Green R J, Herget M
California School of Professional Psychology, Berkeley.
Fam Process. 1991 Sep;30(3):321-36. doi: 10.1111/j.1545-5300.1991.00321.x.
This is the third in a series of reports on a small-sample study of systemic/strategic team consultations. It sheds new light on aspects of the therapeutic alliance in Milan-informed therapy. Ratings of the end-of-session interventions and ratings of the therapist's relationship skills (warmth, active structuring) significantly predicted client improvement at 1-month and 3-year followups. These results dispute the Milan team's idea that an intervention's effects are unpredictable. Also, our findings challenge the way some teams have adopted an impersonal, emotionally unresponsive style under the guise of "neutrality." In view of this and other recent studies, we conclude that systemic/strategic therapists should devote more attention to collaborative and affective qualities of the therapeutic alliance.
这是关于系统性/策略性团队咨询的小样本研究系列报告中的第三篇。它为受米兰学派影响的治疗中治疗联盟的各个方面提供了新的见解。对会话结束时干预措施的评分以及对治疗师关系技能（热情、积极构建）的评分，在1个月和3年随访时显著预测了来访者的改善情况。这些结果对米兰团队认为干预效果不可预测的观点提出了质疑。此外，我们的研究结果对一些团队以“中立”为幌子采用冷漠、情感无反应风格的方式提出了挑战。鉴于此及其他近期研究，我们得出结论，系统性/策略性治疗师应更多地关注治疗联盟的协作和情感特质。
