Relationships Among Client and Counselor Agreement About the Working Alliance, Session Evaluations, and Change in Client Symptoms Using Response Surface Analysis
Relationships Among Client and Counselor Agreement About the Working Alliance, Session Evaluations, and Change in Client Symptoms Using Response Surface Analysis
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DOI：
10.1037/a0028907
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发表时间：
2012-07-01
影响因子：
3.9
通讯作者：
Kivlighan, Dennis M., Jr.
中科院分区：
文献类型：
--
作者：
Marmarosh, Cheri L.;Kivlighan, Dennis M., Jr.
两项研究探讨了在治疗开始时，咨询师和客户对治疗联盟的一致性如何影响早期会议评估和症状变化。不同于以往的研究，可操作的联盟收敛作为一个配置文件的相似性相关性或差异得分，本研究采用多项式回归和响应面分析，以检查协议。研究1探讨了36名来访者-咨询师二人组在第三次治疗中工作联盟一致性对治疗深度和顺利度的影响。结果显示，当来访者和治疗师对工作联盟的看法一致且高时，会话的顺利性比一致且低时更大。此外，当他们对联盟的评级低于治疗师对联盟的评级时，客户对会话的评级不那么顺利，当他们对联盟的评级高于治疗师对联盟的评级时，他们对会话的评级更顺利。作者没有发现与会话深度的显着关系。在研究2中，作者探讨了工作联盟一致性的影响，在第三届会议的治疗，对症状的变化，为63个客户咨询师的二人组。结果发现，治疗师和来访者在治疗开始时对知觉联盟有更积极的一致性，症状变化更大。作者还发现，无论谁对联盟的评价更高，联盟分歧的后果都是一样的。对未来研究的意义和建议进行了讨论。
Two studies explored how counselor and client agreement on the therapy alliance, at the beginning of treatment, influenced early session evaluations and symptom change. Unlike prior studies that operationalized alliance convergence as either a profile similarity correlation or a difference score, the present study used polynomial regression and response surface analysis to examine agreement. Study 1 explored the impact of working alliance congruence on session depth and smoothness at the 3rd session of treatment with 36 client-counselor dyads. Results revealed that session smoothness was greater when clients' and therapists' perceptions of the working alliance were in agreement and high compared with when they were in agreement and low. In addition, clients rated sessions less smooth when their ratings of the alliance were lower than their therapists' ratings of the alliance, and they rated sessions as more smooth when their ratings of the alliance were higher than their therapists' ratings of the alliance. The authors did not find a significant relationship with session depth. In Study 2, the authors explored the impact of working alliance congruence, at the 3rd session of therapy, on symptom change for 63 client counselor dyads. Results revealed that as the therapist and client have more positive agreement on the perceived alliance at the beginning of the treatment, there is greater symptom change. The authors also found that the consequences of alliance disagreement are the same regardless of who rated the alliance higher than the other. Implications and recommendations for future research are discussed.