Department of Psychology, University of Palermo, Palermo, Italy.
Psychotherapy (Chic). 2011 Dec;48(4):359-67. doi: 10.1037/a0022426. Epub 2011 May 23.
In this study, the (a) association of the client- and therapist-rated strength of the real relationship to the outcome of brief psychotherapy, and (b) extent to which the real relationship predicted outcome above and beyond the predictive power of the working alliance were examined. A total of 50 clients at the counseling center of a university in Italy received brief therapy and completed measures before treatment, after the third session, and at the end of treatment. From the clients' perspective, both the Genuineness element of the real relationship and the Bond scale of the working alliance were found to relate significantly to treatment outcome. When we examined the real relationship and working alliance as predictors in a hierarchical regression format, the client-rated real relationship, especially the Genuineness element, did predict outcome and, moreover, added significantly and substantially to the working alliance in predicting outcome. Neither the strength of the real relationship from the therapist's perspective nor the therapist-rated working alliance was found to relate to outcome. The findings are discussed in the context of methodological differences with other investigations of the real relationship.
在这项研究中，考察了（a）客户和治疗师评定的真实关系强度与短期心理治疗结果之间的关系，以及（b）真实关系在多大程度上可以预测结果，超过了工作联盟的预测能力。意大利一所大学咨询中心的 50 名客户接受了短期治疗，并在治疗前、第三次治疗后和治疗结束时完成了测量。从客户的角度来看，真实关系的真诚要素和工作联盟的纽带量表都与治疗结果显著相关。当我们以层次回归的形式将真实关系和工作联盟作为预测因子进行检验时，客户评定的真实关系，特别是真诚要素，确实可以预测结果，而且，在预测结果方面，它比工作联盟有显著和实质性的贡献。从治疗师的角度来看，真实关系的强度以及治疗师评定的工作联盟都与结果无关。在讨论这些发现时，我们考虑了与其他真实关系研究的方法学差异。
