The Department of Psychology, University of Haifa, Haifa, Israel.
Ferkauf Graduate School of Psychology, Yeshiva University, New York, NY, USA.
Psychother Res. 2021 Sep;31(7):870-881. doi: 10.1080/10503307.2020.1862432. Epub 2020 Dec 26.
Contemporary theories and the empirical literature stress the importance of successful resolution of alliance ruptures for the process and outcome of treatment. Yet, little empirical work has examined what leads to successful resolutions. The aim of the present study was to examine which patients are more likely to achieve successful resolutions of ruptures and under which circumstances. Sixty-five patients completed measures assessing their trait-like pretreatment characteristics (alliance expectations and general attachment orientation), and state-like changes in treatment (working alliance, therapist serving as an attachment figure, and the implementation of common factor techniques). Successful resolutions were coded using observer behavioral coding at four time points. State-like changes, but not trait-like characteristics significantly contributed to successful resolution. Stronger working alliance and the therapist as an attachment figure, and the implementation of common factors techniques were found to contribute to successful resolutions. The current findings emphasize the importance of the process that occurs within treatment, and the therapeutic context in which the resolution process take place for the ability to achieve successful resolutions.
当代理论和实证文献强调了成功解决联盟破裂对治疗过程和结果的重要性。然而，很少有实证研究探讨是什么导致了成功的解决。本研究旨在探讨哪些患者更有可能成功解决破裂，以及在哪些情况下。65 名患者完成了评估其特质性治疗前特征（联盟期望和一般依恋取向）和治疗中状态性变化（工作联盟、治疗师作为依恋对象以及常见因素技术的实施）的测量。使用观察者行为编码在四个时间点对成功的解决进行编码。状态性变化，而不是特质性特征，对成功的解决有显著贡献。更强的工作联盟和治疗师作为依恋对象，以及常见因素技术的实施被发现有助于成功解决。当前的研究结果强调了治疗过程中发生的过程以及解决过程发生的治疗环境对实现成功解决的重要性。
