双边工作联盟,治疗师的洞察力技能和客户的结果:纵向调解分析
Lydia HaRim Ahn1, Dennis M Kivlighan2, Clara E Hill3
1School of Counseling and Counseling Psychology, Arizona State University.
Psychotherapy (Chicago, Ill.)
|January 13, 2025
概括
在长期精神动力学治疗中,工作联盟向治疗师发出信号,要求他们使用洞察力技能,这可以改善客户的结果. 这种关系在客户之间具有重要意义,突出了它对治疗成功的重要性.
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:
- 治疗师的洞察力技能和工作联盟是相关的,但方向性不清楚.
- 之前的研究缺乏对工作联盟的两极观点.
- 从客户和治疗师的角度运行洞察力技能和联盟至关重要.
研究的目的:
- 通过工作联盟,调查双层洞察力技能是否间接影响客户的结果.
- 通过洞察力技能,检查双层工作联盟是否间接影响客户的结果.
- 探索治疗师技能和心理动态治疗中的工作联盟之间的关系的方向性.
主要方法:
- 在长期精神动力学治疗的纵向数据上使用动态结构方程建模.
- 以客户和治疗师报告的潜伏平均值来衡量二元性工作联盟.
- 操作化治疗师使用解释,挑战和披露的洞察力技能.
主要成果:
- 在客户内部的分析显示了洞察力技能和跨会话的工作联盟之间的相互关联,但没有调解.
- 客户间分析揭示了一个重要的途径:工作联盟 (T-1) ->洞察力技能 (T-2) ->客户结果 (T-3).
- 这一途径仅对长期治疗的客户有意义.
结论:
- 工作联盟是治疗师在长期精神动力学治疗中使用洞察能力的关键信号.
- 治疗师的洞察力技能和工作联盟有一个复杂的,双向的关系.
- 研究结果强调了治疗联盟对于促进有效的以洞察为导向的干预措施和改善客户在延长治疗中的结果的重要性.
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