Department of Counselor Education and Counseling Psychology, Western Michigan University, Grand Rapids, Michigan 49503, USA.
Psychother Res. 2010 Nov;20(6):702-11. doi: 10.1080/10503307.2010.518635.
The authors examined the associations between client attachment orientations, working alliance, and progress in therapy. Ninety-five clients at two university-based training clinics completed measures of adult attachment, attachment to therapist, and working alliance immediately preceding the third counseling session with therapists-in-training. A standardized measure of progress in therapy was administered at intake, third counseling session, and termination. Hierarchical linear modeling findings indicated that stronger working alliances and secure attachment to therapist were significantly associated with greater reductions in client distress over time. Higher levels of adult attachment anxiety were significantly associated with greater distress ratings at the outset of treatment. Directions for future research and suggestions for developing therapeutic relationships in the context of specific client attachment orientations are discussed.
作者研究了客户依恋取向、工作联盟和治疗进展之间的关系。在两个大学培训诊所的 95 名客户在与实习治疗师的第三次咨询前立即完成了成人依恋、对治疗师的依恋和工作联盟的测量。在入组时、第三次咨询时和治疗结束时，采用了标准化的治疗进展测量。分层线性模型的发现表明，更强的工作联盟和对治疗师的安全依恋与随着时间的推移客户的痛苦减轻显著相关。成人依恋焦虑水平较高与治疗开始时的较高痛苦评分显著相关。讨论了未来研究的方向和根据特定客户依恋取向发展治疗关系的建议。
