The processes clients engage in between therapy sessions (referred to as intersession processes; ISPs) are empirically supported as influential factor in psychotherapy. The current study examined the impact of the therapeutic alliance—both the individual alliance and the systemic alliance—on client engagement in ISP-thoughts, ISP-actions, and client perceptions of therapy progress. Eighty-one therapy clients provided responses regarding these therapy process variables, and results revealed that higher ratings of client/therapist alliance (referred to as “self-alliance”), and higher ratings of alliance between one’s social network and therapy (referred to as “other-alliance”) were related to greater engagement in ISP-actions, but not ISP-thoughts. In addition, an interaction factor was supported wherein those who reported high self-alliance and high other-alliance also engaged in greater ISP-actions, but this association was not found when other-alliance was reported to be low. Clients’ positive perceptions of therapy progress were associated with greater engagement in ISP-thoughts, ISP-actions, and higher ratings of self- and other-alliance. Discussion and implications are offered for how therapists may be more effective at monitoring and promoting engagement in ISPs and aligning with clients’ many systems.

中文翻译：

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在这里和那里：心理治疗中的系统联盟和闭会过程。

客户在治疗期间参与的过程（称为治疗间过程；ISP）在经验上被支持作为心理治疗的影响因素。目前的研究考察了治疗联盟——个体联盟和系统联盟——对来访者参与 ISP 思想、ISP 行动和来访者对治疗进展的看法的影响。81 名治疗客户提供了有关这些治疗过程变量的回答，结果显示客户/治疗师联盟（称为“自我联盟”）的评分较高，社交网络与治疗之间的联盟评分较高（称为“其他联盟”）与更多地参与 ISP 行动有关，但与 ISP 思想无关。此外，支持一个交互因素，其中那些报告高自我联盟和高其他联盟的人也参与了更大的 ISP 行动，但当报告其他联盟低时，没有发现这种关联。客户对治疗进展的积极看法与更多地参与 ISP 思想、ISP 行动以及更高的自我和其他联盟评级有关。提供了有关治疗师如何更有效地监控和促进 ISP 的参与以及与客户的许多系统保持一致的讨论和影响。