Hayes Sarah A, Hope Debra A, VanDyke Melanie M, Heimberg Richard G
University of Washington, School of Medicine, Seattle, WA, USA.
Cogn Behav Ther. 2007;36(1):34-42. doi: 10.1080/16506070600947624.
It has been suggested that a strong working alliance encourages clients to take risks during therapy (Raue, Castonguay, & Goldfried, 1993). This encouragement may be important for clients who fear negative evaluations as they engage in risk-taking elements of therapy. This study examined the relationship between working alliance, session helpfulness and measures of emotional processing in 18 clients undergoing cognitive behavior therapy (CBT) for social anxiety disorder. Results indicate a positive correlation between client-rated, but not observer-rated, working alliance and session helpfulness. Moderate levels of working alliance were associated with higher initial anxiety and deeper within-session habituation. Overall, a strong alliance was associated with clients engaging with the session and finding the session helpful. Implications for the use of CBT for social anxiety are discussed.
有人认为，牢固的工作联盟会鼓励来访者在治疗过程中冒险（劳埃、卡斯通圭和戈德弗里德，1993年）。对于那些在参与治疗的冒险环节时害怕负面评价的来访者来说，这种鼓励可能很重要。本研究调查了18名接受社交焦虑障碍认知行为疗法（CBT）的来访者的工作联盟、治疗 session 的帮助程度与情绪处理指标之间的关系。结果表明，来访者评定的而非观察者评定的工作联盟与治疗 session 的帮助程度之间存在正相关。中等水平的工作联盟与较高的初始焦虑和 session 内更深层次的习惯化有关。总体而言，强大的联盟与来访者参与治疗 session 并认为该 session 有帮助有关。文中讨论了将CBT用于社交焦虑的意义。 （注：这里的“session”结合语境可能是指治疗中的某个时段或环节，暂保留英文未完全意译）
