Markin Rayna D, Kivlighan Dennis M, Gelso Charles J, Hummel Ann M, Spiegel Eric B
Department of Education and Counseling.
Department of Counseling, Higher Education and Special Education, University of Maryland.
Psychotherapy (Chic). 2014 Sep;51(3):413-23. doi: 10.1037/a0036069. Epub 2014 Apr 28.
This study used the Actor Partner Interdependence Model (APIM; Kenny & Cook, 1999) to examine the associations of client- and therapist-rated real relationship (RR) and session quality over time. Eighty-seven clients and their therapists (n = 25) completed RR and session quality measures after every session of brief therapy. Therapists' current session quality ratings were significantly related to all of the following: session number (b = .04), their session quality rating of the previous session (b = .24), their RR in the previous session (b = 1.091), their client's RR in the previous session (b = .17), and interactions between their own and their clients' RR and session number (b = -.16 and β = -.04, respectively). Clients' ratings of current session quality were significantly related to only their own RR in the previous session (b = .47). Implications for future research and practice are discussed.
本研究采用演员-搭档相互依赖模型（APIM；肯尼和库克，1999）来检验随着时间推移，客户和治疗师评定的真实关系（RR）与治疗 session 质量之间的关联。87 名客户及其 25 名治疗师在每次简短治疗 session 后完成了 RR 和治疗 session 质量测量。治疗师当前对治疗 session 质量的评定与以下所有因素显著相关：治疗 session 次数（b = 0.04）、他们对上一个治疗 session 的质量评定（b = 0.24）、他们在上一个治疗 session 中的 RR（b = 1.091）、他们客户在上一个治疗 session 中的 RR（b = 0.17），以及他们自己和客户的 RR 与治疗 session 次数之间的交互作用（分别为 b = -0.16 和β = -0.04）。客户对当前治疗 session 质量的评定仅与他们自己在上一个治疗 session 中的 RR 显著相关（b = 0.47）。文中讨论了对未来研究和实践的启示。
