Therapist interpersonal responsiveness: Being interpersonally flexible in response to client collaboration.

IF 2.6 1区 心理学 Q2 PSYCHOLOGY, CLINICAL
Mira An, Carol A Jauquet, Sangida Akter, Dennis M Kivlighan
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Abstract

Objective: We assessed a new methodological and analytical approach for examining how therapist moment-to-moment interpersonal flexibility and responsiveness influence subsequent client collaboration. Therapist interpersonal flexibility was conceptualized as one of the crucial components of interpersonal responsiveness and operationalized as adjustments in therapists' interpersonal behaviors between speaking turns. To uncover the context-dependent nature of the responsiveness, the study also explored how these turn-to-turn adjustments, in relation to previous client collaboration, influence subsequent client collaboration. Method: This study involved 1107 speaking turns nested in 12 sessions nested within three therapist-client dyads. Three raters assessed therapist interpersonal behaviors in dominance-submission and approach-avoidance dimensions for each therapist speaking turn and the level of client collaboration for each client speaking turn. Distance scores and Dynamic Structural Equation Modeling (DSEM) were used to explore the hypothesized effects at a within-session level. Results: We found when therapists adjusted their interpersonal styles to a moderately high degree, clients were more collaborative than usual. We also found therapist turn-to-turn adjustments had a significantly positive effect on subsequent client collaboration only when clients were not collaborative before such adjustments were made. Conclusion: Overall, this study offers a methodological advancement in the study of therapist responsiveness by demonstrating the nuanced clinical insights offered by use of sophisticated analyses (i.e., within-session moment-to-moments responsiveness, Euclidean distance scores, Dynamic Structural Equation Modeling [DSEM]). Findings suggest a moderate level of turn-to-turn interpersonal adjustment may benefit subsequent client collaboration. Findings also suggest that a therapist's turn-to-turn adjustment in response to previous low client collaboration may facilitate subsequent client collaboration. Strengths, methodological limitations, and clinical implications are discussed.

目的:我们评估了一种新的方法论和分析方法,用于研究治疗师瞬间的人际灵活性和反应性如何影响后续的客户合作。治疗师的人际灵活性被概念化为人际响应性的重要组成部分之一,并被操作化为治疗师在发言间隙的人际行为调整。为了揭示人际反应性的情境依赖性,本研究还探讨了与之前的客户合作相关的这些回合间调整如何影响后续的客户合作。研究方法本研究涉及嵌套在三个治疗师-客户二元组内的 12 个疗程中的 1107 次说话回合。三位评分者对治疗师每次发言时在支配-服从和接近-回避维度上的人际行为以及客户每次发言时的合作程度进行评估。采用距离得分和动态结构方程模型(DSEM)来探讨假设的会话内效应。结果:我们发现,当治疗师将其人际关系风格调整到中等程度时,客户的合作程度比平时更高。我们还发现,只有当客户在治疗师调整之前并不合作时,治疗师才会对客户的后续合作产生显著的积极影响。结论:总体而言,本研究在治疗师反应性研究方法上取得了进步,通过使用复杂的分析方法(即会话内时刻到时刻反应性、欧氏距离评分、动态结构方程模型 [DSEM]),展示了细致入微的临床见解。研究结果表明,适度的回合间人际关系调整可能有利于后续的客户合作。研究结果还表明,治疗师针对之前客户合作程度较低的情况而进行的 "转向-转向 "调整可能会促进后续的客户合作。本文讨论了该研究的优势、方法论局限性和临床意义。
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来源期刊
Psychotherapy Research
Psychotherapy Research PSYCHOLOGY, CLINICAL-
CiteScore
7.80
自引率
10.30%
发文量
68
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.
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