Clinical Psychologist in the School of Psychology, University of Newcastle, Callaghan, NSW, Australia.
Senior Lecturer in the School of Psychology, University of Newcastle, Callaghan, NSW, Australia.
Bull Menninger Clin. 2021 Spring;85(2):177-203. doi: 10.1521/bumc.2021.85.2.177.
This qualitative study explored the treatment experience and the therapeutic relationship of participants receiving an integrated psychological treatment for comorbid alcohol use problems and depressive disorders. Semistructured interviews targeting experience of therapy and the relationship with the therapist were carried out with seven participants. Transcripts were analyzed using Interpretive Phenomenological Analysis to reveal major themes. Four major themes were identified. "Nature of the relationship" describes the importance of the client's perception of the therapeutic relationship experienced, "Confidence in therapy" and "Acknowledgment of experience" address components assisting the development of a positive alliance, and "Meeting unmet needs for connection" illustrates the importance of a positive therapeutic relationship for this population. Participants thought that clinicians would benefit from a good understanding of the role the alliance relationship plays within comorbidity treatment, of the need this relationship meets for this population, and the importance of engendering confidence in therapy and recognizing client perspectives.
本定性研究探讨了接受酒精使用问题和抑郁障碍共病的综合心理治疗的参与者的治疗体验和治疗关系。对七名参与者进行了针对治疗体验和与治疗师关系的半结构化访谈。使用解释现象学分析方法分析转录本，以揭示主要主题。确定了四个主要主题。“关系的本质”描述了客户对所经历的治疗关系的看法的重要性，“对治疗的信心”和“对经验的承认”解决了有助于建立积极联盟的组成部分，“满足未满足的联系需求”说明了积极的治疗关系对这一人群的重要性。参与者认为，临床医生如果能很好地理解联盟关系在共病治疗中的作用、这种关系对这一人群的需求，以及建立治疗信心和承认患者观点的重要性，将从中受益。
