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A strong alliance is not enough: Item-level variation in an alliance measure moderates the alliance strength and client outcome relationship.
Journal of Counseling Psychology ( IF 5.088 ) Pub Date : 2022-08-08 , DOI: 10.1037/cou0000629
Mira An 1 , Dennis M Kivlighan 1 , Clara E Hill 2
Affiliation  

[Retraction notice: A retraction for this article was reported in Vol 70(4) of Journal of Counseling Psychology (see record 2023-89440-002). The following article (https://doi .org/10.1037/cou0000629) is being retracted. This retraction is at the request of coauthors Kivlighan and Hill after the results of an investigation by the University of Maryland Institutional Review Board (IRB). The IRB found that the study included data from between one and four therapy clients of the Maryland Psychotherapy Clinic and Research Laboratory (MPCRL) who either had not been asked to provide consent or had withdrawn consent for their data to be included in the research. An was not responsible for obtaining and verifying participant consent but agreed to the retraction of this article.] This study investigated within-client effects of session-to-session working alliance (WA) strength (mean of client's and therapists' ratings of Working Alliance Inventory [WAI] items for a session; WAI-M) and intra-individual variance of working alliance (WAI-IIV; variation in how the same individual responds to different items in the WAI for a session) of therapist and client on overall client functioning. Specifically, we explored how the strength and intra-individual variance for therapist and client working alliance at a previous session (Time t-1) would relate to overall client functioning at a current session (Time t). We also explored whether the effect of WA-M on overall client functioning would be different at different levels of WAI-IIV. The dynamic structural equation modeling (Asparouhov et al., 2018) was used to analyze longitudinal data from 4,489 sessions at a university clinic where 17 doctoral student therapists provided low-cost, open-ended, individual psychodynamic psychotherapy to 135 adult community clients. We found that client-rated WAI-M and WAI-IIV had positive within-client main effects on next-session client functioning when controlling for autoregressive effects. Findings on WAI-M by WAI-IIV interaction effects revealed that the relationship between WAI-M at a previous session and client functioning at a current session was significant only when WAI-IIV was low (i.e., high intra-individual consistency across WAI items). Therapists' WAI-M, WAI-IIV, and interaction of WAI-M and WAI-IIV did not predict the next session client functioning significantly. Limitations and implications of the present research are discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译:

强大的联盟是不够的:联盟衡量标准中的项目级别变化会调节联盟强度和客户结果关系。

[撤回通知:《咨询心理学杂志》第 70(4) 卷报告了本文的撤回(见记录 2023-89440-002)。以下文章 (https://doi .org/10.1037/cou0000629) 已被撤回。此次撤回是应合著者 Kivlighan 和 Hill 在马里兰大学机构审查委员会 (IRB) 调查结果出来后的要求。IRB 发现,该研究包含来自马里兰州心理治疗诊所和研究实验室 (MPCRL) 的一到四名治疗客户的数据,这些客户要么没有被要求提供同意,要么已经撤回了将其数据纳入研究的同意。An 不负责获取和验证参与者的同意,但同意撤回本文。] 这项研究调查了每次治疗期间工作联盟 (WA) 强度的客户内部影响(客户和治疗师对一次治疗的工作联盟清单 [WAI] 项目的评分平均值;WAI-M)以及个人内部差异治疗师和来访者在整体来访者功能方面的工作联盟(WAI-IIV;同一个人在一次会议中对 WAI 中不同项目的反应方式的差异)。具体来说,我们探讨了治疗师和客户工作联盟在前一疗程(时间 t-1)中的强度和个体内差异如何与当前疗程(时间 t)的整体客户功能相关。我们还探讨了 WA-M 对整体客户功能的影响在不同级别的 WAI-IIV 上是否会有所不同。动态结构方程建模(Asparouhov 等人,2018)被用来分析大学诊所 4,489 次治疗的纵向数据,其中 17 名博士生治疗师为 135 名成人社区客户提供低成本、开放式、个人心理动力学心理治疗。我们发现,在控制自回归效应时,客户评价的 WAI-M 和 WAI-IIV 对下一次会话客户功能具有积极的客户内主效应。通过 WAI-IIV 交互效应对 WAI-M 的研究结果表明,仅当 WAI-IIV 较低时(即 WAI 项目之间的个体内一致性较高),前一疗程中的 WAI-M 与当前疗程中的客户功能之间的关系才显着。 )。治疗师的 WAI-M、WAI-IIV 以及 WAI-M 和 WAI-IIV 的相互作用并不能预测下一次疗程中客户的显着功能。讨论了当前研究的局限性和影响。
更新日期:2022-08-08
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