The linear pattern of therapeutic alliance development: Exploring the relationship between alliance trajectories over time and the outcomes of systemic psychotherapy treatment for adaptation disorders

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research Pub Date : 2024-03-29 DOI:10.1002/capr.12753

Tomasz Prusiński

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引用次数: 0

Abstract

Objective

This study aimed to determine the trajectories of therapeutic alliance development in individual systemic psychotherapy for adults with adaptation disorders and the differences in alliance development between groups with different treatment outcomes.

Method

The longitudinal quasi-experiment included 20 patients undergoing individual outpatient psychotherapy treatment in private practice for over a year. Therapeutic alliance was evaluated three times, by the psychotherapist and the patient simultaneously. Treatment outcomes were estimated twice based on patient ratings. Their clinical significance was assessed using the Reliable Change Index, analysis of variance for independent groups and trend analysis. The analyses concerned global therapeutic alliance and its three dimensions: goals, tasks and bonds.

Results

The study supported the hypothesised linear trend. It also confirmed a greater increase in alliance quality over the course of treatment in patients whose therapy was more successful.

Conclusion

The results indicate that, in patients with adaptation disorders, alliance development in systemic therapy follows a stable linear trend. The linear change observed for global therapeutic alliance is paralleled by similar trends in goals, tasks and bonds. Strong alliance correlates with better treatment outcomes.

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治疗联盟发展的线性模式：探索适应障碍系统性心理疗法治疗的长期联盟轨迹与治疗结果之间的关系

本研究旨在确定在对患有适应障碍的成年人进行个体系统心理治疗时，治疗联盟的发展轨迹，以及不同治疗结果的群体在联盟发展方面的差异。这项纵向准实验包括20名在私人诊所接受个体门诊心理治疗的患者，时间超过一年。心理治疗师和患者同时对治疗联盟进行了三次评估。根据患者的评分对治疗结果进行了两次评估。采用可靠变化指数、独立组方差分析和趋势分析对其临床意义进行了评估。分析涉及全球治疗联盟及其三个维度：目标、任务和纽带。研究结果表明，对于适应障碍患者，系统疗法中的联盟发展遵循稳定的线性趋势。全球治疗联盟的线性变化与目标、任务和纽带的类似趋势相吻合。牢固的联盟关系与更好的治疗效果相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Counselling & Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

4.40

自引率

12.50%

发文量

期刊介绍： Counselling and Psychotherapy Research is an innovative international peer-reviewed journal dedicated to linking research with practice. Pluralist in orientation, the journal recognises the value of qualitative, quantitative and mixed methods strategies of inquiry and aims to promote high-quality, ethical research that informs and develops counselling and psychotherapy practice. CPR is a journal of the British Association of Counselling and Psychotherapy, promoting reflexive research strongly linked to practice. The journal has its own website: www.cprjournal.com. The aim of this site is to further develop links between counselling and psychotherapy research and practice by offering accessible information about both the specific contents of each issue of CPR, as well as wider developments in counselling and psychotherapy research. The aims are to ensure that research remains relevant to practice, and for practice to continue to inform research development.