Herman S M
Indiana University Medical Center, Department of Psychiatry, Indianapolis, USA.
J Psychother Pract Res. 1997 Spring;6(2):139-44.
Views differ concerning the importance of therapist-client similarity, but the theory underlying multimodal therapy suggests that similarity would be most advantageous for treatment outcome and client satisfaction. To explore this question, 43 therapist-client pairs were evaluated with the Session Evaluation Questionnaire (SEQ) after the second psychotherapy session. Similarity was determined by computing D"2 statistics from the Structural Profile Inventory, administered to both therapist and client. Regression analyses indicated therapist-client similarity was significantly predictive of client session rating on the SEQ. The more similar the dyad, the more "positive" and "arousing" (versus "still" or "dull") clients rated early sessions. Although there were several nonsignificant analyses, none of the results suggested that dissimilarity was positively associated with higher levels of client satisfaction and rapport.
关于治疗师与来访者相似性的重要性，观点各不相同，但多模式疗法背后的理论表明，相似性对治疗效果和来访者满意度最为有利。为了探究这个问题，在第二次心理治疗 session 后，使用治疗 session 评估问卷（SEQ）对43对治疗师-来访者进行了评估。相似性通过计算治疗师和来访者都填写的结构剖面图量表中的 D"2 统计量来确定。回归分析表明，治疗师-来访者的相似性对 SEQ 上来访者对治疗 session 的评分具有显著的预测性。二元组越相似，来访者对早期 session 的评价就越“积极”和“令人兴奋”（相对于“静止”或“沉闷”）。尽管有几项分析不显著，但没有结果表明差异与更高水平的来访者满意度和融洽关系呈正相关。
