的关键预测因素.
- 治疗师对联盟的贡献似乎比客户的贡献更为关键,以改善客户.
- 研究结果强调了联盟稳定性和治疗师响应能力对有效心理治疗的重要性.
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