Anderson Timothy, Crowley Mary Ellen J, Himawan Lina, Holmberg Jennifer K, Uhlin Brian D
a Department of Psychology , Ohio University , Athens , OH , USA.
b Department of Psychiatry , Harvard Medical School , Boston , MA , USA.
Psychother Res. 2016 Sep;26(5):511-29. doi: 10.1080/10503307.2015.1049671. Epub 2015 Sep 7.
Therapist effects, independent of the treatment provided, have emerged as a contributor to psychotherapy outcomes. However, past research largely has not identified which therapist factors might be contributing to these effects, though research on psychotherapy implicates relational characteristics. The present Randomized Clinical Trial tested the efficacy of therapists who were selected by their facilitative interpersonal skills (FIS) and training status.
Sixty-five clients were selected from 2713 undergraduates using a screening and clinical interview procedure. Twenty-three therapists met with 2 clients for 7 sessions and 20 participants served in a no-treatment control group.
Outcome and alliance differences for Training Status were negligible. High FIS therapists had greater pre-post client outcome, and higher rates of change across sessions, than low FIS therapists. All clients treated by therapists improved more than the silent control, but effects were greater with high FIS than low FIS therapists. From the first session, high FIS therapists also had higher alliances than low FIS therapists as well as significant improvements on client-rated alliance.
Results were consistent with the hypothesis that therapists' common relational skills are independent contributors to therapeutic alliance and outcome.
与所提供的治疗无关，治疗师效应已成为心理治疗结果的一个影响因素。然而，过去的研究在很大程度上尚未确定哪些治疗师因素可能导致这些效应，尽管心理治疗研究表明关系特征有影响。本随机临床试验测试了通过其促进性人际技能（FIS）和培训状态选拔出来的治疗师的疗效。
通过筛查和临床访谈程序从2713名本科生中选取65名客户。23名治疗师与2名客户进行了7次会面，20名参与者作为无治疗对照组。
培训状态的结果和联盟差异可忽略不计。高FIS治疗师比低FIS治疗师在治疗前后的客户结果更好，且各疗程的变化率更高。所有接受治疗师治疗的客户比无治疗对照组改善更多，但高FIS治疗师的效果比低FIS治疗师更大。从第一疗程开始，高FIS治疗师的联盟也比低FIS治疗师更高，且在客户评定的联盟方面有显著改善。
结果与以下假设一致，即治疗师的常见关系技能是治疗联盟和结果的独立影响因素。
