Werbart Andrzej, Hägertz Mikael, Borg Ölander Nadja
Department of Psychology, Stockholm University, 106 91 Stockholm, Sweden.
J Contemp Psychother. 2018;48(4):241-251. doi: 10.1007/s10879-018-9389-8. Epub 2018 Mar 14.
Decades of psychotherapy research suggest that patient-therapist match accounts for outcome beyond single patient or therapist variables. This study examines the associations between different patterns of patient-therapist matching (in terms of orientation on relatedness or self-definition) and outcomes at termination of psychoanalytic psychotherapy with young adults. Thirty-three patients and their therapists were classified as predominately anaclitic or introjective at baseline. Patients in the convergent patient-therapist dyads (both anaclitic or both introjective) showed significantly greater symptom reduction and increased developmental levels of representations of mother than patients in the complementary dyads (opposite personality configurations). Moreover, convergent patient-therapist match was connected with larger effect sizes on all outcome measures and lower proportion of non-improved patients. These findings suggest the importance of the therapists' early adjusting their orientation on relatedness or self-definition to their patients' predominant personality configuration in order to enhance treatment outcomes.
数十年的心理治疗研究表明，患者与治疗师的匹配度对治疗结果的影响超过了单一的患者或治疗师变量。本研究考察了不同模式的患者与治疗师匹配（在关系取向或自我定义方面）与年轻成人精神分析心理治疗结束时的治疗结果之间的关联。33名患者及其治疗师在基线时被分类为主要依赖型或内投型。趋同的患者 - 治疗师配对组（双方均为依赖型或双方均为内投型）的患者比互补配对组（相反的人格配置）的患者表现出显著更大程度的症状减轻，以及母亲表征的发展水平提高。此外，趋同的患者 - 治疗师匹配在所有治疗结果指标上都与更大的效应量以及未改善患者的更低比例相关。这些发现表明，治疗师尽早根据患者的主要人格配置调整其在关系或自我定义方面的取向对于提高治疗效果很重要。
