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Elaboration of Countertransference Experience and the Workings of the Working Alliance

机译：阐述逆转带经验和工作联盟的工作

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Alliance may impact psychotherapy outcomes both as a precondition that enables therapeutic work and an evolving process that is therapeutic in itself. This study examined the participation of the elaboration of countertransference experience (ECE) in alliance variation between therapist-client dyads early in therapy and within dyads over time. A total of 44 session assessments nested within 12 dyads were modeled through longitudinal multilevel analyses and utilized to examine the associations between the ECE dimensions of Immersion and Reflection and alliance components across 4 time points within the first 10 sessions of psychotherapy. Results supported the importance of initial ECE to explain differences in alliance between dyads, the particular relevance of ECE with clients presenting lower levels of personality organization, and the effect of personality difficulties on alliance change. Unexpected results were found concerning the correlations between ECE and alliance and their covariation over time. In conclusion, ECE dimensions appear to be involved in alliance formation, both in initial differences between dyads and in changes over time within the same case. ECE seems particularly important with more personality-disturbed clients. Future research should disentangle therapist and client contributions and examine the participation of ECE in the resolution of alliance ruptures.
机译：联盟可能会影响心理治疗结果，这都是一种先决条件，使其能够进行治疗工作以及本身治疗的不断发展的过程。本研究审查了在治疗师 - 客户在治疗期间和随着时间的推移的情况下，在治疗师 - 客户二元的联盟变异中参与联盟变异。通过纵向多级分析，共嵌套在12个二元内嵌套的44个会议评估，并利用在心理治疗的前10个会话中，在4个时间点之间检查浸没和反射和联盟组分之间的ECE维度之间的关联。结果支持初始欧洲委员会对二端之间联盟之间的差异，欧洲经委会与提出较低人格组织水平的特定相关性的重要性，以及人格困难对联盟变革的影响。发现了意外结果关于ECE和联盟之间的相关性及其随着时间的推移。总之，ECE尺寸似乎涉及联盟形成，两者之间的初始差异以及在同一情况内随时间的变化。 ECE似乎对更多人格不安的客户尤其重要。未来的研究应该解散治疗师和客户贡献，并在联盟破裂的决议中审查ECE的参与。

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