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J Marital Fam Ther. 2012 Jun;38 Suppl 1:50-62. doi: 10.1111/j.1752-0606.2012.00290.x. Epub 2012 May 15.
Clinicians' own internal resources for understanding relationships--that is, their attachment organizations--have been found to influence the process and outcome of treatment. The current study addressed whether the attachment organizations of novice couple and family therapists were associated with couples' experiences of their therapists, therapeutic alliance, session impact, and emotionally focused couple therapy (EFT) fidelity (i.e., especially as related to targeting and working with attachment needs and overt and underlying emotions). Novice couple and family therapists delivered EFT, an attachment-based approach, to couples in a simulated session and an embedded multicase study design guided a cross-case analysis. Findings indicated that secure therapists, when compared to their insecure peers, were more competent at working with attachment needs, as well as the overt and underlying emotions of their clients. Secure therapists perceived themselves as being more skilled in emotion regulation, which may have contributed to their abilities to remain attuned to their clients' attachment needs and emotional expression, even in the face of emotional arousal in session. Couples of insecure therapists also reported greater alliance splits. Future research is needed to further explore the dyadic influences of both therapists' and clients' attachment organizations, as well as the training and supervision practices these findings implicate.
临床医生自身理解关系的内在资源——即他们的依恋组织——被发现会影响治疗的过程和结果。本研究旨在探讨新手夫妇和家庭治疗师的依恋组织是否与夫妻对治疗师的体验、治疗联盟、治疗影响以及情感焦点夫妻治疗（EFT）的保真度（即，特别是与针对和处理依恋需求以及明显和潜在情绪有关）有关。新手夫妇和家庭治疗师在模拟治疗中为夫妇提供 EFT，一种基于依恋的方法，并采用嵌入式多案例研究设计进行跨案例分析。研究结果表明，与不安全的同事相比，安全的治疗师在处理依恋需求以及客户的明显和潜在情绪方面更有能力。安全的治疗师认为自己在情绪调节方面更有技巧，这可能有助于他们能够即使在治疗中出现情绪激动的情况下，仍然能够关注客户的依恋需求和情感表达。不安全治疗师的夫妇也报告了更大的联盟分裂。需要进一步研究来探索治疗师和客户的依恋组织的双重影响，以及这些发现所涉及的培训和监督实践。
