Psychology and Research in Education, University of Kansas, Lawrence, KS, USA.
Psychother Res. 2012;22(4):442-57. doi: 10.1080/10503307.2012.664292. Epub 2012 Feb 24.
We examined relationships among the use of therapist directives, client implementation of directives, and outcome for 43 Chinese therapists and their 96 Chinese clients at a university counseling center in mid-China. The results showed that most directives reported by both therapists and clients asked clients to act on or think about intrapersonal or interpersonal issues. Chinese therapists reported giving fewer, but clients reported receiving a similar number of directives than was found in Scheel et al.'s (1999) American sample. Client-rated fit, difficulty, and therapist influence did not predict client implementation directly, nor did implementation predict client-rated outcome directly. Instead, quantity and acceptability of directives interacted in influencing client implementation and use of directives facilitated client-rated outcome through strengthening working alliance.
我们考察了治疗师指导的使用、客户对指导的执行情况以及 43 位中国治疗师及其 96 位中国客户在中国中部一所大学咨询中心的治疗结果之间的关系。结果表明，治疗师和客户报告的大多数指导都要求客户处理或思考个人或人际关系问题。中国治疗师报告的指导较少，但客户报告的指导数量与 Scheel 等人（1999 年）的美国样本相似。客户评定的适配性、难度和治疗师影响并没有直接预测客户的执行情况，执行情况也没有直接预测客户评定的结果。相反，指导的数量和可接受性相互作用影响客户的执行情况，而指导的使用则通过加强工作联盟促进客户评定的结果。
