客户对咨询,工作联盟和症状结果的期望:在中国的纵向调查
Xu Li1, Yimeng Zhang1, Feihan Li2
1Department of Educational Psychology, University of Illinois at Urbana-Champaign, Champaign, IL, USA.
概括
客户对心理治疗的期望,特别是顾问的专业知识,影响治疗结果. 对专业知识的更高期望与更大的症状减少相关,突出了它们在治疗成功中的预测作用.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 心理治疗研究 心理治疗研究
背景情况:
- 客户的期望在很大程度上影响了治疗过程.
- 了解这些期望对于有效的心理治疗至关重要,特别是在像中国这样的多元文化环境中.
研究的目的:
- 研究特定客户期望 (客户参与,顾问专业知识,便利条件) 与心理治疗中的工作联盟和症状变化之间的关系.
- 检查初始临床因素如何与这些客户期望相关.
主要方法:
- 长度研究涉及173名中国治疗师学员和1916名客户.
- 客户完成了关于咨询简报的期望 (EAC-B) 措施.
- 在整个治疗过程中,多次评估症状严重程度和工作结盟.
主要成果:
- 初始症状较高的客户对客户参与的期望较低,但对顾问专业知识的期望更高.
- 较强的初始工作联盟与对客户参与和便利条件的更高期望有关.
- 对辅导员专业知识的更高期望预测了治疗中症状水平的平均下降幅度更大.
结论:
- 客户期望受到初始临床表现的影响,并预测治疗成功.
- 心理咨询师的专业知识期望是心理治疗中症状改善的特别重要的预测因素.
- 调查结果提供了对客户期望在中国文化背景中的作用的见解.
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