UPC K.U. Leuven, Leuven, Belgium.
Department of Neurosciences, University of Leuven, Leuven, Belgium.
Fam Process. 2023 Dec;62(4):1307-1321. doi: 10.1111/famp.12937. Epub 2023 Sep 2.
Outcome research highlights the importance of the therapeutic alliance for the outcome of therapy. Meta-analyses suggest that in family therapy, the therapeutic alliance is even more important than in individual therapy. In family therapy, however, the alliance is more complex than in individual therapy. Through empathy, authenticity and hopefulness the therapist can contribute to an effective alliance. Sometimes during the session, a therapist may experience strong emotions that are in tension with his/her therapeutic aspirations of empathetic listening, authenticity and hopefulness. A therapist might experience boredom instead of curiosity, irritation instead of acceptance, shame instead of authenticity. There is need for some kind of emotion regulation to protect the alliance. Furthermore, as some authors suggest, the therapist's emotions - even the emotions that are first glance seem harmful to the alliance - may also be useful for the therapist. Several case stories illustrate the different ways in which family therapists can deal with their emotions in the session.
疗效研究强调治疗联盟对于治疗结果的重要性。荟萃分析表明，在家庭治疗中，治疗联盟比个体治疗更为重要。然而，在家庭治疗中，联盟比个体治疗更为复杂。治疗师可以通过同理心、真实性和希望为有效的联盟做出贡献。有时在治疗过程中，治疗师可能会经历强烈的情绪，这些情绪与他/她同理心倾听、真实性和希望的治疗愿望相冲突。治疗师可能会感到无聊而不是好奇，恼怒而不是接受，羞耻而不是真实。需要进行某种情绪调节来保护联盟。此外，正如一些作者所建议的，治疗师的情绪——即使是乍一看似乎对联盟有害的情绪——也可能对治疗师有用。几个案例故事说明了家庭治疗师在治疗过程中处理情绪的不同方式。
