• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Psychotherapy >Alliance Rupture Repair: A Meta-Analysis
【24h】

Alliance Rupture Repair: A Meta-Analysis

机译：联盟破裂修复：META分析

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

A rupture is a deterioration in the therapeutic alliance, manifested by a disagreement between the patient and therapist on treatment goals, a lack of collaboration on therapeutic tasks, or a strain in their emotional bond. We present the most frequently used measures of alliance ruptures and clinical examples to illustrate their repair. To examine the relation of rupture repairs to outcome, and the impact of rupture resolution training on outcome, we conducted two meta-analyses. In the first meta-analysis, we examined 11 studies (1,314 patients) that examined the relation between rupture repair episodes and patient treatment outcomes. Results yielded an effect size of r = .29, d = .62, 95% confidence interval [.10, .47], p = .003, indicating a moderate relation between rupture resolution and positive patient outcome. Our second meta-analysis examined the impact of rupture resolution training or supervision on patient outcome. We examined 6 studies (276 trainees/supervisees) that compared the outcomes of trainees who received rupture resolution training with a comparison group. Results did not find a significant relation, r = .11, d = .22, 95% confidence interval [ -.09, .30], p = .28. Moderator analyses indicated that the relation between training and outcome was stronger when the sample included fewer patients with personality disorders, when the training was more closely aligned with cognitive behavioral therapy than psychodynamic therapy, and when the treatment was brief. The article concludes with limitations of the research, diversity considerations. and research-informed therapeutic practices for repairing ruptures in ways that contribute to good treatment outcome.
机译：破裂是治疗联盟的恶化，通过对治疗目标的患者和治疗师之间的分歧，缺乏对治疗任务的合作，或者情绪粘合的应变。我们提出了最常见的联盟破裂措施和临床例子，以说明他们的修复。为了检查破裂修复的关系，以及破裂解决方案对结果的影响，我们进行了两次分析。在第一次荟萃分析中，我们检查了11项研究（1,314名患者），该研究审查了破裂修复发作和患者治疗结果之间的关系。结果产生效果尺寸r = .29，d = .62,95％置信区间[.10，.47]，p = .003，表明破裂分辨率与阳性患者结果之间的中等关系。我们的第二次荟萃分析检测了破裂解决培训或监督对患者结果的影响。我们审查了6项研究（276名学员/监督员），比较了通过比较小组接受了决议培训的受训人员的结果。结果没有找到重要关系，r = .11，d = .22,95％置信区间[-.09，.30]，p = .28。主持人分析表明，当样品包括较少的人格障碍患者时，训练和结果之间的关系更强，当训练与认知行为治疗比心理动力学治疗更紧密地对齐，当治疗简短时。本文缔结了研究，多样性考虑的局限性。并采用有助于良好待遇结果的方式修复破裂的知识的治疗方法。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号