Regina Qu'Appelle Health Region, Saskatchewan, Canada.
University of Saskatchewan, Saskatoon, Canada.
J Interpers Violence. 2020 Apr;35(7-8):1739-1760. doi: 10.1177/0886260517698822. Epub 2017 Mar 22.
The present study examined the working alliance, as measured by the full-length Working Alliance Inventory (WAI), and its association with psychopathy, treatment completion, and recidivism in a sample of 111 incarcerated adult male sexual offenders. The men completed the WAI 3 months into their treatment program, while psychopathy was measured via file-based ratings of the Hare's Psychopathy Checklist-Revised (PCL-R), and outcome data were collected via the Canadian Police Information Centre. The majority (85%) of high PCL-R scoring men (PCL-R 25+) successfully completed their treatment program, and by and large, the men demonstrated strong working alliances with their primary therapists. The WAI scale components showed differential associations with the structural features of psychopathy. Specifically, the Affective facet was significantly associated with weaker Bond scores, while the Lifestyle facet was associated with lower Task scores; these results were upheld after controlling for scores on the other PCL-R facets. Strength of alliance, however, was not significantly associated with any recidivism outcomes, irrespective of controls for psychopathy. Implications for the treatment of offenders with high levels of psychopathic traits are discussed in light of extant findings and unique features of the therapeutic alliance.
本研究以全长工作联盟量表（WAI）评估工作联盟，并探讨其与精神病态、治疗完成情况和累犯之间的关系，研究对象为 111 名被监禁的成年男性性犯罪者。男性在治疗计划进行到 3 个月时完成 WAI，而精神病态则通过基于文件的 Hare 的《精神病态检查表修订版》（PCL-R）评分来衡量，通过加拿大警察信息中心收集结果数据。大多数（85%）高 PCL-R 评分男性（PCL-R≥25）成功完成了治疗计划，而且男性与他们的主要治疗师之间的工作联盟普遍较强。WAI 量表的各个分量表与精神病态的结构特征存在不同的关联。具体来说，情感方面与较弱的 Bond 评分显著相关，而生活方式方面与较低的任务评分相关；在控制其他 PCL-R 分量表的分数后，这些结果仍然成立。然而，无论是否控制精神病态因素，联盟的强弱都与任何累犯结果均无显著关联。本文结合现有研究和治疗联盟的独特特征，讨论了治疗具有高精神病态特征的罪犯的意义。
