在与处于自杀危机中的客户合作时,治疗纽带的作用
Daniel W Cox1, Halina M Deptuck1, Olivia Fischer1
1Counselling Psychology Program, University of British Columbia.
Journal of counseling psychology
|February 20, 2024
概括
建立强大的治疗纽带对于改善单次治疗自杀危机干预的结果至关重要. 早期和不断变化的治疗纽带显著调解了自杀欲望和客户结果之间的关系.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 心理健康干预 心理健康干预
背景情况:
- 自杀欲望通常与人际关系困难有关,影响临床结果.
- 临床指南强调了自杀客户的治疗关系,但其在危机环境中的表现仍未得到充分研究.
- 了解单次治疗干预的治疗纽带是有限的.
研究的目的:
- 检查治疗纽带在单次危机干预中调解自杀欲望和结果的轨迹.
- 研究自杀欲望的顺序调解模型,治疗纽带的发展和干预结果.
主要方法:
- 分析了354个单一会议,在线,基于文本的危机干预会议.
- 关于自杀欲望,治疗纽带 (每季度) 和结果的会议编码.
- 结构方程建模来测试一个顺序介导模型.
主要成果:
- 拟议的顺序调解模型 (自杀愿望 → 早期结合 → 结合变化 → 结果) 显示与数据相适应.
- 发现自杀的欲望对结果产生了显著的间接影响,这种结果是由早期的债券和债券变化介导的.
- 治疗性债券对具有高自杀欲望的客户有好处,尽管高自杀欲望与债券形成有负面关联.
结论:
- 治疗纽带在经历自杀危机的个人中介结果方面发挥着至关重要的作用.
- 临床医生需要专门的培训,以便在简短的干预中有效地与急性自杀的客户建立治疗纽带.
- 研究结果强调了治疗联盟在单次自杀危机支持中的重要性.
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