Creed Torrey A, Kendall Philip C
Department of Psychology, Temple University, Philadelphia, PA 19122, USA.
J Consult Clin Psychol. 2005 Jun;73(3):498-505. doi: 10.1037/0022-006X.73.3.498.
Explored the specific behavior of therapists contributing to a child client's perception of a therapeutic alliance with youth (n = 56) who received a manualized cognitive-behavioral treatment for anxiety disorders. The first 3 sessions were coded for 11 therapist behaviors hypothesized to predict ratings of alliance. Child, therapist, and observer alliance ratings were gathered after the 3rd and 7th therapy sessions. "Collaboration" positively predicted early child ratings of alliance, and "finding common ground" and "pushing the child to talk" negatively predicted early child ratings of alliance. Although no coded therapist behaviors predicted early therapist ratings of alliance, "collaboration" and "not being overly formal" positively predicted therapist alliance ratings by Session 7. Child, observer, and therapist ratings of alliance were significantly correlated. Results are discussed with regard to the identified behavior of the therapist as a step toward the identification of empirically supported strategies for building a stronger child-therapist alliance.
研究了治疗师的特定行为，这些行为影响了接受焦虑症手册化认知行为治疗的儿童客户（n = 56）对与青少年治疗联盟的认知。对前3次治疗 session 进行编码，分析11种假设可预测联盟评级的治疗师行为。在第3次和第7次治疗 session 后收集儿童、治疗师和观察者的联盟评级。“合作”正向预测儿童早期联盟评级，“找到共同点”和“推动儿童交谈”负向预测儿童早期联盟评级。虽然没有编码的治疗师行为预测治疗师早期联盟评级，但“合作”和“不过于正式”正向预测到第7次治疗 session 时治疗师的联盟评级。儿童、观察者和治疗师的联盟评级显著相关。讨论了治疗师已识别行为的结果，作为朝着识别建立更强儿童 - 治疗师联盟的实证支持策略迈出的一步。
