Xu Hui, Tracey Terence J G
Arizona State University.
J Couns Psychol. 2015 Jul;62(3):351-9. doi: 10.1037/cou0000089. Epub 2015 May 18.
A reciprocal influence model of the working alliance and the therapeutic outcome was examined in a sample of clients (n = 638) seen by novice therapists. Past researchers have found a relation between the working alliance and symptom improvement and this relation has been interpreted as the alliance leading to such symptom change. The current study was an examination of whether the alliance does indeed lead to symptom change, or whether symptom change leads to subsequent alliance change, or whether each is related to the other in a reciprocal way over time. By modeling the longitudinal development of the working alliance and the symptomatic severity over the individual therapy course, we found support for the reciprocal model being superior to the unidirectional models. The ideas of relationship as strategy and relationship as outcome along with the reciprocal pattern revealed in the findings were discussed with respect to the theoretical and clinical implications. We also discussed the limitations of the study and provided suggestions for future research.
在新手治疗师接待的一组来访者（n = 638）样本中，研究了工作联盟与治疗结果的相互影响模型。过去的研究人员发现工作联盟与症状改善之间存在关联，这种关联被解释为联盟导致了此类症状变化。当前的研究旨在考察联盟是否确实导致症状变化，或者症状变化是否导致随后的联盟变化，又或者随着时间的推移，二者是否以相互的方式相互关联。通过对个体治疗过程中工作联盟的纵向发展和症状严重程度进行建模，我们发现有证据支持相互模型优于单向模型。结合研究结果中揭示的相互模式，对将关系视为策略和将关系视为结果的观点的理论和临床意义进行了讨论。我们还讨论了该研究的局限性，并为未来的研究提供了建议。
