Department of Psychology, University of Maryland.
Department of Counseling, Higher Education and Special Education, University of Maryland.
Psychotherapy (Chic). 2024 Jun;61(2):151-160. doi: 10.1037/pst0000521. Epub 2024 Mar 18.
The tripartite model of the therapy relationship, which includes the working alliance, real relationship, and transference-countertransference configuration, has been a useful way to conceptualize the complexity of the connection between a therapist and a client. However, little research has focused on the interrelationships between these three components over time. This study sought to replicate the findings of Bhatia and Gelso (2018) by examining the between-person relationships among each of the three elements averaged across all sessions. Additionally, we extended earlier work by examining the within-person relationship between the working alliance, the real relationship, and transference-countertransference with themselves as well as with each of the other elements across sessions. Using 5,931 sessions across 142 clients and 36 therapists, we examined time-ordered associations among the cocreated working alliance, cocreated real relationship, and the therapist-rated transference-countertransference configuration using latent variable dynamic structural equation modeling. Results replicated the findings of Bhatia and Gelso (2018), demonstrating that in one session, the working alliance and the real relationship were positively related, and both the working alliance and the real relationship were negatively related to the transference-countertransference configuration. Regarding the interrelations over time, the findings revealed that the working alliance in the previous session had a significant and positive relationship with real relationship in the current session, and the real relationship in the previous session was related to reduced transference-countertransference in the current session. These findings provide support for complex interrelations among the components over time. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
治疗关系的三方模型，包括工作联盟、真实关系和移情反移情配置，一直是一种有用的方法，可以将治疗师和客户之间关系的复杂性概念化。然而，很少有研究关注这些三个组成部分随时间的相互关系。本研究旨在通过检查每个元素在所有会话中的平均值之间的个体间关系来复制 Bhatia 和 Gelso（2018）的发现。此外，我们通过检查工作联盟、真实关系和移情反移情之间的个体内关系以及它们与每个其他元素在会话中的关系，扩展了早期的工作。使用 142 名客户和 36 名治疗师的 5931 个会话，我们使用潜在变量动态结构方程模型检查了共同创建的工作联盟、共同创建的真实关系和治疗师评定的移情反移情配置之间的时间顺序关联。结果复制了 Bhatia 和 Gelso（2018）的发现，表明在一个会话中，工作联盟和真实关系呈正相关，工作联盟和真实关系都与移情反移情配置呈负相关。关于随时间的相互关系，研究结果表明，前一阶段的工作联盟与当前阶段的真实关系具有显著的正相关关系，前一阶段的真实关系与当前阶段的移情反移情关系减少有关。这些发现为随着时间的推移，各组成部分之间的复杂相互关系提供了支持。（PsycInfo 数据库记录（c）2024 APA，保留所有权利）。
