Psychology, The New School for Social Research, New York, NY 10011, USA.
Psychother Res. 2012;22(6):710-9. doi: 10.1080/10503307.2012.709326. Epub 2012 Aug 6.
Current measures of the working alliance tend to emphasize the degree of agreement or collaboration between patient and therapist about therapeutic tasks and goals. There are, however, both theoretical and empirical grounds to suggest that the degree to which patient and therapist are able to constructively negotiate disagreements about tasks and goals is another important dimension of the alliance. The present study outlines the preliminary development and evaluation of a measure to operationalize this dimension. This measure, the alliance negotiation scale (ANS), is a 12-item patient self-report instrument. Exploratory factor analysis and expert ratings informed the development of the scale, which consists of two distinct factors that demonstrate good internal consistency. Correlations between these factors and the working alliance offer preliminary support for its construct validity. A working version of the ANS is presented and the need for further validation is discussed.
目前的工作联盟衡量标准往往侧重于患者和治疗师在治疗任务和目标上的一致或协作程度。然而，无论是从理论还是实证的角度来看，患者和治疗师在任务和目标上建设性地协商分歧的程度，都是联盟的另一个重要维度。本研究概述了用于实施这一维度的初步发展和评估。这个衡量标准，即联盟协商量表（ANS），是一个 12 项的患者自评工具。探索性因素分析和专家评价为该量表的开发提供了信息，它由两个具有良好内部一致性的不同因素组成。这些因素与工作联盟之间的相关性为其结构效度提供了初步支持。本文呈现了 ANS 的工作版本，并讨论了进一步验证的必要性。
