Psychother Res. 2003 Jan 1;13(3):371-82. doi: 10.1093/ptr/kpg027.
The authors investigated the temporal relationship between client and therapist attachment orientations and early working alliance. Attachment was measured by self-report after the 1st session of therapy. The working alliance ratings were completed after the 1st, 4th, and 7th therapy sessions. Hierarchical linear modeling results indicated that anxiously attached therapists had a significant positive effect on the client working alliances after the 1st session but significant negative effects over time. No other therapist or client attachment variables or related interactions had a significant effect on client working alliance ratings. Results also indicated that time was a significant positive predictor of client working alliance ratings.
作者研究了客户和治疗师依恋取向与早期工作联盟之间的时间关系。依恋通过治疗第 1 次就诊后的自我报告进行测量。工作联盟评分在第 1、4 和 7 次治疗后完成。分层线性模型结果表明，焦虑依恋的治疗师对第 1 次就诊后的客户工作联盟有显著的积极影响，但随着时间的推移会产生显著的负面影响。其他治疗师或客户依恋变量或相关交互作用对客户工作联盟评分没有显著影响。结果还表明，时间是客户工作联盟评分的一个显著正向预测指标。
