Development of a new observer-rated measure to assess the real relationship in psychotherapy sessions.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2024-06-29 DOI:10.1080/10503307.2024.2360459

Vera Békés, Daniel S Spina, Katie Aafjes-van Doorn, Bernard S Gorman, Karl Stukenberg, Sherwood Waldron

{"title":"Development of a new observer-rated measure to assess the real relationship in psychotherapy sessions.","authors":"Vera Békés, Daniel S Spina, Katie Aafjes-van Doorn, Bernard S Gorman, Karl Stukenberg, Sherwood Waldron","doi":"10.1080/10503307.2024.2360459","DOIUrl":null,"url":null,"abstract":"Objectives: Real relationship (RR) refers to a genuine human relationship between client and therapist, that has been found to be positively related to treatment outcome, and to predict unique variance in outcome over and above the working alliance. However, thus far, the measurement of RR has been limited to self-report. We aimed to develop an observer-rated version of the RR measure (RR-O) to assess RR in therapy sessions.Methods: We adapted items from the self-report measures to an observer rated measure, which was reviewed by RR experts. The final 24-item RR-O was rated in 540 session transcripts from 27 psychoanalytic treatments that already had existing process and outcome scores.Results: The RR-O showed good internal consistency and good interrater reliability. In hierarchical EFA, items clustered into a general RR factor, and client realism, client genuineness, therapist genuineness, and therapist realism group factors. In addition, the RR-O was positively related to another RR measure and to the therapeutic alliance.Conclusion: The RR-O shows initial reliability and validity as an observer-rated measure of the RR to be used in post-hoc psychotherapy research. Future research should clarify the relation between RR-O and treatment outcome.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":2.6000,"publicationDate":"2024-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychotherapy Research","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1080/10503307.2024.2360459","RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives: Real relationship (RR) refers to a genuine human relationship between client and therapist, that has been found to be positively related to treatment outcome, and to predict unique variance in outcome over and above the working alliance. However, thus far, the measurement of RR has been limited to self-report. We aimed to develop an observer-rated version of the RR measure (RR-O) to assess RR in therapy sessions.

Methods: We adapted items from the self-report measures to an observer rated measure, which was reviewed by RR experts. The final 24-item RR-O was rated in 540 session transcripts from 27 psychoanalytic treatments that already had existing process and outcome scores.

Results: The RR-O showed good internal consistency and good interrater reliability. In hierarchical EFA, items clustered into a general RR factor, and client realism, client genuineness, therapist genuineness, and therapist realism group factors. In addition, the RR-O was positively related to another RR measure and to the therapeutic alliance.

Conclusion: The RR-O shows initial reliability and validity as an observer-rated measure of the RR to be used in post-hoc psychotherapy research. Future research should clarify the relation between RR-O and treatment outcome.

查看原文本刊更多论文

开发一种新的由观察者评分的测量方法，用于评估心理治疗过程中的真实关系。

目标：真实关系（RR）是指客户与治疗师之间真正的人际关系，已被发现与治疗结果呈正相关，并能预测工作联盟之外的独特结果差异。然而，迄今为止，真实关系的测量仅限于自我报告。我们旨在开发一个由观察者评分的 RR 测量（RR-O）版本，以评估治疗过程中的 RR：方法：我们将自我报告测量中的项目改编为观察者评分测量，并由 RR 专家对其进行审核。最终的 24 个项目的 RR-O 在 540 个治疗过程记录中进行了评分，这些治疗过程记录来自 27 个已有过程和结果评分的精神分析治疗：结果：RR-O 显示出良好的内部一致性和评分者之间的可靠性。在分层 EFA 中，项目被归类为 RR 一般因子，以及求助者现实主义、求助者真实性、治疗师真实性和治疗师现实主义组因子。此外，RR-O 与另一个 RR 测量和治疗联盟呈正相关：RR-O显示了作为观察者评定的RR测量方法的初步可靠性和有效性，可用于心理治疗的事后研究。未来的研究应明确 RR-O 与治疗结果之间的关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.