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短期认知疗法中患者治疗前的人际问题与治疗联盟

Patient pretreatment interpersonal problems and therapeutic alliance in short-term cognitive therapy.

作者信息

Muran J C, Segal Z V, Samstag L W, Crawford C E

机构信息

Beth Israel Medical Center, New York, New York 10003.

出版信息

J Consult Clin Psychol. 1994 Feb;62(1):185-90. doi: 10.1037//0022-006x.62.1.185.

DOI:10.1037//0022-006x.62.1.185
PMID:8034822
Abstract

The growing consensus regarding the importance of interpersonal process in psychotherapy, as well as of interpersonal factors in self-definition, has underscored the relevance of examining patient interpersonal functioning as it relates to the development of the therapeutic alliance. This study examined the relationship of patient pretreatment interpersonal functioning (as measured by the Inventory of Interpersonal Problems and the Million Clinical Multiaxial Inventory) to the therapeutic alliance (as measured early in treatment by a patient self-report version of the Working Alliance Inventory). On the basis of an interpersonal circumplex interpretation, the results generally indicated that friendly-submissive interpersonal problems were positively related to the development of aspects of the alliance and that hostile-dominant problems were negatively related to the development of aspects of the alliance early in short-term cognitive therapy.

摘要

关于人际过程在心理治疗中的重要性以及人际因素在自我定义中的重要性,越来越多的共识凸显了考察患者人际功能与治疗联盟发展之间关系的相关性。本研究考察了患者治疗前的人际功能(通过人际问题清单和米隆临床多轴量表测量)与治疗联盟(通过治疗早期患者自我报告版的工作联盟量表测量)之间的关系。基于人际环形模型的解释,结果总体表明,在短期认知治疗早期,友好顺从的人际问题与联盟各方面的发展呈正相关,而敌对主导的问题与联盟各方面的发展呈负相关。

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