治疗师对患者自我概念的验证是早期联盟发展和随后的项目内变化的响应先决条件
Michael J Constantino1, Alice E Coyne2, Averi N Gaines1
1Department of Psychological and Brain Sciences, University of Massachusetts Amherst, Amherst, MA, USA.
概括
治疗师在治疗早期验证患者的自我概念,促进了更强大的治疗联盟. 这种改进的联盟,反过来,在认知行为疗法结束时,促进了更具适应性的自我概念.
科学领域:
- 心理学 心理学 心理学
- 社会心理学 社会心理学
- 临床心理学 临床心理学
背景情况:
- 个人寻求自我一致的反来保持稳定的自我意识,这个过程被称为自我验证.
- 缺乏自我验证可以导致人际丧,焦虑和关系恶化.
- 满足患者的自我验证需求对于建立和发展强大的治疗联盟至关重要.
研究的目的:
- 为了调查治疗师是否满足患者的自我验证需求,预测了早期治疗联盟的质量.
- 检查早期联盟质量与患者自我概念的后续变化之间的关系.
- 为了在患有泛性焦虑障碍 (GAD) 的患者中探索这些动态,这些患者可能有更高的自我验证需求.
主要方法:
- 84名接受GAD认知行为治疗的患者参与了这项研究.
- 患者的自我概念在基线,治疗期间和随访时被评估.
- 治疗师的人际行为在第二次会议后被召回,联盟质量在3-6次会议后被评价.
主要成果:
- 治疗师在第二次会议中验证了患者的基线自我概念,在第三次会议中积极预测了对联盟的感知质量.
- 在第三次会议中,联盟的更高质量与患者在治疗后发展出更具适应性,关联性和自主授予的自我概念有关.
- 平均而言,患者的基线自我概念往往是不附属的和过度控制的.
结论:
- 治疗师对患者自我验证需求的反应是早期联盟形成的关键因素.
- 一个强大的早期治疗联盟有助于积极的长期变化患者的自我概念.
- 这些发现凸显了自我验证在治疗过程中对于像GAD这样的疾病的重要性.
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