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治疗师的温暖和能力在模拟实验中增加了积极的结果预期和联盟。

Therapist's warmth and competence increased positive outcome expectations and alliance in an analogue experiment.

机构信息

Department of Psychology, Clinical Psychology & Psychotherapy, University of Marburg, Marburg, Germany.

出版信息

Psychother Res. 2024 Jun;34(5):663-678. doi: 10.1080/10503307.2023.2241630. Epub 2023 Aug 2.

Abstract

The quality of the therapeutic alliance, treatment motivation, outcome expectations (OE), and specific health behaviour predicts psychotherapy success. Therapists should be able to improve these factors to optimize outcomes. This study investigated the therapist's interpersonal behaviour to optimize alliance, motivation, OE, and health behaviour. A stressed study sample (= 465) completed an online analogue experiment. We gave participants positive information about psychotherapy effectiveness and varied the therapist's interpersonal behaviour along the dimensions of warmth and competence. High (vs. low) competence and high (vs. low) warmth increased alliance, OE, and help-seeking scores, while high (vs. low) competence increased motivation to do psychotherapy. We found no effects on health behaviour. In contrast to previous correlational analyses, our experimental study supports the causal role of the therapist's warmth and competence and its impact on alliance, motivation, and OE. We discuss approaches for future studies and clinical implications.

摘要

治疗联盟的质量、治疗动机、预期结果(OE)和特定的健康行为预测心理治疗的成功。治疗师应该能够改善这些因素以优化结果。本研究调查了治疗师的人际行为,以优化联盟、动机、OE 和健康行为。一组紧张的研究样本(=465)完成了一项在线模拟实验。我们向参与者提供了关于心理治疗效果的积极信息,并沿着温暖和能力两个维度改变了治疗师的人际行为。高(与低)能力和高(与低)温暖度增加了联盟、OE 和寻求帮助的分数,而高(与低)能力则增加了进行心理治疗的动机。我们没有发现对健康行为的影响。与之前的相关分析相反,我们的实验研究支持治疗师的温暖和能力的因果作用及其对联盟、动机和 OE 的影响。我们讨论了未来研究和临床应用的方法。

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