Gurman A L, Gustafson J P
Am J Psychiatry. 1976 Nov;133(11):1290-4. doi: 10.1176/ajp.133.11.1290.
The authors review the empirical literature examining the hypothesized relationship between the patient's perception of the therapeutic relationship and treatment outcome in group therapy and describe studies of both inpatient and outpatient group therapy. Their review indicates that, in contrast to the overwhelming evidence in support of the perceived relationship-outcome hypothesis in individual psychotherapy, there is no persuasive evidence in favor of the proposed relationship between the therapist-patient relationship and the efficacy of group treatment. The authors discuss the clinical and theoretical differences between individual and group therapy that would contribute to this result.
作者回顾了实证文献,这些文献研究了患者对治疗关系的感知与团体治疗中治疗结果之间的假设关系,并描述了住院患者和门诊患者团体治疗的研究。他们的综述表明,与个体心理治疗中支持感知关系-结果假设的压倒性证据相反,没有有说服力的证据支持治疗师-患者关系与团体治疗效果之间的拟议关系。作者讨论了个体治疗和团体治疗之间的临床和理论差异,这些差异可能导致了这一结果。