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Elaboration of countertransference experience and the workings of the working alliance.
Psychotherapy ( IF 3.218 ) Pub Date : 2020-06-01 , DOI: 10.1037/pst0000250
João F. Barreto , Gil Nata , Paula Mena Matos

Alliance may impact psychotherapy outcomes both as a precondition that enables therapeutic work and an evolving process that is therapeutic in itself. This study examined the participation of the elaboration of countertransference experience (ECE) in alliance variation between therapist-client dyads early in therapy and within dyads over time. A total of 44 session assessments nested within 12 dyads were modeled through longitudinal multilevel analyses and utilized to examine the associations between the ECE dimensions of Immersion and Reflection and alliance components across 4 time points within the first 10 sessions of psychotherapy. Results supported the importance of initial ECE to explain differences in alliance between dyads, the particular relevance of ECE with clients presenting lower levels of personality organization, and the effect of personality difficulties on alliance change. Unexpected results were found concerning the correlations between ECE and alliance and their covariation over time. In conclusion, ECE dimensions appear to be involved in alliance formation, both in initial differences between dyads and in changes over time within the same case. ECE seems particularly important with more personality-disturbed clients. Future research should disentangle therapist and client contributions and examine the participation of ECE in the resolution of alliance ruptures. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

中文翻译:

阐述反转让经验和工作联盟的运作方式。

联盟可能会影响心理治疗的结果,既可能成为开展治疗工作的前提,也可能是不断演变的,本身就是治疗的过程。这项研究检查了抗逆转治疗经验(ECE)的参与在治疗初期和治疗期内的治疗师-客户二倍体之间的联盟变异的参与。通过纵向多层次分析,对嵌套在12个二元组中的总共44个会话评估进行了建模,并用于检查心理治疗的前10个会话中4个时间点的ECE浸入和反射维度与联盟组成之间的关联。结果支持了最初的ECE来解释两兄弟之间联盟差异的重要性,ECE与呈现较低人格组织水平的客户的特殊相关性,以及人格困难对联盟变革的影响。关于ECE和联盟之间的相关性及其随时间的协变,发现了意外的结果。总之,欧洲经委会的维度似乎与联盟的形成有关,既涉及二元组之间的初始差异,也涉及同一案例中随着时间的变化。对于个性受到更多困扰的客户,ECE显得尤为重要。未来的研究应该消除治疗师和客户的贡献,并检查ECE在解决联盟破裂中的参与。(PsycINFO数据库记录(c)2019 APA,保留所有权利)。在同一情况下,二元组之间的初始差异以及随时间的变化。对于个性受到更多困扰的客户,ECE显得尤为重要。未来的研究应该消除治疗师和客户的贡献,并检查ECE在解决联盟破裂中的参与。(PsycINFO数据库记录(c)2019 APA,保留所有权利)。在同一情况下,二元组之间的初始差异以及随时间的变化。对于个性受到更多困扰的客户,ECE显得尤为重要。未来的研究应该消除治疗师和客户的贡献,并检查ECE在解决联盟破裂中的参与。(PsycINFO数据库记录(c)2019 APA,保留所有权利)。
更新日期:2020-06-01
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