To draw clinically meaningful evidence-supported implications about the alliance-outcome association, recent studies have investigated patient-therapist congruence on ruptures in alliance. The present study investigated patient-therapist congruence on ruptures and its consequences on subsequent session outcome in 2 types of treatments that differ in the training therapists receive to identify ruptures: brief relational therapy (BRT), in which therapists receive alliance-focused training, and cognitive-behavioral therapy (CBT), in which no training specifically focused on the alliance is provided. We implemented polynomial regression and response surface analysis, and the truth and bias model on data of 162 dyads reporting weekly on their levels of ruptures, for 30 sessions, during either CBT or BRT. Therapists and patients exhibited substantial temporal congruence in their session-by-session rupture ratings. Therapists showed a tendency to detect more ruptures than did their patients. This tendency correlated with higher levels of congruence and was more evident in BRT than in CBT. Agreement and disagreement between patients and therapists on the question of whether a rupture had occurred was found to have a greater effect on subsequent session outcomes in BRT than in CBT. These findings may suggest that therapists who are more attuned to their patients may demonstrate greater vigilance in identifying ruptures than their patients do. This vigilant stance may be taught. Greater congruence may result in better subsequent session outcome throughout treatment in BRT than in CBT. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

中文翻译：

---

我们能同意我们刚刚破裂吗？患者治疗师在简短关系治疗与认知行为治疗中对破裂的一致性及其对结果的影响。

为了得出关于联盟-结果关联的临床上有意义的证据支持的影响，最近的研究调查了患者-治疗师对联盟破裂的一致性。本研究调查了患者与治疗师对破裂的一致性及其对后续治疗结果的影响，这些治疗在治疗师为识别破裂而接受的培训中有所不同：简短关系疗法 (BRT)，其中治疗师接受以联盟为重点的培训，以及认知行为疗法 (CBT)，其中不提供专门针对联盟的培训。在 CBT 或 BRT 期间，我们对 162 个二元组的数据实施了多项式回归和响应面分析，以及真实和偏差模型，每周报告他们的破裂水平，持续 30 次。治疗师和患者在他们的逐个会话破裂评级中表现出大量的时间一致性。治疗师表现出比他们的患者发现更多破裂的倾向。这种趋势与更高水平的一致性相关，并且在 BRT 中比在 CBT 中更明显。发现患者和治疗师之间关于是否发生破裂的问题的一致和分歧对 BRT 的后续治疗结果的影响大于 CBT。这些发现可能表明，与患者相比，更能适应患者的治疗师在识别破裂方面可能表现出更高的警惕性。可以教导这种警惕的立场。与 CBT 相比，在 BRT 的整个治疗过程中，更大的一致性可能会导致更好的后续治疗结果。（PsycINFO 数据库记录 (c) 2019 APA，保留所有权利）。