Abstract

Objective:

Contemporary theories and the empirical literature stress the importance of successful resolution of alliance ruptures for the process and outcome of treatment. Yet, little empirical work has examined what leads to successful resolutions. The aim of the present study was to examine which patients are more likely to achieve successful resolutions of ruptures and under which circumstances.

Method:

Sixty-five patients completed measures assessing their trait-like pretreatment characteristics (alliance expectations and general attachment orientation), and state-like changes in treatment (working alliance, therapist serving as an attachment figure, and the implementation of common factor techniques). Successful resolutions were coded using observer behavioral coding at four time points.

Results:

State-like changes, but not trait-like characteristics significantly contributed to successful resolution. Stronger working alliance and the therapist as an attachment figure, and the implementation of common factors techniques were found to contribute to successful resolutions.

Conclusions:

The current findings emphasize the importance of the process that occurs within treatment, and the therapeutic context in which the resolution process take place for the ability to achieve successful resolutions.

中文翻译：

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成功解决联盟破裂：为谁和何时？

摘要

客观的：

当代理论和实证文献强调成功解决联盟破裂对治疗过程和结果的重要性。然而，很少有实证工作研究是什么导致了成功的解决方案。本研究的目的是检查哪些患者更有可能成功解决破裂问题，以及在何种情况下。

方法：

65 名患者完成了评估他们的特质样预处理特征（联盟期望和一般依恋方向）和治疗中的状态变化（工作联盟，治疗师作为依恋对象，以及共同因素技术的实施）的措施。在四个时间点使用观察者行为编码对​​成功的解决方案进行编码。

结果：

类似状态的变化，而不是类似特质的特征，对成功解决有显着贡献。更强大的工作联盟和治疗师作为依恋对象，以及共同因素技术的实施被发现有助于成功的解决方案。

结论：

目前的研究结果强调了治疗过程中发生的过程的重要性，以及解决过程发生的治疗背景对于实现成功解决的能力。