a University of North Dakota.
Psychother Res. 2004 Mar;14(1):77-88. doi: 10.1093/ptr/kph005.
It is widely asserted that clients and therapists should agree on which client problems are to be the focus of treatment. According to working alliance theory, client-therapist agreement on therapy objectives contributes to treatment success. However, few empirical studies exist of the relevance of target problem agreement to therapy outcome. We examined the relationships among actual client-therapist agreement on target problems, working alliance (perceived agreement), and therapy outcome. Client-counselor dyads completed target complaint lists and symptom ratings at 3 points during therapy. Improvement and working alliance ratings were also completed after the 4th session and at a final ratings point. Fourth-session target complaint agreement and working alliance contributed to the prediction of therapy outcome. However, actual target complaint agreement was unrelated to working alliance (perceived agreement) ratings. Implications for working alliance theory are discussed.
人们普遍认为，客户和治疗师应该就哪些客户问题作为治疗的重点达成一致。根据工作联盟理论，客户-治疗师在治疗目标上的一致意见有助于治疗的成功。然而，关于目标问题协议与治疗结果的相关性的实证研究很少。我们研究了实际的客户-治疗师在目标问题上的协议、工作联盟（感知的协议）和治疗结果之间的关系。客户-顾问对在治疗期间的 3 个时间点完成目标投诉清单和症状评分。在第 4 次会议和最终评分点之后，还完成了改善和工作联盟的评分。第四次会议的目标投诉协议和工作联盟有助于预测治疗结果。然而，实际的目标投诉协议与工作联盟（感知的协议）评分无关。讨论了对工作联盟理论的影响。
