Psychology, York University, Toronto, Ontario, Canada.
Psychother Res. 2012;22(6):731-45. doi: 10.1080/10503307.2012.724538. Epub 2012 Sep 13.
The present study compared early interpersonal process, during resistant and cooperative segments of session 1, between clients who went on to have low (n=9) versus high (n=8) treatment outcome expectations. Baseline outcome expectations were assessed prior to any therapist contact. During resistance episodes, there was substantially less affiliative reciprocity (i.e., complementarity), and greater client separation and hostility in the low versus high expectations group. During cooperation episodes, therapists of low versus high outcome expectation clients engaged in lower levels of affirming and understanding, and higher levels of control. These findings suggest a potentially potent association between in-session interpersonal process and early client outcome expectations.
本研究比较了在第 1 次会谈的抵抗和合作阶段中,预期治疗效果较低(n=9)和较高(n=8)的来访者之间的早期人际过程。在与治疗师接触之前,对基线结果预期进行了评估。在抵抗阶段,低预期组的互惠性(即互补性)明显较低,且来访者的分离和敌对情绪更为强烈。在合作阶段,低预期组的来访者的治疗师表现出较低水平的肯定和理解,以及更高水平的控制。这些发现表明,会谈中的人际过程与早期的来访者结果预期之间存在潜在的强烈关联。