It takes two to tango: The therapeutic alliance in community brain injury rehabilitation

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2021-12-10 DOI:10.1017/BrImp.2021.26

Liz M. Williams, J. Douglas

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引用次数: 2

Abstract

Abstract Objective: A positive therapeutic (or working) alliance has been associated with better outcomes for clients in the psychotherapeutic and traumatic brain injury (TBI) rehabilitation literature. The aim of this pilot study was to gain an understanding of the therapeutic alliance in community rehabilitation from the perspectives of adults with TBI and their close others who have completed a community rehabilitation programme. Method: This study used a constructivist, qualitative methodology which applied grounded theory analysis techniques. Using purposeful sampling, three pairs of participants (adults with TBI and close others) who had finished a community rehabilitation programme completed separate in-depth interviews which were transcribed verbatim and progressively analysed using a process of constant comparison. Results: A preliminary framework illustrating participants’ experience of a therapeutic alliance was generated, comprising three interconnected themes: being recognised as an individual, working together and feeling personally connected. All participants viewed being able to work together as important in their experience of community rehabilitation and described features that helped and hindered the alliance. Conclusion: These pilot study results demonstrate the importance of the therapeutic alliance to the rehabilitation experience of individuals with TBI and those close to them.

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一个巴掌拍不响:社区脑损伤康复治疗联盟

摘要目的:在心理治疗和创伤性脑损伤(TBI)康复文献中，积极的治疗(或工作)联盟与患者更好的预后相关。本初步研究的目的是从完成社区康复计划的成年脑损伤患者及其亲密亲属的角度来了解社区康复中的治疗联盟。方法:本研究采用建构主义定性研究方法，运用扎根理论分析技术。通过有目的的抽样，完成了社区康复计划的三对参与者(患有TBI的成年人和其他亲近的人)完成了单独的深度访谈，这些访谈被逐字记录下来，并通过不断比较的过程逐步分析。结果:产生了一个初步的框架，说明参与者的治疗联盟的经验，包括三个相互关联的主题:被视为一个个体，一起工作，感觉个人联系。所有参与者都认为，在他们的社区康复经历中，能够共同努力是很重要的，并描述了有助于和阻碍联盟的特点。结论:这些初步研究结果表明治疗联盟对创伤性脑损伤患者及其亲近者的康复体验的重要性。

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

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.