Akademia Pedagogiki Specjalnej im. Marii Grzegorzewskiej, Instytut Psychologii, Zakład Psychologii Osobowości.
Psychiatr Pol. 2022 Jun 30;56(3):571-590. doi: 10.12740/PP/OnlineFirst/130280.
The main issue presented in this article is the analysis of the therapeutic alliance as a non-specific factor healing various mental disorders and the effect of therapeutic alliance quality on patients' quality of life.
The sample consisted of 140 subjects: 85 patients participating in individual psychotherapy and 55 psychotherapists. To assess working alliance quality, the author used the Working Alliance Inventory (WAI; Horvath & Greenberg). The other measures used in the study were the Temporal Satisfaction With Life Scale (TSWLS; Pavot, Diener, & Suh) and the Psychological Well-Being Scale (PWBS; Ryff).
The results showed that the actual effect of working alliance quality on short-term satisfaction with life was not statistically significant. It was found, however, that the effect of therapeutic alliance quality on psychological well-being was statistically significant and that a higher level of working alliance reported by the psychotherapist and the patient led to a greater sense of psychological well-being. The obtained values of correlation coefficients served as the basis for the hypothesis postulating a positive correlation between working alliance as well as its dimensions and the dimensions of psychological well-being.
The working alliance is not related to short-term effects in psychotherapy, which means that it does not increase the current feeling of satisfaction with life as well as the experience of positive affect and contentment with life. The working alliance augments the quality of life understood as lasting and healthy development. It turns out that the psychotherapeutic alliance is a determinant of psychological well-being understood more deeply than merely as fleeting pleasure and more holistically, as an intrinsic, long-term element of healthy human development. The correlation of these two factors is significant.
本文主要探讨治疗联盟作为一种非特异性因素对各种精神障碍的治疗效果，以及治疗联盟质量对患者生活质量的影响。
样本由 140 名受试者组成：85 名接受个体心理治疗的患者和 55 名心理治疗师。为了评估工作联盟质量，作者使用了工作联盟量表（WAI；Horvath 和 Greenberg）。研究中还使用了时间生活满意度量表（TSWLS；Pavot、Diener 和 Suh）和心理幸福感量表（PWBS；Ryff）。
结果表明，工作联盟质量对短期生活满意度的实际影响在统计学上并不显著。然而，研究发现治疗联盟质量对心理幸福感的影响在统计学上是显著的，治疗师和患者报告的工作联盟质量越高，心理幸福感就越强。所获得的相关系数值为假设提供了依据，即工作联盟及其各维度与心理幸福感的各维度之间存在正相关。
工作联盟与心理治疗中的短期效果无关，这意味着它不会增加当前对生活的满意度以及积极的情感体验和对生活的满足感。工作联盟提高了生活质量，这种质量被理解为持久和健康的发展。事实证明，心理治疗联盟是心理幸福感的决定因素，这种幸福感不仅仅是短暂的愉悦，而是更全面、更内在、更长期的健康人类发展的要素。这两个因素之间存在显著的相关性。
