在一项简短的心理动力学研究中，患者防御机制和治疗师干预对早期治疗联盟发展的作用。
Contribution of patient defense mechanisms and therapist interventions to the development of early therapeutic alliance in a brief psychodynamic investigation.
作者信息
Despland J N, de Roten Y, Despars J, Stigler M, Perry J C
机构信息
Département Universitaire de Psychiatrie de l'Adulte, Faculté de Médecine de Lausanne, Switzerland.
出版信息
J Psychother Pract Res. 2001 Summer;10(3):155-64.
This preliminary study examined how patients' defense mechanisms and psychotherapists' techniques influence early alliance formation. The authors assessed the relationships among defense mechanisms, therapist interventions, and the development of alliance in a sample of 12 patients undergoing Brief Psychodynamic Investigation (4 sessions). Alliance development occurred rapidly and was clearly established by the third session. Neither defensive functioning nor supportive or exploratory interventions alone differentiated early alliance development. However, the degree of adjustment of therapists' interventions to patients' level of defensive functioning discriminated a low alliance from both improving and high alliances. The adjustment of therapeutic interventions to patients' level of defensive functioning is a promising predictor of alliance development and should be examined further, alongside other predictors of outcome.
这项初步研究考察了患者的防御机制和心理治疗师的技术如何影响早期治疗联盟的形成。作者评估了12名接受简短心理动力学调查（4次治疗）的患者样本中防御机制、治疗师干预措施与治疗联盟发展之间的关系。治疗联盟发展迅速，在第三次治疗时已明确确立。单独的防御功能、支持性或探索性干预措施均无法区分早期治疗联盟的发展情况。然而，治疗师干预措施与患者防御功能水平的匹配程度能够区分低水平治疗联盟与改善中的治疗联盟及高水平治疗联盟。将治疗干预措施与患者防御功能水平相匹配是治疗联盟发展的一个有前景的预测指标，应与其他治疗结果预测指标一起进一步研究。
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