a Gordon F Derner School of Psychology, Adelphi University , Garden City , NY , USA.
Psychother Res. 2019 Jul;29(5):594-606. doi: 10.1080/10503307.2018.1425929. Epub 2018 Jan 20.
While there has been much research on the role of the working alliance in psychotherapy, researchers only recently began investigating the role of the real relationship in treatment.
In the current study on therapist and client dyads, we used actor-partner interdependence modeling (APIM) to examine associations between therapists' and clients' ratings of the real relationship, therapist self-disclosure, attachment, and treatment progress. APIM analyses allowed for an examination into how therapists' and clients' views of a particular phenomenon might affect their own ratings (actor), as well as the others' (partner) ratings of that same phenomenon.
Significant negative associations between therapist self-reported attachment anxiety and avoidance and therapist-rated real relationship and treatment progress. Significant positive associations were found between client-rated real relationship and client-rated treatment progress. These results and others are discussed in the context of the literature along with implications for future research in this area.
虽然有很多关于工作联盟在心理治疗中作用的研究，但研究人员最近才开始研究治疗中的真实关系的作用。
在当前对治疗师和客户的二人组的研究中，我们使用演员-伙伴相互依存模型（APIM）来检验治疗师和客户对真实关系的评价、治疗师的自我暴露、依恋和治疗进展之间的关联。APIM 分析允许研究治疗师和客户对特定现象的看法如何影响他们自己的评价（演员），以及其他人对同一现象的评价（伙伴）。
治疗师自我报告的依恋焦虑和回避与治疗师评定的真实关系和治疗进展呈显著负相关。客户评定的真实关系与客户评定的治疗进展呈显著正相关。这些结果和其他结果在文献的背景下进行了讨论，并对该领域未来的研究提出了启示。
