Joyce A S, Piper W E
Edmonton Psychotherapy Research Centre, Department of Psychiatry, University of Alberta, Canada.
J Psychother Pract Res. 1998 Summer;7(3):236-48.
Patient and therapist expectancies regarding the "typical session" were measured during a controlled trial of short-term, time-limited individual psychotherapy. Relationships between expectancy ratings and measures of the therapeutic alliance and treatment outcome were examined. Significant relationships were tested in the presence of a competing predictor variable, either pre-therapy disturbance (depression) or the patient's quality of object relations (QOR). Expectancies were associated strongly with the alliance but only moderately with treatment outcome. In most instances, expectancy and QOR combined in an additive fashion to account for variation in alliance or outcome. The patient's capacity for mature relationships and expectancies for therapy appear to be important determinants of treatment process and outcome. The clinical value of establishing accurate, moderate expectancies prior to therapy is considered.
在一项短期、限时个体心理治疗的对照试验中，测量了患者和治疗师对“典型疗程”的期望。研究了期望评分与治疗联盟及治疗结果测量指标之间的关系。在存在竞争预测变量（治疗前的困扰（抑郁）或患者的客体关系质量（QOR））的情况下，对显著关系进行了检验。期望与联盟密切相关，但与治疗结果仅呈中度相关。在大多数情况下，期望和QOR以相加的方式结合起来，以解释联盟或结果的变化。患者建立成熟关系的能力和对治疗的期望似乎是治疗过程和结果的重要决定因素。文中还考虑了在治疗前确立准确、适度期望的临床价值。
