Piper W E, Azim H F, Joyce A S, McCallum M, Nixon G W, Segal P S
Department of Psychiatry, University of Alberta, Edmonton, Canada.
J Nerv Ment Dis. 1991 Jul;179(7):432-8. doi: 10.1097/00005053-199107000-00008.
The purpose of the study was to compare an interview measure of quality of object relations to questionnaire and interview measures of recent interpersonal functioning with respect to the prediction of therapeutic alliance and psychotherapy outcome. The sample consisted of 64 patients who had received approximately 20 sessions of short-term individual psychotherapy within a controlled, clinical-trial investigation. Ratings of therapeutic alliance were provided independently by the patient and the therapist after each session. Outcome measures, which were provided by three sources (patient, therapist, and independent assessor), covered the areas of interpersonal functioning, psychiatric symptomatology, self-esteem, and life satisfaction. Quality of object relations, which characterizes the patient's lifelong pattern of relationships, was the best predictor. It was significantly related to patient-rated and therapist-rated therapeutic alliance and to patient improvement of both general symptomatology and specific target problems. The study also replicated previous studies that have reported significant relationships between therapeutic alliance and therapy outcome. The advantages of pretherapy predictors of therapy outcome, such as quality of object relations, are discussed.
本研究的目的是比较客体关系质量的访谈测量与近期人际功能的问卷及访谈测量，以预测治疗联盟和心理治疗结果。样本包括64名患者，他们在一项对照临床试验调查中接受了约20次短期个体心理治疗。每次治疗后，患者和治疗师分别独立提供治疗联盟评分。由患者、治疗师和独立评估者三方提供的结果测量涵盖人际功能、精神症状学、自尊和生活满意度等领域。客体关系质量表征了患者终身的人际关系模式，是最佳预测指标。它与患者自评和治疗师评定的治疗联盟显著相关，也与患者总体症状和特定目标问题的改善显著相关。该研究还重复了先前报道治疗联盟与治疗结果之间存在显著关系的研究。文中讨论了治疗结果的治疗前预测指标（如客体关系质量）的优势。
