Karver Marc S, Handelsman Jessica B, Fields Sherecce, Bickman Len
University of South Florida, Department of Psychology, 4202 East Fowler Avenue, PCD 4118G Tampa, FL 33620, USA. mkarver@
Clin Psychol Rev. 2006 Jan;26(1):50-65. doi: 10.1016/j.cpr.2005.09.001. Epub 2005 Nov 4.
This meta-analysis examines associations between therapeutic relationship variables, and the extent to which they account for variability in treatment outcomes, in 49 youth treatment studies. Correlations between therapeutic relationship variables ranged from modest to strong. Among the best predictors of youth outcomes were counselor interpersonal skills, therapist direct influence skills, youth willingness to participate in treatment, parent willingness to participate in treatment, youth participation in treatment, and parent participation in treatment. Adequacy of current approaches to conceptualizing and measuring therapeutic relationship variables, such as the therapeutic alliance, in youth and family therapy is discussed. This paper represents the most comprehensive analysis of therapeutic relationship constructs in the youth treatment literature.
这项荟萃分析考察了49项青少年治疗研究中治疗关系变量之间的关联，以及这些变量在多大程度上解释了治疗结果的变异性。治疗关系变量之间的相关性从中度到高度不等。青少年治疗结果的最佳预测因素包括咨询师的人际交往技能、治疗师的直接影响技能、青少年参与治疗的意愿、家长参与治疗的意愿、青少年的治疗参与度以及家长的治疗参与度。文中讨论了当前在青少年和家庭治疗中对治疗关系变量（如治疗联盟）进行概念化和测量的方法的充分性。本文是青少年治疗文献中对治疗关系结构最全面的分析。
