a Derner Institute of Advanced Psychological Studies , Adelphi University , Garden City , NY , USA.
Psychother Res. 2013;23(6):646-57. doi: 10.1080/10503307.2013.843803. Epub 2013 Oct 24.
This study examined the relationship of pre-treatment personality disorder diagnosis to the quality of early therapeutic alliance in 145 patients randomly assigned to either cognitive behavioral therapy or brief relational therapy. The pre-treatment diagnosis was established by DSM-IV (SCID) and Wisconsin Personality Inventory. Quality of the alliance was assessed by patient and therapist reports using the 12-item Working Alliance Inventory, Session Evaluation Questionnaire, and direct questions of ruptures. Results indicated that pre-treatment personality disorder as determined by SCID predicted no variables of early psychotherapy process. Factor scores yielded from a PCA of the WISPI indicated that high impulsivity, dysregulation, and lability were associated with lower patient and therapist ratings of session depth of exploration and higher patient ratings of rupture intensity.
本研究考察了 145 名随机分配至认知行为治疗或简短关系治疗的患者的治疗前人格障碍诊断与早期治疗联盟质量之间的关系。治疗前的诊断由 DSM-IV（SCID）和威斯康星人格量表确定。通过患者和治疗师使用 12 项工作联盟量表、治疗过程评估问卷和破裂的直接问题报告来评估联盟的质量。结果表明，SCID 确定的治疗前人格障碍不能预测早期心理治疗过程的任何变量。WISPI 的 PCA 得出的因子分数表明，高冲动性、失调和不稳定性与患者和治疗师对治疗过程中深度探索的评价较低以及患者对破裂强度的评价较高有关。
