The authors examined whether alliance dynamics are affected by tailoring the therapeutic relationship to the individual patient in brief psychotherapy of borderline personality disorder. Sixty patients were randomized to 10-session Good Psychiatric Management (GPM-BV) or GPM combined with Motive-Oriented Therapeutic Relationship techniques (MOTR+GPM-BV). Patient- and therapist-rated alliance was assessed weekly. Self-reported symptomatic distress was assessed pre-, mid-, and posttreatment. In MOTR+GPM-BV, stronger therapist-rated alliance predicted lower symptomatic distress in the same timepoint, but not in a lag, whereas symptomatic distress predicted therapist-rated alliance in a lag. Therapist-rated alliance was lower than patient-rated alliance in GPM-BV but not in MOTR+GPM-BV. In MOTR+GPM-BV, higher agreement on strong alliance tended to predict lower symptomatic distress. Patient- and therapist-rated alliances were temporally congruent, but congruence did not predict outcome. Addressing the relationship needs of patients may partly exert its salutary effect by increasing agreement between patients' and therapists' experience of the alliance.

中文翻译：

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治疗联盟治疗10多次边缘性人格障碍的疗法：协议和一致性分析以及与结果的关系。

作者研究了在边缘性人格障碍的简短心理治疗中，通过调整针对个体患者的治疗关系，是否会影响联盟动力学。60例患者被随机分为10疗程良好精神病学管理（GPM-BV）或GPM结合动机导向的治疗关系技术（MOTR + GPM-BV）。每周评估患者和治疗师评级的联盟。在治疗前，治疗中和治疗后评估自我报告的症状困扰。在MOTR + GPM-BV中，在同一时间点，较强的治疗师评级联盟预测较低的症状困扰，但不是在滞后中出现，而症状性窘迫预测治疗师评级联盟在延迟中。在GPM-BV中，治疗师评价的联盟低于患者评价的联盟，但在MOTR + GPM-BV中则不是。在MOTR + GPM-BV中，在强势同盟上达成更高的共识往往可以预测出较低的症状困扰。患者和治疗师评级的联盟在时间上是一致的，但是一致并不能预测结果。解决患者的关系需求可能会通过增加患者和治疗师之间的联盟经验达成共识来部分发挥其有益作用。