Gold Stephanie H, Hilsenroth Mark J
Derner Institute of Advanced Psychological Studies, Adelphi University.
Clin Psychol Psychother. 2009 May-Jun;16(3):159-71. doi: 10.1002/cpp.612.
This study investigates the effects of clinician personal therapy on therapeutic alliance early in treatment. Therapists who had received personal therapy assessed 30 outpatients, and therapists who had not undergone personal therapy assessed 30 outpatients. These groups of patients were matched on key demographic, diagnostic and psychiatric severity data. Results demonstrated no significant group differences on patient-rated alliance. Significant differences were observed for the therapist-rated alliance variables of therapist confidence, goal and task agreement, as well as overall alliance, with higher scores from those therapists who had received personal therapy. In addition, significant differences were found in the number of therapy sessions attended, with the treatments of those therapists who had received personal therapy being twice as long. The impact of personal therapy in relation to structured training and a therapeutic model of assessment on graduate clinicians' ability to form positive collaborative relationships with their patients is discussed.
本研究调查了临床医生个人治疗对治疗早期治疗联盟的影响。接受过个人治疗的治疗师评估了30名门诊患者，未接受个人治疗的治疗师评估了30名门诊患者。这些患者组在关键人口统计学、诊断和精神疾病严重程度数据方面进行了匹配。结果表明，患者评定的治疗联盟在两组之间没有显著差异。在治疗师评定的联盟变量方面观察到显著差异，包括治疗师信心、目标和任务一致性以及总体联盟，接受过个人治疗的治疗师得分更高。此外，在参加的治疗 sessions 数量上发现了显著差异，接受过个人治疗的治疗师的治疗时间是其两倍。讨论了个人治疗与结构化培训以及评估治疗模型对研究生临床医生与患者建立积极合作关系能力的影响。
