Westerman M A, Foote J P, Winston A
Department of Psychology, New York University, New York 10003, USA.
J Consult Clin Psychol. 1995 Aug;63(4):672-5. doi: 10.1037//0022-006x.63.4.672.
This article investigated the mechanisms underlying associations between patients' contribution to the alliance and outcome by examining relations between change in the alliance over the course of treatment and improvement in Short-Term Dynamic Psychotherapy (STDP) and Brief Adaptive Psychotherapy (BAP). Findings for STDP were consistent with 1 model about the role played by the alliance, according to which change in the alliance over the course of therapy is the vehicle for overall improvement. Results for BAP were consistent with the other main position proposed in the literature, which argues that a positive alliance provides the foundation for successful treatment. Discussion includes suggesting that it might prove useful in future research to group therapy approaches in terms of these 2 models and that this idea may explain 2 apparently contradictory sets of findings from previous studies on relations between change in the alliance and outcome.
本文通过考察治疗过程中联盟关系的变化与短期动力心理治疗（STDP）及简短适应性心理治疗（BAP）改善情况之间的关系，研究了患者对治疗联盟的贡献与治疗结果之间关联的潜在机制。STDP的研究结果与关于联盟所起作用的一个模型一致，根据该模型，治疗过程中联盟关系的变化是整体改善的媒介。BAP的结果与文献中提出的另一个主要观点一致，该观点认为积极的联盟为成功治疗奠定基础。讨论部分提出，在未来研究中根据这两种模型对治疗方法进行分类可能会有帮助，并且这一观点或许可以解释先前关于联盟关系变化与治疗结果之间关系的研究中两组明显相互矛盾的发现。
