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Therapeutic technique diversity is linked to quality of working alliance and client functioning following alliance ruptures.
Journal of Consulting and Clinical Psychology ( IF 7.156 ) Pub Date : 2020-09-01 , DOI: 10.1037/ccp0000490
Roei Chen 1 , Eshkol Rafaeli 1 , Sharon Ziv-Beiman 2 , Eran Bar-Kalifa 1 , Nili Solomonov 3 , Jacques P Barber 3 , Tuvia Peri 1 , Dana Atzil-Slonim 1
Affiliation  

OBJECTIVE The current investigation aimed to examine the possible association between therapists' flexibility in use of therapeutic techniques from different therapy orientations (i.e., therapeutic technique diversity; TTD) and subsequent improvement in client-reported (a) global functioning, as well as (b) quality of the working alliance, following sessions in which alliance ruptures occurred. METHOD Clients (n = 81) who received time-limited psychodynamic therapy in a community clinic, completed session-by-session reports of working alliance and global functioning. Therapists (n = 56) completed session-by-session reports of working alliance and their use of therapeutic techniques across different therapeutic orientations, using the Multitheoretical List of Interventions (MULTI-30). RESULTS We found a curvilinear association between TTD in rupture sessions and client-reported global functioning at the sessions subsequent to rupture sessions, such that moderate levels of TTD were associated with greater subsequent improvement in functioning, compared with low and high levels of TTD. However, TTD was not significantly associated with subsequent changes in the quality of working alliance. CONCLUSIONS Our results suggest that moderate levels of TTD in the face of alliance ruptures are tied to clients' global functioning improvement during psychodynamic psychotherapy. These findings highlight the importance of further investigation of a varied delivery of therapeutic techniques, especially in the face of alliance ruptures. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译:

治疗技术的多样性与联盟破裂后工作联盟的质量和客户的职能密切相关。

目的本研究旨在探讨治疗师在不同治疗方向(即治疗技术的多样性; TTD)使用治疗技术的灵活性与随后客户报告的(a)总体功能以及(b)改善之间的可能联系。 )在出现联盟破裂的会议之后的工作联盟的质量。方法在社区诊所接受限时心理动力学治疗的客户(n = 81),完成了关于工作联盟和全球运作的逐节报告。治疗师(n = 56)使用干预的多理论表(MULTI-30),完成了工作联盟的逐节报告以及他们在不同治疗方向上的治疗技术使用情况。结果我们发现破裂会话中的TTD与破裂会话后的会话中客户报告的全局功能之间存在曲线相关性,因此与低和高水平的TTD相比,中等水平的TTD与随后的功能改善更大。但是,TTD与工作联盟质量的后续变化没有显着关联。结论我们的研究结果表明,面对联盟破裂,适度的TTD水平与心理动力心理治疗期间客户的整体功能改善有关。这些发现凸显了进一步研究各种治疗技术的重要性,尤其是面对联盟破裂的情况。(PsycInfo数据库记录(c)2020 APA,保留所有权利)。
更新日期:2020-09-01
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