帮助技能变化与随后的客户运作之间的关联:通过工作联盟和会议评估进行调解
Dennis M Kivlighan1, Clara E Hill2
1Department of Counseling, Higher Education, and Special Education, University of Maryland, College Park.
Journal of counseling psychology
|August 28, 2025
概括
治疗师帮助技能灵活性 (HSF) 对工作联盟 (WA) 和会议评估 (SE) 有积极影响. 这种灵活性也间接地改善了通过WA的客户功能,表明了改善治疗结果的途径.
科学领域:
- 心理学
- 心理治疗研究
- 临床心理学
背景情况:
- 治疗关系,特别是工作联盟 (WA),对于治疗成功至关重要.
- 了解治疗师的行为如何影响治疗过程和客户的结果至关重要.
- 帮助技能灵活性 (HSF) 代表了治疗师在治疗期间调整方法的能力.
研究的目的:
- 研究治疗师帮助技能灵活性 (HSF),工作联盟 (WA),会议评估 (SE) 和客户功能之间的关联.
- 通过WA和SE调解,研究HSF对客户改善的间接影响.
- 探索精神动力学治疗中的时间优先和因果关系.
主要方法:
- 在心理动态治疗中,成年患者 (n=121) 评价了他们的功能,WA,SE和治疗师HSF.
- 在每次治疗开始和结束时收集数据.
- 统计分析检查了关联和调解效应,并对治疗时间和反向因果关系等潜在混因素进行控制.
主要成果:
- 治疗师在一个会议中对WA和SE的后续客户评价产生了积极的关联.
- 治疗师HSF对随后的客户功能有显著的间接影响,由WA调解,但不是SE.
- 没有证据表明治疗时间的缓解,二次效应或反向因果关系.
结论:
- 治疗师HSF似乎在工作联盟中暂时先行并可能影响改进.
- 工作联盟反过来,在时间上先行,并可能导致客户的功能改善.
- 这些发现强调了治疗师适应能力在培养强大的治疗联盟和促进客户进步方面的重要性.
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