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Mapping the progress of the process: Codevelopment of the therapeutic alliance with maltreated adolescents.
Journal of Counseling Psychology ( IF 5.088 ) Pub Date : 2022-05-19 , DOI: 10.1037/cou0000621
Valentín Escudero 1 , Myrna L Friedlander 2 , Dennis M Kivlighan 3 , Edmund Orlowski 2 , Alberto Abascal 4
Affiliation  

We used a longitudinal actor-partner interdependence model to examine the codeveloping alliance in alliance empowerment therapy (AET; Escudero, 2013), a manualized team-based approach developed in Spain specifically for child welfare-involved youth. In this first evaluation of AET, we sampled 102 adolescents, 83% of whom had been removed from their homes due to abuse or neglect, and 40% of whom were in crisis at the time of referral. Before each session, clients rated their improvement-so-far; after each session, both clients and therapists completed a brief alliance measure, an adaptation of the System for Observing Family Therapy Alliances (SOFTA-s; Friedlander et al., 2006) for individual therapy. In terms of outcome, clients' improvement ratings were significantly associated with posttreatment changes in overall functioning and personal goal attainment. With respect to the change process, growth was observed in both clients' and therapists' ratings of the alliance over 12 sessions, and an increased similarity in alliance ratings was due to more rapid growth in the therapists' ratings than the clients' ratings. Dynamic structural equation modeling indicated that at higher levels of adolescent goal attainment, a stronger association was observed between increased therapist-rated alliance and goal attainment. In other words, in the most effective cases, therapists were more responsive to how the adolescents seemed to have experienced the alliance in the previous session. The cocreated alliance perceptions were due to therapist (rather than client) responsiveness, as well as to unspecified aspects of sharing a therapy environment over time, such as familiarity with the process, regular meetings, and so on. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译:

映射过程的进展:与受虐待的青少年共同发展治疗联盟。

我们使用纵向参与者-合作伙伴相互依存模型来检查联盟授权疗法 (AET; Escudero, 2013) 中的共同发展联盟,这是一种在西班牙专门为涉及儿童福利的青年开发的基于团队的手动方法。在对 AET 的首次评估中,我们对 102 名青少年进行了抽样调查,其中 83% 的人因虐待或忽视而被带离家园,其中 40% 的人在转诊时处于危机之中。在每次会议之前,客户对他们到目前为止的改进进行评分;每次会谈后,来访者和治疗师都完成了一项简短的联盟措施,这是对观察家庭治疗联盟系统(SOFTA-s;Friedlander 等人,2006 年)进行个体治疗的改编。在结果方面,客户的 改善评级与整体功能和个人目标实现方面的治疗后变化显着相关。关于变化过程,在 12 个疗程中观察到客户和治疗师对联盟的评分都有所增长,并且联盟评分的相似性增加是由于治疗师评分比客户评分增长更快。动态结构方程模型表明,在更高水平的青少年目标实现中,观察到治疗师评价的联盟增加与目标实现之间存在更强的关联。换句话说,在最有效的案例中,治疗师对青少年在上一节中似乎如何体验联盟的反应更为敏感。共同创造的联盟感知是由于治疗师(而不是客户)的反应,以及随着时间的推移共享治疗环境的未指定方面,例如对过程的熟悉程度、定期会议等。(PsycInfo 数据库记录 (c) 2022 APA,保留所有权利)。
更新日期:2022-05-19
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