Andrade-González Nelson, Lahera Guillermo, Fernández-Liria Alberto
Relational Processes and Psychotherapy Research Group, Faculty of Medicine and Health Sciences, University of Alcalá, Campus Universitario, Carretera Madrid-Barcelona Km. 33,600, 28871, Alcalá de Henares, Madrid, Spain.
Faculty of Medicine and Health Sciences, University of Alcalá, Alcalá de Henares, Madrid, Spain.
Psychiatr Q. 2017 Sep;88(3):623-633. doi: 10.1007/s11126-016-9477-4.
This study aimed to examine perceptions of the working alliance in a sample of Spanish patients and therapists. The alliance was measured after the third and tenth psychotherapy sessions using patient and therapist versions of the Spanish adaptation of the Working Alliance Inventory (WAI). After both sessions, correlations between the patients' and therapists' ratings, both of total alliance and of the various dimensions of the alliance, were moderate at best. Moreover, after the third psychotherapy session, patients' scores for the total alliance and the Goal and Task subscales were significantly higher than the scores from their therapists in these dimensions. Following the tenth session, patient ratings exceeded those of their therapists only on the Task subscale. Finally, in contrast to the ratings of patients, therapists' alliance ratings increased significantly between the third and tenth sessions of psychotherapy. Certain recommendations are presented to improve the study of patient and therapist perceptions of the working alliance and to increase the convergence between them with regard to this central treatment variable.
本研究旨在调查西班牙患者和治疗师样本对工作联盟的看法。在第三次和第十次心理治疗 session 后，使用工作联盟量表（WAI）西班牙文改编版的患者版和治疗师版来测量联盟。两次 session 后，患者和治疗师对联盟总分及联盟各维度的评分之间的相关性充其量为中等。此外，在第三次心理治疗 session 后，患者在联盟总分以及目标和任务子量表上的得分在这些维度上显著高于其治疗师的得分。在第十次 session 后，仅在任务子量表上患者评分超过了其治疗师的评分。最后，与患者的评分相反，治疗师对联盟的评分在心理治疗的第三次和第十次 session 之间显著增加。提出了一些建议，以改进对患者和治疗师对工作联盟看法的研究，并在这个核心治疗变量方面增加他们之间的一致性。
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