OBJECTIVE The therapeutic working alliance is an important factor in producing treatment change and positive therapeutic outcomes for people with mental illness, yet little is known about the working alliance's role in treatment change in people with mental illness that is justice involved. In addition to treating the mental illness symptoms of justice-involved people with mental illness, addressing factors known to predict criminal behavior (including criminal thinking) could optimize posttreatment outcomes and reduce future justice involvement. This study examines the role of the working alliance in treatment change in a clinical treatment sample of 265 adult male and female justice-involved people with mental illness and substance use disorders completing probation sentences in a residential treatment facility. METHOD Repeated measures moderation analyses were used to test participants' reported working alliance as a moderator of change from pre- to posttreatment scores of self-reported mental illness symptoms and criminal thinking. RESULTS The working alliance significantly moderated reductions in depression, anxiety, anger, and manic symptoms (R 2 ranging from .03 to .09), and general, reactive, and current criminal thinking (R 2 ranging from .04 to .11). CONCLUSIONS These findings expand the literature on the relation between working alliance and changes in mental illness symptoms by testing this association in the understudied population of justice-involved people with mental illness; these results also suggest the working alliance is associated with changes in criminal thinking. Treatment providers working with justice-involved people with mental illness should assess and emphasize the development of a working alliance to maximize treatment change. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译：

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精神疾病工作联盟与同时患有精神疾病和物质使用障碍的司法相关人员的犯罪思维之间的关系。

目标 治疗工作联盟是为精神疾病患者带来治疗改变和积极治疗结果的重要因素，但关于工作联盟在涉及正义的精神疾病患者治疗改变中的作用知之甚少。除了治疗参与司法的精神疾病患者的精神疾病症状外，解决已知可预测犯罪行为的因素（包括犯罪思维）可以优化治疗后的结果并减少未来的司法参与。本研究在 265 名成年男性和女性司法介入患者的临床治疗样本中检验了工作联盟在治疗变革中的作用，这些人患有精神疾病和物质使用障碍，在住院治疗设施中完成缓刑。方法 重复测量调节分析用于测试参与者报告的工作联盟作为自我报告的精神疾病症状和犯罪思维从治疗前到治疗后分数变化的调节器。结果 工作联盟显着降低了抑郁、焦虑、愤怒和躁狂症状（R 2 范围从 0.03 到 0.09）以及一般、反应性和当前犯罪思维（R 2 范围从 0.04 到 0.11）。结论 这些发现通过在未充分研究的参与司法的精神疾病患者群体中测试这种关联，扩大了关于工作联盟与精神疾病症状变化之间关系的文献；这些结果还表明，工作联盟与犯罪思维的变化有关。与参与司法的精神疾病患者合作的治疗提供者应评估并强调工作联盟的发展，以最大限度地改变治疗。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。