Accuracy of therapist perceptions of patients' alliance: Exploring the divergence
Accuracy of therapist perceptions of patients' alliance: Exploring the divergence
复制标题
DOI：
10.1080/10503307.2014.927601
复制
发表时间：
2015-07-04
影响因子：
3.9
通讯作者：
Zeeck, Almut
中科院分区：
文献类型：
--
作者：
Hartmann, Armin;Joos, Andreas;Zeeck, Almut
目的：治疗联盟是心理治疗结果的一个公认的预测因素，但许多研究表明，治疗师和患者对联盟的看法可能会有很大的分歧。治疗师系统地低估了他们的病人的感知水平的联盟，治疗师和病人之间的相关性估计的病人联盟是只有中度。本研究旨在探讨治疗师与患者对患者联盟经验的看法差异，以及其与治疗师同时工作投入和会话过程经验的关系。方法：对26名心理动力疗法治疗的98例患者的资料进行分析。结果如下：治疗师与患者的分歧显着相关治疗师的个案明智的工作参与，但没有治疗师的会议过程的看法。治疗师-患者分歧的最佳预测因素是治疗师经历了“痛苦的实践”的工作参与模式。结论：虽然治疗师的工作投入经验并不常见的调查，他们可以是一个相关的预测治疗过程。
Objective: The therapeutic alliance is a well-established predictor of psychotherapy outcome, yet much research has shown that therapists' and patients' views of the alliance can diverge substantially. Therapists systematically underestimate their patients' perceived level of alliance, and the correlation between therapist and patient estimates of patient alliance is only moderate. The present study explored the divergence between therapists' and patients' perspectives on patients' alliance experience, and its relations to therapists' concurrent work involvement and session process experiences. Method: Data from 98 patients treated by 26 therapists with psychodynamic psychotherapy were analyzed. Results: Therapist-patient divergence was significantly related to therapists' case-wise work involvement, but not to therapist's views of session process. The best predictor of therapist-patient divergence was therapists experiencing a "distressed practice" work involvement pattern. Conclusion: Although therapists' work involvement experiences are not commonly investigated, they can be a relevant predictor of therapy processes.