The current study explored trainee therapists’ experiences in alliance-focused training (AFT), a form of group supervision focused on training therapists to recognize and negotiate alliance ruptures. We analyzed interviews with 36 former trainees who received AFT during their predoctoral psychology internships. Findings centered on trainees’ views of the central AFT tasks of videotape analysis, awareness-oriented role-plays, and mindfulness training; the supervisor’s stance, including the provision of support and validation and the extent to which the supervisor served as a positive role model; and the impact of AFT on trainees’ clinical skills. Many trainees reported that AFT increased their awareness, acceptance, and comfort with navigating ruptures, but some trainees reported that AFT supervisory tasks were anxiety-provoking and that AFT made them less comfortable in session. The findings underscore the challenges that AFT presents for trainees, who are asked to take risks in supervision, and for supervisors, who need to create a safe space for trainees and model sensitivity to supervisory ruptures. The findings also point to the potential benefits for trainees who feel safe and supported enough to explore the most challenging therapeutic moments in the context of a group supervision.

中文翻译：

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受训者在以联盟为重点的培训中的经验：学习谈判破裂的风险和回报。

目前的研究探索了实习治疗师在联盟集中培训 (AFT) 中的经验，这是一种团体监督形式，重点是培训治疗师识别和协商联盟破裂。我们分析了对 36 名在博士前心理学实习期间接受 AFT 的前学员的采访。调查结果集中在学员对录像带分析、以意识为导向的角色扮演和正念训练等 AFT 核心任务的看法上；主管的立场，包括提供支持和认可，以及主管在多大程度上发挥了积极的榜样作用；以及 AFT 对学员临床技能的影响。许多受训者报告说，AFT 提高了他们对导航破裂的认识、接受度和舒适度，但一些学员报告说，AFT 监督任务会引起焦虑，而且 AFT 使他们在课程中不太舒服。调查结果强调了 AFT 给受训者带来的挑战，他们被要求在监管中承担风险，而监管者需要为受训者创造一个安全的空间，并对监管破裂的模型敏感性。研究结果还指出，受训者感到安全并得到足够的支持，可以在小组监督的背景下探索最具挑战性的治疗时刻，这可能带来潜在好处。