Department of Psychology, Universit y of Maryland, College Park, MD 20742, USA.
J Couns Psychol. 2012 Oct;59(4):495-506. doi: 10.1037/a0029838. Epub 2012 Sep 3.
This study sought to assess the association of client- and therapist-rated real relationship with each other and with the outcome of brief psychotherapy. It also aimed to determine whether changes over time in perceptions of the real relationship and increasing convergence between clients' and therapists' ratings of the real relationship were associated with outcome. Forty-two clients and their therapists (n = 19) at 2 university counseling centers completed measures assessing the strength of their real relationship after every session of brief psychotherapy. They also completed an outcome measure at the end of treatment. Clients' ratings of the real relationship after the first session, first quarter of treatment, and after all sessions combined related to outcomes. Therapists' ratings of the real relationship at these time points did not relate to outcome. However, increases over time in therapists' ratings of real relationship strength, as well as increasing convergence with clients' ratings of the real relationship, did relate to outcome. Implications for future research and practice are discussed.
本研究旨在评估患者和治疗师评定的真实关系之间的关联，以及与简短心理治疗结果之间的关联。它还旨在确定真实关系的感知是否随时间发生变化，以及患者和治疗师对真实关系的评估是否趋同，这是否与结果相关。在 2 个大学咨询中心，42 名患者及其治疗师（n=19）在每次简短心理治疗后完成评估真实关系强度的测量。他们还在治疗结束时完成了一项结果测量。患者在第一次治疗、治疗第一季度和所有治疗结束后的关系评估与结果相关。治疗师在这些时间点对真实关系的评估与结果无关。然而，治疗师对真实关系强度的评估随时间的增加，以及与患者对真实关系的评估趋同，与结果相关。讨论了对未来研究和实践的启示。
