Patterson Candace L, Anderson Timothy, Wei Christina
Psychiatric & Psychological Associates of Durham, PLLC.
J Clin Psychol. 2014 Jul;70(7):673-80. doi: 10.1002/jclp.22054. Epub 2013 Oct 29.
The present study examined the associations between pretreatment role expectations, working alliance, and therapy outcome. A mediational model was hypothesized wherein the therapeutic alliance mediates the relationship between clients' pretreatment role expectations and psychotherapy outcome.
Sixty-eight clients completed the Expectations About Counseling-Brief Form at pretreatment, the Working Alliance Inventory-Short Form Revised after Session 3, and the Outcome Questionairre-45 at both pretreatment and the final session.
All 3 expectations factors (Personal Commitment, Facilitative Conditions, Counselor Expertise) were related to the alliance. However, only expectations for Counselor Expertise were related to outcome, although this relationship did not appear to be mediated by the alliance.
Suggested research directions, clinical implications, and study limitations are discussed.
本研究探讨治疗前角色期望、工作联盟与治疗结果之间的关联。提出了一个中介模型，其中治疗联盟介导来访者的治疗前角色期望与心理治疗结果之间的关系。
68名来访者在治疗前完成了《简短咨询期望量表》，在第3次治疗后完成了修订后的《简短工作联盟量表》，并在治疗前和最后一次治疗时完成了《45项治疗结果问卷》。
所有3个期望因素（个人承诺、促进性条件、咨询师专业知识）均与联盟相关。然而，只有对咨询师专业知识的期望与结果相关，尽管这种关系似乎并非由联盟介导。
讨论了建议的研究方向、临床意义和研究局限性。
