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首页> 外文期刊>Psychotherapy >CLIENTS' SECRET KEEPING AND THE WORKING ALLIANCE IN ADULT OUTPATIENT THERAPY
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CLIENTS' SECRET KEEPING AND THE WORKING ALLIANCE IN ADULT OUTPATIENT THERAPY

机译：在成人门诊治疗中客户的秘密保持和工作联盟

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摘要

This research investigated the relations among clients' keeping relevant secrets in therapy, the working alliance, and symptom change. Clients (N = 83) in outpatient therapy and their therapists (N = 22) at a mental health hospital completed confidential surveys after a session of ongoing therapy. The clients who reported keeping a relevant secret (27.7%) scored significantly lower on the Working Alliance Inventory (WAI) than did clients who said that they were not, even when the analyses controlled for clients' social desirability scores and for therapist effects. Therapists of these clients also reported a weaker working alliance, even though the therapists typically did not know that the clients were keeping a relevant secret. However, keeping a relevant secret was not related to symptom change. The findings support the long-standing belief that secret keeping in therapy either hurts the therapeutic relationship or happens when the relationship is relatively weak.
机译：这项研究调查了客户在治疗中保持相关秘密，工作联盟和症状改变之间的关系。门诊治疗的服务对象（N = 83）和精神病医院的治疗师（N = 22）在进行了一段时间的治疗后完成了机密调查。报告保持相关秘密的客户（27.7％）在工作联盟清单（WAI）上的得分要比那些说没有的客户低很多，即使在分析控制了客户的社会满意度得分和治疗师效果的情况下。这些治疗师的治疗师也报告说他们的工作联盟较弱，即使治疗师通常不知道这些受试者正在保守相关秘密。但是，保持相关秘密与症状改变无关。这些发现支持长期以来的信念，即秘密保持治疗会损害治疗关系，或者在关系相对较弱时发生。

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