Intrapersonal split alliances were defined as discrepancies in how group members perceived their positive bonding relationships with the group leader, the other group members, and the group-as-a-whole, and were related to group members’ outcome. Participants were 168 patients (116 women and 52 men) diagnosed as overweight or obese who participated in 1 of 20, 12-session, therapy groups for weight management. Group members completed the Outcome Questionnaire-45 (OQ-45, Lambert et al., 2004) pre- and posttreatment and the Group Questionnaire (GQ, Krogel et al., 2013) at early, middle and late group sessions. Early, middle, and late ratings were aggregated because bond scores were consistent across time. Two-level (members within groups), polynomial regressions and response surface analyses were used to examine congruency and discrepancy in ratings of Positive Bonding Relationships to the leader, group members, and group-as-a-whole. When the discrepancy between positive bonding relationships with the leader and positive bonding relationships with the group members increased, and when the discrepancy between positive bonding relationships with the group members and positive bonding relationships with the group-as-a-whole increased, there was less symptom improvement. The findings show that, like interpersonal split alliances, intrapersonal split alliances are harmful for treatment progress and need to be recognized and addressed by the group leader.

中文翻译：

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所有债券都不相同：治疗组中积极债券关系感知的响应面分析。

内部分裂联盟被定义为小组成员如何看待他们与小组领导、其他小组成员和小组整体的积极联系关系的差异，并且与小组成员的结果有关。参与者是 168 名被诊断为超重或肥胖的患者（116 名女性和 52 名男性），他们参加了 20 个、12 个疗程的体重管理治疗组中的一个。小组成员在治疗前和治疗后完成了结果问卷 45（OQ-45，Lambert 等人，2004 年）和小组问卷（GQ，Krogel 等人，2013 年）在小组会议的早期、中期和后期。早期、中期和晚期评级被汇总，因为债券评分在整个时间段内是一致的。两级（组内成员），多项式回归和响应面分析用于检查与领导者、小组成员和小组整体的积极联系关系评级的一致性和差异。当与领导的积极联系关系和与团队成员的积极联系关系之间的差异增加时，当与团队成员的积极联系关系和与团队整体的积极联系关系之间的差异增加时，则减少症状改善。研究结果表明，与人际分裂联盟一样，人际分裂联盟对治疗进展有害，需要得到组长的认可和解决。当与领导的积极联系关系和与团队成员的积极联系关系之间的差异增加时，当与团队成员的积极联系关系和与团队整体的积极联系关系之间的差异增加时，则减少症状改善。研究结果表明，与人际分裂联盟一样，人际分裂联盟对治疗进展有害，需要得到组长的认可和解决。当与领导的积极联系关系和与团队成员的积极联系关系之间的差异增加时，当与团队成员的积极联系关系和与团队整体的积极联系关系之间的差异增加时，则减少症状改善。研究结果表明，与人际分裂联盟一样，人际分裂联盟对治疗进展有害，需要得到组长的认可和解决。