Department of Psychology.
Department of Psychology, Michigan State University.
J Couns Psychol. 2011 Jul;58(3):449-455. doi: 10.1037/a0023196.
Studies of the therapeutic alliance typically use a one-with-many (OWM) design in which each therapist (the one) treats multiple clients (the many). This study used Kenny, Kashy, and Cook's (2006) OWM method to examine the composition of the therapeutic alliance and to analyze the association between alliance and outcome in a sample of 398 adolescents treated for substance abuse by 14 therapists. Both the client and therapist alliance ratings yielded large relationship variances, with limited consensus among clients treated by the same therapist about the quality of the alliance. If a client reported an especially strong alliance with his or her therapist, the therapist was likely to also report an especially strong alliance with that client (dyadic reciprocity). The association between the components of the alliance and treatment outcome was complicated, with different levels of measurement and different components of the alliance (perceiver, partner, or relationship) derived from different informants (therapist or client) relating to different outcomes.
研究治疗联盟通常采用一对一（OWM）设计，其中每个治疗师（一个）治疗多个客户（许多）。本研究使用肯尼、卡什和库克（2006）的 OWM 方法，在一个由 14 名治疗师治疗的 398 名青少年滥用药物的样本中，检查治疗联盟的组成，并分析联盟与结果之间的关系。客户和治疗师联盟评级都产生了较大的关系差异，同一治疗师治疗的客户之间对联盟质量的共识有限。如果客户报告与他或她的治疗师有特别强烈的联盟关系，那么治疗师也可能报告与该客户有特别强烈的联盟关系（对偶互惠）。联盟组成部分与治疗结果之间的关联很复杂，具有不同的测量水平和联盟的不同组成部分（感知者、伙伴或关系）来自不同的信息提供者（治疗师或客户），与不同的结果相关。
