Department of Psychiatry, University of Wisconsin, 6001 Research Park Boulevard, Madison, WI 53719, USA.
Psychotherapy (Chic). 2011 Mar;48(1):65-71. doi: 10.1037/a0022064.
Congruence or genuineness is a relational quality that has been highly prized throughout the history of psychotherapy, but of diminished research interest in recent years. In this article, we define and provide examples of this attribute of the therapy relationship and present an original meta-analytic review of the empirical literature showing its relation to improvement. Analysis of 16 studies (k), representing 863 patients (N), resulted in a weighted aggregate ES (r) of .24 (p = .003; 95% CI = .12 to .36). Moderators of the association between congruence and treatment outcome are examined, and limitations of the extant research are discussed as well. In closing, we advance several therapist practices that are likely to foster congruence and thus improve psychotherapy outcomes.
一致性或真实性是一种关系质量，在心理治疗的历史中一直受到高度重视，但近年来研究兴趣有所减弱。在本文中，我们定义并举例说明了治疗关系的这一属性，并对实证文献进行了原始的荟萃分析综述，表明其与改善有关。对 16 项研究（k），代表 863 名患者（N）的分析得出加权综合效应大小（r）为.24（p =.003；95%置信区间为.12 至.36）。检验了一致性与治疗结果之间的关联的调节变量，并讨论了现有研究的局限性。最后，我们提出了一些可能促进一致性从而改善心理治疗结果的治疗师实践。
