Education & Counseling Psychology, University of Louisville, Louisville, KY 40292, USA.
Psychother Res. 2013;23(1):67-77. doi: 10.1080/10503307.2012.731088. Epub 2012 Oct 15.
We developed a new measure, Alliance in Action (AiA), which assesses clients' perceptions of therapist behavior related to fostering and maintaining the alliance. Clients (N=170) were treated by 42 therapists. All clients were currently in therapy. The results of a factor analysis revealed four subscales to the AiA, which reflected clients' perceptions of their therapists' behavior to monitor the therapeutic relationship, the goals for therapy, and progress towards client goals. A fourth subscale emerged that reflected clients' perceptions of therapist avoidance of eliciting feedback. The AiA subscales demonstrated alphas above .70 and they were associated with client-rated alliance and session outcomes in univariate correlation tests. In multilevel models, three of the four subscales were associated with alliance and session outcomes. The AiA may be helpful in understanding how the therapeutic alliance functions in therapy.
我们开发了一种新的测量工具，即行动联盟（Alliance in Action，AiA），用于评估来访者对促进和维持联盟相关的治疗师行为的看法。42 名治疗师对 170 名来访者进行了治疗。所有来访者都正在接受治疗。因素分析的结果显示，AiA 有四个分量表，反映了来访者对其治疗师监测治疗关系、治疗目标以及朝着来访者目标进展的行为的看法。第四个分量表反映了来访者对治疗师回避征求反馈的看法。AiA 分量表的 alpha 值高于.70，并且在单变量相关测试中与来访者评定的联盟和治疗阶段结果相关。在多层次模型中，四个分量表中的三个与联盟和治疗阶段结果相关。AiA 可能有助于理解治疗联盟在治疗中的作用。
