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患者-治疗师人格一致性、工作联盟与治疗效果的关系。

Relationships among client-therapist personality congruence, working alliance, and therapeutic outcome.

机构信息

Department of Counseling, Oakland University, Rochester, MI 48309-4494, USA.

出版信息

Psychotherapy (Chic). 2011 Dec;48(4):376-80. doi: 10.1037/a0022066. Epub 2011 May 23.

Abstract

Despite the importance of the working alliance in therapeutic outcome, little is known about the factors associated with its formation. We advance that personality similarity between client and therapist is one such factor pertinent to the working alliance. In this study, personality similarity in 32 client-therapist dyads was examined for its relations to the bond, task, and goal elements of the working alliance (Bordin, 1979, Psychotherapy: Theory, Research, and Practice, 16, 252-260) and therapeutic outcome. Personality similarity was conceptualized using Holland's (1997, Making vocational choices [3rd ed.]) congruence construct. Therapists completed the Self-Directed Search pretreatment and clients completed the Working Alliance Inventory-Short Revised and Self-Directed Search after the third session. Results indicated that (a) client-therapist personality congruence was associated with the bond, (b) bond was associated with task and goal, and (c) task and goal were associated with therapeutic outcome. Congruence was not associated with task, goal, or therapeutic outcome. Holland's theory provides a framework for adapting to clients of varying personality types. By understanding how client-therapist personalities relate to each other in therapy, client-therapist bonds may be more efficiently realized.

摘要

尽管工作联盟对于治疗效果至关重要,但对于其形成的相关因素知之甚少。我们认为,客户和治疗师之间的人格相似性是与工作联盟相关的一个因素。在这项研究中,我们研究了 32 对客户-治疗师的人格相似性,以探讨其与工作联盟的联系、任务和目标元素(Bordin,1979,心理治疗:理论、研究和实践,16,252-260)以及治疗效果的关系。人格相似性是用 Holland(1997,Making vocational choices [3rd ed.])的一致性结构来概念化的。治疗师在治疗前完成自我指导搜索,客户在第三次治疗后完成工作联盟量表-短版修订版和自我指导搜索。结果表明:(a)客户-治疗师的人格一致性与联系有关,(b)联系与任务和目标有关,(c)任务和目标与治疗效果有关。一致性与任务、目标或治疗效果无关。Holland 的理论为适应不同人格类型的客户提供了一个框架。通过了解治疗过程中客户和治疗师的人格如何相互关联,可以更有效地实现客户和治疗师之间的联系。

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