Effects of preference alignment and client-rated attachment style on therapy: The moderating role of interpersonal synchrony.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2025-04-13 DOI:10.1080/10503307.2025.2491479

Xiaoyan Dai, Liying Chen, Qianyi Zhou, Ya Zhang

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引用次数: 0

Abstract

Objective: This study aims to explore whether activity-preference alignment provides unique contributions to the working alliance and counseling outcomes beyond the client-rated adult attachment style, and to examine the moderating roles of behavioral and brain synchrony in this process.

Methods: Sixteen pairs of counselors and clients participated in five consecutive weekly counseling sessions. The 1st, 3rd, and 5th sessions took place offline in a near-infrared laboratory, while the 2nd and 4th sessions were conducted online via video conferencing.

Results: After controlling for the client-rated adult attachment style, preference alignment showed a significant impact on symptom improvement. Specifically, preference alignment had a significant positive predictive effect on symptom improvement when counselor-guided behavioral synchronization was high. Attachment avoidance also negatively predicted the working alliance but only when client-guided brain synchronization in the temporoparietal junction was low.

Conclusion: The study suggests that preference alignment provides unique insights into symptom improvement beyond client-rated attachment style alone. Counselor-guided behavioral synchrony amplifies the effect of preference differences on symptom improvement, whereas client-guided brain synchrony reduces attachment avoidance's impact on the working alliance. These findings highlight that behavioral and brain synchrony impact therapeutic outcomes differently based on who guides the process, emphasizing the need to consider both interpersonal dynamics and alignment factors in counseling.

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偏好取向和客户评价依恋类型对治疗的影响：人际同步的调节作用。

目的：本研究旨在探讨活动偏好对工作联盟和咨询结果的影响是否超越了来访者评价的成人依恋类型，并考察行为和脑同步在这一过程中的调节作用。方法：16对咨询师和来访者参加了连续5周的咨询会议。第1、3和5次会议在近红外实验室离线进行，而第2和4次会议通过视频会议在线进行。结果：在控制了客户评价的成人依恋类型后，偏好对齐对症状改善有显著影响。具体而言，当辅导员指导的行为同步性高时，偏好一致性对症状改善有显著的正向预测作用。依恋回避对工作联盟也有负向预测作用，但仅在客户引导的颞顶连接区脑同步较低时有效。结论：该研究表明，偏好取向对症状改善提供了独特的见解，而不仅仅是客户评价的依恋类型。咨询师指导的行为同步性放大了偏好差异对症状改善的影响，而来访者指导的大脑同步性则降低了依恋回避对工作联盟的影响。这些发现强调了行为和大脑同步对治疗结果的影响是不同的，这取决于指导过程的人，强调了在咨询中需要考虑人际动态和对齐因素。

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

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.