通过治疗距离的透视来探索联盟破裂
Sharon Egozi1, Hadas Wiseman2, Orya Tishby3
1Social Work Department, Tel-Hai Collge, Israel.
概括
了解治疗距离是解决治疗中断断裂的关键. 临近和远距离的客户-治疗师感知影响破裂的识别和解决,改善治疗结果.
科学领域:
- 心理治疗研究 心理治疗研究
- 临床心理学 临床心理学
- 治疗联盟研究 治疗联盟研究
背景情况:
- 治疗性破裂,或工作联盟的崩,在心理治疗中很常见.
- 了解客户和治疗师对距离感知的相互作用对于破裂解决至关重要.
研究的目的:
- 检查客户和治疗师亲近和远距离的经验如何与治疗断裂有关.
- 调查观察到的治疗距离与破裂分辨率之间的关联.
主要方法:
- 66名客户和29名治疗师参加了会议,完成了会议后问卷 (PSQ) 并接受了RAP采访.
- 治疗距离使用观察员评级的治疗距离尺度-观察员版本 (TDS-O) 进行评估.
- 一个双向模型分析了自我报告的断裂与观察者估计的距离之间的关联.
主要成果:
- 客户报告的断裂与治疗师观察到的距离相关,而治疗师报告的断裂与客户观察到的亲密关系.
- 破裂解决与观察到的距离较小和客户和治疗师的参与度更高有关.
- 与客户感知的距离相比,治疗师在二中感知到的距离导致破裂解决率更高.
结论:
- 观察治疗距离为治疗师提供了一个有价值的镜头来识别,谈判和解决破裂.
- 整合客户和治疗师对距离的看法,可以提高对断裂动态的理解.
- 专注于治疗距离可以提高在临床实践中破裂管理的有效性.
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